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Prevalence of ideal cardiovascular health in young adults: A birth cohort from southern Brazil.

Abstract：

BACKGROUND:Ideal cardiovascular health (ICH) aims at primordial prevention of cardiovascular diseases in the population. However, there is a lack of research describing ICH in youth from middle-income countries. The aims of this study were to describe the prevalence of ICH at 18 and 22-years old and to investigate the influence of socioeconomic status. METHODS:The sample consisted of participants from the Pelotas 1993 birth-cohort followed-up at 18- (n=4,106) and 22-years old (n=3,810). Ideal metrics were created for diet, smoking, body mass index, physical activity, blood pressure, total cholesterol, and blood glucose. The presence of 4 or more ideal metrics was defined as ICH. Socioeconomic status was obtained using wealth quintiles calculated with factor analysis based on analysis based on the ownership of household and education. The impact of socioeconomic status on ICH metrics was statistically measured using the slope index of inequality RESULTS: : The prevalence of ICH was 84.5% (95% CI=82.7-86.2%) and 84.1% (82.3-85.8%) at 18-years old and decreased to 61.1% (58.4-63.7%) and 68.7% (66.2-71.2%) at 22-years old, for male and female, respectively. Socioeconomic status influenced ICH and its components differently in males and females. Wealthiest females had ICH prevalence 19 percentage points (pp) (11-27 pp) higher compared to the poorest, whereas poorest males had ICH prevalence 12 pp (1-21 pp) higher compared to the wealthiest. Longitudinal decreases in ICH components were mostly present in the poorest females CONCLUSIONS: : In middle-income countries, the prevalence of ICH is high at 18-years old and decreases in a 4-years follow-up. Socioeconomic status influences differently individuals' ICH between sexes. Efforts are needed to maintain ICH in youth and different strategies may be required between the social status.

journal_name

Am Heart J

journal_title

American heart journal

authors

Oliveira RS,Schneider BC,Callo-Quinte G,Oliveira IO,Gonçalves H,Wehrmeister F,Menezes AMB

doi

10.1016/j.ahj.2021.01.014

subject

Has Abstract

pub_date

2021-01-25 00:00:00

eissn

0002-8703

issn

1097-6744

pii

S0002-8703(21)00018-1

pub_type

杂志文章

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