Ideal cardiovascular health score at the ELSA-Brasil baseline and its association with sociodemographic characteristics

Ideal cardiovascular health score at the ELSA-Brasil baseline and its association with sociodemographic characteristics

The American Heart Association's ideal cardiovascular health (ICH) define criteria for seven metrics, four classified as lifestyle factors (diet, physical activity, smoking and body-mass index) and four classified as health factors (smoking, blood pressure, fasting plasma glucose and total chol...

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Bibliographic Details
Published in:International journal of cardiology Vol. 254; pp. 333 - 337
Main Authors: Machado, Lucas B.M., Silva, Bianca L.S., Garcia, Ana P., Oliveira, Renata A.M., Barreto, Sandhi M., Fonseca, Maria de Jesus M., Lotufo, Paulo A., Bensenor, Isabela M., Santos, Itamar S.
Format: Journal Article
Language:English
Published: Netherlands Elsevier B.V 01-03-2018
Subjects:
Cardiovascular prevention
Cardiovascular risk factors
Cross-sectional
Dyslipidemia
Hyperglycemia
Hypertension
Hypertension
Hyperglycemia
Cardiovascular prevention
Cardiovascular risk factors
Cross-sectional
Dyslipidemia
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Summary:The American Heart Association's ideal cardiovascular health (ICH) define criteria for seven metrics, four classified as lifestyle factors (diet, physical activity, smoking and body-mass index) and four classified as health factors (smoking, blood pressure, fasting plasma glucose and total cholesterol). We aimed to analyze ICH scores at the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) baseline assessment and the associations with sociodemographic characteristics (age, sex, race, educational level, and family income). We analyzed 13,356 ELSA-Brasil participants without cardiovascular disease using quasi-Poisson regression models to study the association between the ICH score and sociodemographic characteristics. Mean ICH scores were 2.5±1.3. Only 1047 (7.8%) participants had 5 or more ICH metrics. In adjusted models, age 65–74years was associated with lower ICH scores (−35.4%; 95% confidence interval [CI]: −37.6% to −33.1%) compared to age 35–44years. Women had higher ICH scores compared to men (+13.8%; 95%CI: +11.8% to +15.7%), mainly due to differences in the health factor ICH metrics. Participants of Black race had lower ICH scores compared to those of White race (−9.4%; 95%CI: −11.8% to −7.0%). Individuals with less than high school education had lower ICH scores than college-educated individuals (−17.2%; 95%CI: −20.0% to −14.2%). Low (<1245 USD) family income was also associated with lower ICH scores compared to those with high (≥3320 USD) family income (−4.4%, 95%CI: −7.2% to −1.6%). We found a low proportion of individuals with 5 or more ICH metrics. Age, sex, race, educational level and income were associated with ICH scores. •We analyzed the 7 ICH metrics in 13,356 ELSA-Brasil participants at baseline.•Only 1047 (7.8%) individuals had five or more ICH metrics.•The least frequent ICH metrics were diet (1.3%) and physical activity (25.3%).•The most frequent ICH metric was smoking (84.9%).•Age, sex, race, educational level and income were associated with ICH scores.
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ISSN:0167-5273
1874-1754
DOI:10.1016/j.ijcard.2017.12.037