Division of Family Medicine, Department of Family and Community Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan.
Division of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan.
Nutrients. 2023 Jan 27;15(3):645. doi: 10.3390/nu15030645.
Ideal cardiovascular health (CVH) metrics play an important role in preventing cardiovascular disease (CVD). However, there is a lack of cohort studies on CVH metrics among young Asian adults. The aims of this study were to describe early changes in CVH among young Asian adults and to investigate the association between CVH metrics and sociodemographic variables.
A total of 10,000 young adults (aged 21-30 years) were recruited between 2000 and 2016. There were two CVH measurements taken from these participants over the study period. One measurement was taken at the beginning, and the other was taken five years later. Subgroup analysis of the changes in CVH metrics was divided by education level and marital status.
The mean age of the participants was 26.8 years. The initial prevalence of ideal CVH metrics was 52.3% and 86.8% and decreased to 43.8% and 81.2% after five years for males and females, respectively. In the subgroup analysis, males with less than a university education had a smaller ideal CVH metric decrease (6.2%) than males with more than a university education (8.9%), while females with more than a university education had a smaller ideal CVH metric decrease (5.4%) than females with less than a university education (7.3%). Married males had a smaller ideal CVH metric decrease (6.1%) than single males (9.1%), while single females had a smaller ideal CVH metric decrease (5.3%) than married females (6.2%).
The prevalence of ideal CVH metrics among young adults gradually decreased as age increased. Higher educational attainment and unmarried status were associated with a greater prevalence of ideal CVH metrics regardless of sex, but early CVH changes differed by sex, education level, and marital status. The prevalence of CVH changes found early among young adults can be used to monitor CVH changes quickly. Effective health promotion programs are needed to maintain CVH metrics among young adults.
理想心血管健康（CVH）指标在预防心血管疾病（CVD）方面发挥着重要作用。然而，针对年轻亚洲成年人的 CVH 指标，缺乏队列研究。本研究旨在描述年轻亚洲成年人 CVH 的早期变化，并探讨 CVH 指标与社会人口统计学变量之间的关系。
共有 10000 名年龄在 21-30 岁的年轻人于 2000 年至 2016 年期间招募。在研究期间对这些参与者进行了两次 CVH 测量。一次测量是在开始时进行的，另一次是在五年后进行的。根据教育水平和婚姻状况对 CVH 指标变化进行亚组分析。
参与者的平均年龄为 26.8 岁。男性和女性的初始理想 CVH 指标患病率分别为 52.3%和 86.8%，五年后分别降至 43.8%和 81.2%。在亚组分析中，受教育程度较低的男性理想 CVH 指标下降幅度（6.2%）小于受教育程度较高的男性（8.9%），而受教育程度较高的女性理想 CVH 指标下降幅度（5.4%）小于受教育程度较低的女性（7.3%）。已婚男性理想 CVH 指标下降幅度（6.1%）小于单身男性（9.1%），而单身女性理想 CVH 指标下降幅度（5.3%）小于已婚女性（6.2%）。
随着年龄的增长，年轻成年人中理想 CVH 指标的患病率逐渐下降。无论性别如何，较高的教育程度和未婚状态与更高的理想 CVH 指标患病率相关，但早期 CVH 变化因性别、教育程度和婚姻状况而异。在年轻成年人中早期发现的 CVH 变化的流行率可用于快速监测 CVH 变化。需要有效的健康促进计划来维持年轻成年人的 CVH 指标。
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