Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, MA, USA.
Prog Cardiovasc Dis. 2015 Jul-Aug;58(1):41-9. doi: 10.1016/j.pcad.2015.05.003. Epub 2015 May 7.
The American Heart Association's 2020 Strategic Impact Goal is "By 2020, to improve the cardiovascular health of all Americans by 20% while reducing deaths from cardiovascular diseases and stroke by 20%." To monitor progress towards this goal, a new construct "ideal cardiovascular health" (iCVH) was defined that includes the simultaneous presence of optimal levels of seven health behaviors (physical activity, smoking, dietary intake, and body mass index) and factors (total cholesterol, blood pressure and fasting blood glucose). In this review, we present a summary of major concepts related to the concept of iCVH and an update of the literature in this area since publication of the 2020 Strategic Impact Goal, including trends in iCVH prevalence, new determinants and outcomes related to iCVH, strategies for maintaining or improving iCVH, policy implications of the iCVH model, and the remaining challenges to reaching the 2020 Strategic Impact Goal.
美国心脏协会 2020 年战略影响目标是“到 2020 年，将美国人的心血管健康提高 20%，同时将心血管疾病和中风导致的死亡减少 20%。”为了监测这一目标的进展，定义了一个新的结构“理想心血管健康”（iCVH），其中包括七个健康行为（身体活动、吸烟、饮食摄入和体重指数）和因素（总胆固醇、血压和空腹血糖）的最佳水平同时存在。在这篇综述中，我们总结了与 iCVH 概念相关的主要概念，并更新了自发布 2020 年战略影响目标以来该领域的文献，包括 iCVH 流行率的趋势、与 iCVH 相关的新决定因素和结果、维持或改善 iCVH 的策略、iCVH 模型的政策影响，以及实现 2020 年战略影响目标的剩余挑战。
