Comparison of Cardiovascular Health Profiles Across Population Surveys From 5 High- to Low-Income Countries.

Autor:	Ware L; South African Medical Research Council Developmental Pathways for Health Research Unit, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa., Vermeulen B; South African Medical Research Council Developmental Pathways for Health Research Unit, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa., Maposa I; Division of Epidemiology and Biostatistics, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa., Flood D; Wuqu' Kawoq, Santiago Sacatepéquez, Sacatepéquez, Guatemala.; Department of Medicine, University of Michigan, Ann Arbor, Michigan, USA., Brant LCC; Faculty of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil., Khandelwal S; Public Health Foundation of India, Delhi, India., Singh K; Heidelberg Institute of Global Health, Heidelberg University, Heidelberg, Germany.; Public Health Foundation of India, Gurugram, Haryana, India., Soares S; Epidemiology Research Unit, Institute of Public Health, University of Porto, Porto, Portugal.; Laboratory for Integrative and Translational Research in Public Health (ITR), University of Porto, Porto, Portugal., Jessen N; Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique.; Research Unit of the Department of Medicine, Maputo Central Hospital, Maputo, Mozambique., Perman G; Department of Public Health, Instituto Universitario Hospital Italiano de Buenos Aires, Buenos Aires, Argentina., Riaz BK; National Institute of Preventive & Social Medicine (NIPSOM), Ministry of Health & Family Welfare, Mohakhali, Dhaka, Bangladesh., Sachdev HS; Sitaram Bhartia Institute of Science and Research, New Delhi, India., Allen NB; Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Evanston, Illinois, USA., Labarthe DR; Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Evanston, Illinois, USA.
Jazyk:	angličtina
Zdroj:	CJC open [CJC Open] 2023 Dec 04; Vol. 6 (3), pp. 582-596. Date of Electronic Publication: 2023 Dec 04 (Print Publication: 2024).
DOI:	10.1016/j.cjco.2023.11.021
Abstrakt:	Background: To facilitate the shift from risk-factor management to primordial prevention of cardiovascular disease, the American Heart Association developed guidelines to score and track cardiovascular health (CVH). How the prevalence and trajectories of a high level of CVH across the life course compare among high- and lower-income countries is unknown. Methods: Nationally representative survey data with CVH variables (physical activity, cigarette smoking, body mass index, blood pressure, blood glucose, and total cholesterol levels) were identified in Ethiopia, Bangladesh, Brazil, England, and the US for adults (aged 18-69 years and not pregnant). Data were harmonized, and CVH metrics were scored using the American Heart Association guidelines, as high (2), moderate (1), or low (0), with the prevalence of high scores (better CVH) across the life course compared across countries. Results: Among 28,092 adults (Ethiopia n = 7686, 55.2% male; Bangladesh n = 6731, 48.4% male; Brazil n = 7241, 47.9% male; England n = 2691, 49.5% male, and the US n = 3743, 50.3% male), the prevalence of high CVH scores decreased as country income level increased. Declining CVH with age was universal across countries, but differences were already observable in those aged 18 years. Excess body weight appeared to be the main driver of poor CVH in higher-income countries, and the prevalence of current smoking was highest in Bangladesh. Conclusions: Our findings suggest that CVH decline with age may be universal. Interventions to promote and preserve CVH throughout the life course are needed in all populations, tailored to country-specific time courses of the decline. In countries where the level of CVH remains relatively high, protection of whole societies from risk-factor epidemics may still be feasible. (© 2023 The Authors.)
Databáze:	MEDLINE
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