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.
Just like the shown from inside the Desk 3, just 93 from 91 698 people (0.1%) had all of the eight cardiovascular health metrics in the top assortment. 7 thousand three hundred 40-a couple of professionals (nine.1%) had 5 in order to seven better health metrics. The new ratio off professionals in these subgroups who came across >5 ideal fitness areas had been most reduced too. More players (63 676; %) offered ?3 greatest health metrics.
Chance out-of CVD
The key results of significant cardiovascular occurrences (MI, intellectual infarction, otherwise mind hemorrhage) occurred in 1811(2.18%) people, and you may death occurred in 1564 (1.71%) members within the 4-seasons (restriction, 4.forty-two decades) follow-upwards several months. The person CVD events that made-up an important consequences happened because follows: MI, 381; mental infarction, 1066; and you will cerebral hemorrhage, 400. Because the found inside Dining table cuatro, Body mass index, TC, BP, FBG, interracialpeoplemeet ücretli mi exercise, diet plan, and you can smoking was individually pertaining to CVD situations once modifying to have many years and sex.
Bmi implies bmi; Hr, issues ratio; BP, blood pressure levels; FBG, fasting glucose levels; TC, total cholesterol levels; TG, triglyceride; Phy, physical activity; and Curriculum vitae, cardiovascular.
There clearly was a strong inverse matchmaking involving the cumulative frequency out-of CVD occurrences when you look at the go after-upwards period as well as the level of ideal wellness metrics found by individuals from the standard (Desk 5). The 93 members with seven metrics ranked because the best did maybe not experience people CVD situations over the realize-up period. The fresh new 1111 professionals which have six and you will eight greatest metrics had a great apparently reduced collective frequency out-of CVD from ?0.8%. This new cumulative occurrence try seemingly high for these with no otherwise one ideal fitness metric (?step 3.3%). CVD incidence rates was basically apparently higher within the men than in women, long lasting level of best wellness metrics found, but one of those with 7 ideal fitness metrics (dos.46% in the place of step 1.18%).
Model step one stratified to have healthcare, adjusted getting decades and you may intercourse; model dos stratified to have healthcare, modified to have decades, intercourse, average money, degree top; in total modified having sex*No.
Compared with people and no best fitness metrics, the age- and you can gender-adjusted hazard ratios towards no. 1 element lead had been 0.18 (95% CI, 0.08–0.40), 0.24 (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 0.88 (95% CI, 0.68–step 1.14) for those which have 6/seven, 5, 4, 3, dos, or step one ideal health metrics, correspondingly (Table 5). The latest trend are comparable despite adjustment to have hospitals, education height, mediocre money, and you can sex*quantity of greatest health metrics. Subgroup analysis indicated that the latest interaction anywhere between best metrics amount and you can sex is actually extreme (P=0.04).
Talk
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.