Ideal cardiovascular health and all-cause or cardiovascular mortality in a longitudinal study of the Thai National Health Examination Survey IV and V.

Autor: Aekplakorn W; Department of Community Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Rama VI Rd., Ratchathewi, Bangkok, Thailand. wichai.aek@mahidol.ac.th., Neelapaichit N; Ramathibodi School of Nursing, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand., Chariyalertsak S; Faculty of Public Health, Chiang Mai University, Chiang Mai, Thailand., Kessomboon P; Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand., Assanangkornchai S; Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand., Taneepanichskul S; College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand., Sangwatanaroj S; Department of Internal Medicine, Faculty of Medicine Chulalongkorn Hospital, Chulalongkorn University, Rama VI Rd., Pathumwan, Bangkok, Thailand., Laohavinij W; Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand., Nonthaluck J; Department of Epidemiology, Faculty of Public Health, Mahidol University, Bangkok, Thailand.
Jazyk: angličtina
Zdroj: Scientific reports [Sci Rep] 2023 Feb 16; Vol. 13 (1), pp. 2781. Date of Electronic Publication: 2023 Feb 16.
DOI: 10.1038/s41598-023-29959-1
Abstrakt: 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.
(© 2023. The Author(s).)
Databáze: MEDLINE
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