Moghaddam Mariam Maleki, Mohebi Reza, Hosseini Firoozeh, Lotfaliany Mojtaba, Azizi Fereidoun, Saadat Navid, Hadaegh Farzad
Dr. Farzad Hadaegh, Research Institute for Endocrine Sciences,, Shahid Beheshti University of Medical Sciences,, PO Box 4763, Tehran 19395, Iran, T: +982122409301-5, F: +982122402463,
Ann Saudi Med. 2014 Mar-Apr;34(2):134-42. doi: 10.5144/0256-4947.2014.134.
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.
为改善美国人群的心血管（CV）健康状况，美国心脏协会（AHA）基于7项可获取的健康指标制定了理想、中等和较差心血管健康的定义。该结构在中东地区社区人群中的适用性及其各组成部分的分布情况尚未见报道。
一项于1999年至2011年进行的基于人群的前瞻性队列研究。
我们使用德黑兰血脂与血糖研究第4阶段（2009 - 2011年）的数据（2861名女性和2004名男性，年龄≥20岁）来估计成年男女心血管健康水平（理想、中等和较差）的频率，以及心血管健康各水平下每项指标的频率。还估计了所有亚组中整个心血管健康范围内每项心血管健康指标的中位数或均值。
仅有1名成年参与者符合所有7项理想心血管健康指标；25.01%的女性和26%的男性具有中等心血管健康水平；74.8%的女性和74%的男性表现出较差的心血管健康状况。仅有19.7%的女性和10.3%的男性具有5项或更多理想心血管健康指标。不吸烟是最常见的理想健康行为。共有89.6%的参与者具有1项或2项理想心血管健康行为。理想的吸烟状况和空腹血糖在心血管健康因素中出现频率最高。
在这一成年人群队列中，理想心血管健康的频率极低。中等心血管健康的频率也较低，在一般人群中可能显著更低。
