Manczuk Marta, Vaidean Georgeta, Dehghan Mahshid, Vedanthan Rajesh, Boffetta Paolo, Zatonski Witold A
Department of Cancer Epidemiology and Prevention, Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland.
Icahn School of Medicine at Mount Sinai, New York, NY, USA; Fairleigh Dickinson University, School of Pharmacy, Florham Park, NJ, USA.
Int J Cardiol. 2017 Mar 1;230:549-555. doi: 10.1016/j.ijcard.2016.12.060. Epub 2016 Dec 21.
The concept of ideal cardiovascular health emphasizes a more integrative definition of health to include protective biological factors and behaviors but it has not been investigated in relation to individuals' perspectives on their own health.
We used cross-sectional data of 10,687 participants, age 45-64years, free of cardiovascular diseases. Ideal cardiovascular health was defined according to the American Heart Association criteria (7 metrics assessed at 3 levels: ideal, intermediate, and poor). A single-item of self-rated health (SRH) was recorded on a scale from 1 to 10. We adjusted for age, sex, education, place of residence, alcohol intake, chronic diseases and depression score in general linear and Poisson regression models.
The study participants met an average of two ideal cardiovascular factors and rated their health around a mean (SD) of 6.8 (1.4). The mean number of ideal metrics met and the total cardiovascular health score displayed a graded association with increasing SRH ratings. Examining prevalence ratios, compared to participants with a lower SRH, those with a SRH≥7 were more likely to be physically active (PR 1.79, 95% CI 1.30-2.45), more likely to have an optimal BMI (PR 1.24, 95% CI 1.16-1.33) and more likely to have their blood pressure controlled (PR 1.24, 95% CI 1.12-1.38).
The prevalence of ideal cardiovascular behaviors and factors is low in the community. The association between ideal cardiovascular health and self-rated health suggests potential opportunity to motivate and deliver health promotion interventions.
理想心血管健康的概念强调对健康进行更综合的定义，以纳入具有保护作用的生物学因素和行为，但尚未针对个人对自身健康的看法进行研究。
我们使用了10687名年龄在45 - 64岁、无心血管疾病的参与者的横断面数据。理想心血管健康根据美国心脏协会的标准进行定义（7项指标在3个水平上进行评估：理想、中等和较差）。记录了一项从1到10的自评健康（SRH）单项指标。我们在一般线性和泊松回归模型中对年龄、性别、教育程度、居住地点、酒精摄入量、慢性病和抑郁评分进行了调整。
研究参与者平均符合两项理想心血管因素，其健康自评平均（标准差）为6.8（1.4）。符合的理想指标平均数和总心血管健康评分与自评健康评分的增加呈分级关联。检查患病率比，与自评健康评分较低的参与者相比，自评健康评分≥7的参与者更有可能进行体育锻炼（患病率比1.79，95%置信区间1.30 - 2.45），更有可能有最佳体重指数（患病率比1.24，95%置信区间1.16 - 1.33），更有可能血压得到控制（患病率比1.24，95%置信区间1.12 - 1.38）。
社区中理想心血管行为和因素的患病率较低。理想心血管健康与自评健康之间的关联表明，有潜在机会激励并实施健康促进干预措施。
