Prevention of Metabolic Disorders Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Biostatistics and Epidemiology, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Sci Rep. 2021 Jan 8;11(1):58. doi: 10.1038/s41598-020-79322-x.
To examine the trends of 7 cardiovascular health metrics (CVH metrics) incorporate of smoking, physical activity, diet, body mass index (BMI), fasting plasma glucose (FPG), total cholesterol (TC), and blood pressure (BP) level during three cross-sectional STEPwise approaches to surveillance (STEPS), 2007-2016, among Iranian adults. The study population consisted of 19,841 women and 17,243 men, aged 20-65 years. The CVH metrics were categorized as 'ideal', 'intermediate', and 'poor'. The sex-stratified weighted prevalence rate of each CVH metrics was reported. The conditional probability of each poor versus combined intermediate and ideal metric was analyzed using logistic regression. In 2016 compared to 2007, the prevalence of poor BP level (20.4% vs. 23.7%), smoking (13.7% vs. 23.8%), TC ≥ 240 mg/dl (2.4% vs. 11.2%) and FPG < 100 mg/dl (75.6% vs. 82.3%) declined, whereas poor physical activity level (49.7% vs. 30%), poor healthy diet score (38.1% vs. 4.1%), BMI levels ≥ 25 kg/m (62.8% vs. 57.8%) increased. Despite a high prevalence of obesity among women, it remained constant in women but showed an increasing trend in men; moreover, the trends of low physical activity and current smoking were better for women. Despite some improvement in CVH metrics, < 4% of Iranian adults meet ≥ 6 CVH metrics in 2016; this issue needs intervention at the public health level using a multi-component strategy.
为了检查伊朗成年人在三次 STEPWISE 监测（STEPS）中的七个心血管健康指标（CVH 指标）的趋势，这些指标包括吸烟、身体活动、饮食、体重指数（BMI）、空腹血糖（FPG）、总胆固醇（TC）和血压（BP）水平，时间跨度为 2007-2016 年。研究人群包括 19841 名女性和 17243 名男性，年龄在 20-65 岁之间。CVH 指标分为“理想”、“中等”和“差”。报告了每种 CVH 指标的性别分层加权患病率。使用逻辑回归分析了每种不良指标与中等和理想指标的组合的条件概率。与 2007 年相比，2016 年不良血压水平（20.4%比 23.7%）、吸烟（13.7%比 23.8%）、TC≥240mg/dl（2.4%比 11.2%）和 FPG<100mg/dl（75.6%比 82.3%）的患病率下降，而不良体力活动水平（49.7%比 30%）、不良健康饮食评分（38.1%比 4.1%）、BMI 水平≥25kg/m（62.8%比 57.8%）增加。尽管女性肥胖的患病率很高，但在女性中保持不变，但在男性中呈上升趋势；此外，女性的低体力活动和当前吸烟趋势有所改善。尽管 CVH 指标有所改善，但 2016 年仍有<4%的伊朗成年人符合≥6 项 CVH 指标；这一问题需要通过多组分策略在公共卫生层面进行干预。
