ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom, TH.
Department of Research Administration and Development, University of Limpopo, Turfloop, ZA.
Glob Heart. 2021 Apr 20;16(1):24. doi: 10.5334/gh.986.
Ideal cardiovascular health (ICH) measures four ideal health behaviours (non-smoking, body mass index <25 kg/m, healthy diet, and physical activity) and three health factors (total cholesterol <200 mg/dL, blood pressure <120/<80 mmHg, and fasting blood glucose <100 mg/dL).
This study aimed to determine the prevalence, distribution, and correlates of ICH among adults in Malawi.
National cross-sectional survey data of 3,441 persons aged 18-69 years with complete ICH measurements in Malawi in 2017 were analysed.
Almost one in ten (7.4%) of respondents had 0-2 ICH metric), 21.2% 3-4 ICH metrics, and 71.5% 5-7 ICH metrics). Only 3.3% had all seven ICH metrics, 15.3% had intermediate ICH (≥1 metric in the intermediate category and none in the poor category), and 81.5% poor ICH (≥1 metric in poor category). In adjusted logistic regression analysis, older age (50-69 years) (Adjusted Odds Ratio-AOR: 0.25, 95% Confidence Interval-CI: 0.17-0.36) and urban residence (AOR: 0.56, 95% CI: 0.40-0.78) were negatively associated with meeting 5-7 ICH metrics. In addition, in unadjusted analysis, higher education was positively associated with meeting 5-7 ICH metrics.
The proportion of meeting 5-7 ICH metrics was high in Malawian adults. Both high-risk and population-wide intervention programmes targeting older adults and urban residents should be implemented in aiding to improve cardiovascular health in Malawi.
The proportion of meeting 5-7 ideal cardiovascular health (ICH) metrics was 71.5% in Malawian adults (18-69 years, median age 32 years).In a sub-group analysis (45-69 years, median age 55 years), 55.9% had 5-7 ideal ICH metrics.ICH was lower with increasing age and among urban residents.
理想心血管健康（ICH）衡量四项理想健康行为（不吸烟、体重指数<25kg/m、健康饮食和身体活动）和三项健康因素（总胆固醇<200mg/dL、血压<120/<80mmHg 和空腹血糖<100mg/dL）。
本研究旨在确定马拉维成年人中 ICH 的流行率、分布和相关性。
对 2017 年在马拉维进行的一项全国性横断面调查中，对 3441 名 18-69 岁年龄、完整 ICH 测量的成年人进行了数据分析。
近十分之一（7.4%）的受访者有 0-2 项 ICH 指标），21.2%有 3-4 项 ICH 指标，71.5%有 5-7 项 ICH 指标）。只有 3.3%的人拥有所有七种 ICH 指标，15.3%的人具有中等 ICH（中等类别中有一个以上指标，而差类别中没有），81.5%的人差 ICH（差类别中有一个以上指标）。在调整后的逻辑回归分析中，年龄较大（50-69 岁）（调整后的优势比-AOR：0.25，95%置信区间-CI：0.17-0.36）和城市居住（AOR：0.56，95%CI：0.40-0.78）与达到 5-7 项 ICH 指标呈负相关。此外，在未调整的分析中，较高的教育程度与达到 5-7 项 ICH 指标呈正相关。
马拉维成年人中达到 5-7 项 ICH 指标的比例较高。应针对老年人和城市居民实施高风险和全人群干预计划，以帮助改善马拉维的心血管健康。
马拉维成年人（18-69 岁，平均年龄 32 岁）达到 5-7 项理想心血管健康（ICH）指标的比例为 71.5%。在亚组分析（45-69 岁，平均年龄 55 岁）中，55.9%的人达到了 5-7 项理想 ICH 指标。ICH 随年龄增长和城市居民而降低。
