Categories of each cardiovascular health behavior or factor in the total cohort and subgroups by sex are shown in Table 2. The proportion of participants in the total KaiLuan study sample who had ideal cardiovascular health metrics were as follows: smoking status (never), %; BMI (<25 kg/m 2 ), %; physical activity (?80 min/week), %; diet (low salt), 9.08%; TC (<200 mg/dL without medication), %; BP (< mm Hg without medication), 20.3%; and FPG (<100 mg/dL without medication), %. Except for TC and physical activity, more women met ideal levels of each metric than men (P<0.001)pared with women, a higher proportion of men had an ideal TC status, but the difference was not significant.
Since the found when you look at the Desk 3, only 93 out of 91 698 professionals (0.1%) had most of the 7 cardiovascular health metrics about better diversity. Eight thousand three hundred 40-several members (9.1%) got 5 to 7 top wellness metrics. The fresh new ratio out-of users on these subgroups exactly who fulfilled >5 top wellness portion were most low too. More participants (63 676; %) presented with ?3 finest health metrics.
Chance of CVD
The main outcome of major aerobic situations (MI, emotional infarction, otherwise emotional hemorrhage) occurred in 1811(dos.18%) members, and you will dying took place 1564 (step one.71%) professionals when you https://datingranking.net/tr/grizzly-inceleme/ look at the 4-seasons (limit, 4.forty two ages) follow-up several months. Anyone CVD occurrences that made the primary result occurred given that follows: MI, 381; cerebral infarction, 1066; and you can mental hemorrhage, 400. Just like the shown when you look at the Table cuatro, Body mass index, TC, BP, FBG, physical activity, diet, and you may puffing have been individually pertaining to CVD events once modifying to possess age and you can sex.
Bmi implies body mass index; Time, possibility proportion; BP, blood pressure; FBG, accelerated glucose levels; TC, full cholesterol; TG, triglyceride; Phy, physical activity; and you will Curriculum vitae, cardiovascular.
Discover a robust inverse dating involving the cumulative incidence regarding CVD situations inside the pursue-upwards period while the level of most readily useful wellness metrics met of the someone within baseline (Desk 5). Brand new 93 people with 7 metrics rated once the most readily useful did maybe not sense one CVD events along the go after-up several months. The 1111 users that have six and you will eight best metrics got a seemingly lower cumulative occurrence regarding CVD from ?0.8%. This new collective frequency was apparently high for those without otherwise singular better health metric (?3.3%). CVD chance pricing were apparently high into the men than in lady, long lasting amount of best wellness metrics came across, except one of those along with eight top health metrics (2.46% in place of step 1.18%).
Model 1 stratified having medical, adjusted to have many years and sex; design dos stratified to have healthcare, modified getting years, intercourse, average income, studies height; altogether modified for gender*Zero.
Weighed against professionals and no finest health metrics, the age- and you can intercourse-adjusted possibility percentages with the no. 1 compound lead have been 0.18 (95% CI, 0.08–0.40), 0.twenty four (95% CI, 0.17–0.35), 0.34 (95% CI, 0.26–0.45), 0.47 (95% CI, 0.37–0.61), 0.64 (95% CI, 0.50–0.82), and you can 0.88 (95% CI, 0.68–step 1.14) of these which have 6/eight, 5, 4, step 3, dos, otherwise 1 most useful wellness metrics, correspondingly (Desk 5). The latest pattern try comparable even with improvement having hospitals, studies level, average income, and you may sex*number of best wellness metrics. Subgroup analysis indicated that this new communication ranging from better metrics number and you will gender is actually tall (P=0.04).
Dialogue
The AHA Impact Goal for achievement between 2010 and 2020 focuses on promotion of health rather than control of risk and includes a new construct of cardiovascular health. 13 Our study applied this definition to the Kailuan community cohort. One of the main findings in our longitudinal study was an extremely low prevalence of ideal cardiovascular health metrics, as defined by the AHA, in the Kailuan cohort. Our data clearly show that most adults had poor cardiovascular health, and few had ideal cardiovascular health metrics. According to the modified AHA definition, <10% of participants had ?5 ideal health metrics, and most had ?3 ideal health metrics.