Department of Community Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Rama VI Rd., Ratchathewi, Bangkok, Thailand.
Ramathibodi School of Nursing, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Sci Rep. 2023 Feb 16;13(1):2781. doi: 10.1038/s41598-023-29959-1.
The relationship of ideal cardiovascular health (CVH) and health outcomes has been rarely assessed in middle-income countries. We determined the ideal CVH metrics and association with all-cause and cardiovascular (CVD) mortality in the Thai population. We used baseline data from two rounds of the National Health Examination survey (15,219 participants in 2009 and 14,499 in 2014), and assessed all-cause and CVD deaths until 2020. The prevalence of 5-7 ideal CVH metrics in 2009 was 10.4% versus 9.5% in 2014. During a median follow-up of 7.1 years, the all-cause and CVD mortality rates were 19.4 and 4.6 per 1000 person-years for 0-1 ideal CVH metrics, and 13.0 and 2.1, 9.6 and 1.5, 6.0 and 1.0, and 2.9 and 0.4 per 1000 person-years for 2, 3, 4, and 5-7 ideal CVH metrics, respectively. Participants with 2, 3, 4, or 5-7 ideal metrics had a significantly lower risk of mortality than those with 0-1 ideal CVH metrics (adjusted hazard ratios: 0.75, 0.70, 0.60, and 0.47 for all-cause, and 0.54, 0.52, 0.50, and 0.31 for CVD, respectively). Individuals with a higher number of the modified ideal CVH metrics have a lower risk of all-cause and CVD mortality.
理想心血管健康（CVH）与健康结果的关系在中等收入国家中很少被评估。我们确定了泰国人群中理想 CVH 指标与全因和心血管（CVD）死亡率的关系。我们使用了两轮全国健康检查调查的基线数据（2009 年有 15219 名参与者，2014 年有 14499 名参与者），并评估了直至 2020 年的全因和 CVD 死亡情况。2009 年有 10.4%的人达到了 5-7 项理想 CVH 指标，而 2014 年这一比例为 9.5%。在中位数为 7.1 年的随访期间，0-1 项理想 CVH 指标的全因和 CVD 死亡率分别为每 1000 人年 19.4 和 4.6 例，2 项、3 项、4 项和 5-7 项理想 CVH 指标的全因和 CVD 死亡率分别为每 1000 人年 13.0 和 2.1、9.6 和 1.5、6.0 和 1.0、2.9 和 0.4 例。与 0-1 项理想 CVH 指标相比，有 2、3、4 或 5-7 项理想指标的参与者的死亡风险显著降低（全因调整后的危险比分别为 0.75、0.70、0.60 和 0.47，CVD 为 0.54、0.52、0.50 和 0.31）。具有更多改良理想 CVH 指标的个体全因和 CVD 死亡率较低。
