Prevalence and Determinants of Ideal Cardiovascular Health in Kenya: A Cross-Sectional Study Using Data From the 2015 Kenya STEPwise Survey

Autor: James Odhiambo Oguta, Penny Breeze, Elvis Wambiya, Catherine Akoth, Grace Mbuthia, Peter Otieno, Oren Ombiro, Yvette Kisaka, Lilian Mbau, Elizabeth Onyango, Gladwell Gathecha, Pete R. J. Dodd
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Global Heart, Vol 19, Iss 1, Pp 79-79 (2024)
Druh dokumentu: article
ISSN: 2211-8179
DOI: 10.5334/gh.1363
Popis: Background: Kenya is experiencing a rising burden of cardiovascular diseases (CVDs) due to epidemiological and demographic shifts, along with increasing risk factors. Ideal cardiovascular health (iCVH), defined by the American Heart Association (AHA), encompasses eight metrics to evaluate cardiovascular well-being. This study assessed the prevalence and determinants of iCVH in Kenya. Methods: Data from the 2015 Kenya STEPwise survey on non-communicable disease risk factors, including 4,500 adults aged 18–69, were analysed. iCVH was assessed using 2022 AHA criteria based on seven factors: nicotine exposure, physical activity, diet, BMI, blood pressure, glucose, and lipid levels. A cardiovascular health (CVH) CVH score of ≥80% classified individuals as having iCVH. Multivariable binary and ordinal logistic regression identified factors associated with iCVH. Results: The mean CVH score in Kenya was 78.6% (95% CI: 77.9,79.2%), higher in females (79.3%), rural areas (79.5%), and non-drinkers (79.6%) than in males (77.9%), urban residents (77.0%), and alcohol drinkers (75.4%), respectively. The prevalence of iCVH (CVH score ≥80%) was 45.6%, while 6.4% had poor CVH (CVH score
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