Department of Geriatrics, Neurosciences and Orthopedics, Catholic University of the Sacred Heart, Rome, Italy.
Eur J Public Health. 2018 Aug 1;28(4):766-772. doi: 10.1093/eurpub/cky034.
Primordial prevention is essential for promoting cardiovascular health and longevity through the so-called seven cardiovascular health metrics (CHMs) (i.e. smoking, body mass index, diet, physical activity, blood pressure, blood glucose and total cholesterol). Measures of muscle mass and function are recognized as powerful predictors of health-related events and survival. Therefore, the present study was undertaken to assess the prevalence and distribution of the seven CHMs and measures of muscle mass and function in an unselected cohort of community-dwellers.
The Longevity check-up 7+ (Lookup 7+) project is an ongoing cross-sectional survey conducted in unconventional settings (e.g. exhibitions, malls and health promotion campaigns) across Italy. CHMs are assessed through a brief questionnaire and by measurement of standing height, body weight, blood glucose, blood cholesterol and blood pressure. Muscle mass is estimated from calf circumference, whereas muscle strength and function are measured via handgrip strength and chair-stand testing, respectively. Results Analyses were conducted in 6323 community-living adults (mean age: 54 ± 15 years, 57% women) recruited between 1 June 2015 and 30 June 2017. Participants presented on average 4.3 ± 1.3 ideal CHMs, which decreased with age. Only 19.5% of participants met >5 ideal metrics, while 8.3% met <3. All seven ideal metrics were met by 4.7% of enrollees. Muscle mass, strength and function declined progressively with age, starting at 45-50 years. Conclusion Our population showed suboptimal CHMs scores, with very low prevalence of all ideal metrics. The number of ideal metrics decreased progressively with age and so did muscle mass and function.
通过所谓的七个心血管健康指标（CHMs）（即吸烟、体重指数、饮食、身体活动、血压、血糖和总胆固醇）进行原始预防对于促进心血管健康和长寿至关重要。肌肉质量和功能的测量被认为是健康相关事件和生存的有力预测指标。因此，本研究旨在评估在未经选择的社区居民队列中，七个 CHMs 以及肌肉质量和功能测量的流行率和分布。
长寿检查 7+（Lookup 7+）项目是一项正在进行的横断面调查，在意大利的非常规场所（如展览、商场和健康促进活动）进行。通过简短的问卷和站立身高、体重、血糖、血液胆固醇和血压的测量来评估 CHMs。肌肉质量通过小腿围来估计，而肌肉力量和功能分别通过握力和椅立测试来测量。结果分析在 2015 年 6 月 1 日至 2017 年 6 月 30 日期间招募的 6323 名社区居住的成年人（平均年龄：54 ± 15 岁，57%为女性）中进行。参与者平均有 4.3 ± 1.3 个理想的 CHMs，随着年龄的增长而减少。只有 19.5%的参与者符合>5 个理想指标，而 8.3%的参与者符合<3 个。只有 4.7%的参与者符合所有七个理想指标。肌肉质量、力量和功能随着年龄的增长逐渐下降，从 45-50 岁开始。
我们的人群显示出 CHMs 评分不理想，所有理想指标的患病率都非常低。随着年龄的增长，理想指标的数量逐渐减少，肌肉质量和功能也随之减少。
