CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru.
Division of Cardiology, University of Washington, Seattle, WA, USA.
Heart. 2018 Aug;104(15):1251-1256. doi: 10.1136/heartjnl-2017-312255. Epub 2018 Jan 11.
The prevalence of and factors associated with ideal cardiovascular health (ICH) by sociodemographic characteristics in Peru is not well known.
The American Heart Association's ICH score comprised 3 ideal health factors (blood pressure, untreated total cholesterol and glucose) and 4 ideal health behaviours (smoking, body mass index, high physical activity and fruit and vegetable consumption). ICH was having 5 to 7 of the ideal health metrics. Baseline data from the Center of Excellence in Chronic Diseases, a prospective cohort study in adults aged ≥35 years in 4 Peruvian settings, was used (n=3058).
No one met all 7 of ICH metrics while 322 (10.5%) had ≤1 metric. Fasting plasma glucose was the most prevalent health factor (72%). Overall, compared with ages 35-44 years, the 55-64 years age group was associated with a lower prevalence of ICH (prevalence ratio 0.54, 95% CI 0.40 to 0.74, P<0.001). Compared with those in the lowest tertile of socioeconomic status, those in the middle and highest tertiles were less likely to have ICH after adjusting for sex, age and education (P<0.001).
There is a low prevalence of ICH. This is a benchmark for the prevalence of ICH factors and behaviours in a resource-poor setting.
在秘鲁，按社会人口特征划分，理想心血管健康（ICH）的流行情况及其相关因素尚不清楚。
美国心脏协会的 ICH 评分包括 3 个理想健康因素（血压、未经治疗的总胆固醇和血糖）和 4 个理想健康行为（吸烟、体重指数、高身体活动量和水果与蔬菜摄入量）。ICH 是指拥有 5 到 7 项理想健康指标。本研究使用了卓越慢性病中心（一个在秘鲁 4 个地区≥35 岁成年人中进行的前瞻性队列研究）的基线数据（n=3058）。
没有人同时满足 7 项 ICH 指标，而有≤1 项指标的人数为 322（10.5%）。空腹血糖是最常见的健康因素（72%）。总的来说，与 35-44 岁年龄组相比，55-64 岁年龄组的 ICH 患病率较低（患病率比 0.54，95%CI 0.40 至 0.74，P<0.001）。与社会经济地位最低三分位数的人相比，调整性别、年龄和教育因素后，处于中间和最高三分位数的人发生 ICH 的可能性较低（P<0.001）。
ICH 的患病率较低。这是资源匮乏环境中 ICH 因素和行为的患病率基准。
