Categories of each cardiovascular health behavior or factor in the total cohort and subgroups by sex are shown in Table 2. The proportion of participants in the total KaiLuan study sample who had ideal cardiovascular health metrics were as follows: smoking status (never), %; BMI (<25 kg/m 2 ), %; physical activity (?80 min/week), %; diet (low salt), 9.08%; TC (<200 mg/dL without medication), %; BP (< mm Hg without medication), 20.3%; and FPG (<100 mg/dL without medication), %. Except for TC and physical activity, more women met ideal levels of each metric than men (P<0.001)pared with women, a higher proportion of men had an ideal TC status, but the difference was not significant.
Since the shown into the Dining table step three, only 93 regarding 91 698 users (0.1%) got all of the seven cardiovascular health metrics regarding best assortment. Seven thousand 300 forty-one or two players (9.1%) got 5 to eight top health metrics. New proportion regarding professionals in these subgroups exactly who found >5 better health elements was indeed really lowest as well. The majority of players (63 676; %) served with ?step three ideal wellness metrics.
Frequency out-of CVD
The main results of biggest cardiovascular situations (MI, cerebral infarction, otherwise intellectual hemorrhage) took place 1811(2.18%) professionals, and you can death took place 1564 (step 1.71%) participants in the cuatro-12 months (restrict, 4.forty two years) follow-up months. Anyone CVD incidents one to made up an important outcome happened since the follows: MI, 381; cerebral infarction, 1066; and you may intellectual hemorrhage, eight hundred. Just like the shown in the Desk 4, Body mass index, TC, BP, FBG, physical exercise, diet, and you will puffing had been by themselves regarding CVD occurrences just after adjusting to own age and you can gender.
Body mass index means body mass index; Time, hazard ratio; BP, blood pressure; FBG, accelerated glucose levels; TC, complete cholesterol; TG, triglyceride; Phy, physical exercise; and Curriculum vitae, cardiovascular.
There clearly was a strong inverse matchmaking between the cumulative incidence regarding CVD events inside pursue-upwards period while the quantity of best fitness metrics found by some body at standard (Desk 5). The newest 93 people along with eight metrics ranked once the finest did maybe not sense one CVD incidents over the go after-right up period. New 1111 professionals having 6 and you will 7 ideal metrics got good apparently low cumulative occurrence off CVD out-of ?0.8%. This new collective occurrence is apparently large of these no otherwise one best health metric (?step three.3%). CVD chance cost have been apparently high in the boys compared to lady, whatever the amount of top fitness metrics met, except one of those with all of seven most useful health metrics (dos.46% as opposed to step one.18%).
Model step one stratified for health, adjusted having years and you can sex; model 2 stratified getting medical, modified having years, gender, average income, studies peak; as a whole modified having gender*No.
In contrast to players and no greatest health metrics, age- and you can intercourse-adjusted issues rates into primary compound benefit were 0.18 (95% CI, 0.08–0.40), 0.twenty-four (95% CI, 0.17–0.35), 0.34 (95% CI, 0.26–0.45), 0.47 (95% CI, 0.37–0.61), 0.64 (95% CI, 0.50–0.82), and you will 0.88 (95% CI, 0.68–1.14) for these that have 6/seven, 5, cuatro, step three, 2, otherwise step one best fitness metrics, correspondingly (Desk 5). The trend is actually equivalent even with improvement for medical facilities, studies height, ldsplanet kuponu average money, and you can intercourse*amount of better health metrics. Subgroup investigation indicated that the newest correspondence between better metrics number and sex was tall (P=0.04).
Dialogue
The AHA Impact Goal for achievement between 2010 and 2020 focuses on promotion of health rather than control of risk and includes a new construct of cardiovascular health. 13 Our study applied this definition to the Kailuan community cohort. One of the main findings in our longitudinal study was an extremely low prevalence of ideal cardiovascular health metrics, as defined by the AHA, in the Kailuan cohort. Our data clearly show that most adults had poor cardiovascular health, and few had ideal cardiovascular health metrics. According to the modified AHA definition, <10% of participants had ?5 ideal health metrics, and most had ?3 ideal health metrics.