Distribution of ideal cardiovascular health in a community-based cohort of Middle East population

To improve cardiovascular (CV) health of American population, the American Heart Association (AHA) developed definitions of ideal, intermediate, and poor CV health based on 7 accessible health metrics. The applicability of this construct and the distribution of its components in the community-based...

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Bibliographic Details
Published in:	Annals of Saudi medicine Vol. 34; no. 2; pp. 134 - 142
Main Authors:	Moghaddam, Mariam Maleki, Mohebi, Reza, Hosseini, Firoozeh, Lotfaliany, Mojtaba, Azizi, Fereidoun, Saadat, Navid, Hadaegh, Farzad
Format:	Journal Article
Language:	English
Published:	Saudi Arabia KING FAISAL SPECIALIST HOSPITAL & RESEARCH CENTRE 01-03-2014 King Faisal Specialist Hospital and Research Centre
Subjects:	Adult American Heart Association Blood Glucose - analysis Blood Pressure Body Mass Index Cardiovascular Diseases - prevention & control Cholesterol Cholesterol - blood Diet Exercise Fasting Fasting - blood Female Fruits Health Behavior Health care Health Status Health Status Indicators Humans Iran - epidemiology Male Middle Aged Middle East - epidemiology Mortality Obesity Objectives Original Overweight - epidemiology Population Prospective Studies Questionnaires Risk Factors Secondary schools Smoking - epidemiology Stroke Temperance United States Womens health Middle East Iran United States
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Summary:	To improve cardiovascular (CV) health of American population, the American Heart Association (AHA) developed definitions of ideal, intermediate, and poor CV health based on 7 accessible health metrics. The applicability of this construct and the distribution of its components in the community-based populations in the Middle East region have not been reported. A prospective population-based cohort study conducted from 1999 to 2011. We used data from phase 4 of Tehran Lipid and Glucose Study (2009-2011) (2861 women and 2004 men, aged >= 20 years) to estimate the frequency of CV health levels (ideal, intermediate, and poor) in adults of both genders, and the frequency of each metric at each level of CV health. The median or mean of each CV health metric was also estimated in the whole spectrum of CV health in all subgroups. Only 1 adult participant met all 7 ideal CV health metrics; 25.01% of women and 26% of men had intermediate CV health; 74.8% of women and 74% of men exhibited poor CV health. Only 19.7% of women and 10.3% of men had 5 or more ideal CV health metrics. Nonsmoking was the most frequent ideal health behavior. A total of 89.6% of participants had 1 or 2 ideal CV health behaviors. Ideal smoking and fasting plasma glucose had the highest frequency of CV health factors among others. The frequency of ideal CV health was extremely low in this cohort of adults. The frequency of intermediate CV health was also low, and it may be significantly lower in the general population.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0256-4947 0975-4466
DOI:	10.5144/0256-4947.2014.134