Ideal cardiovascular health and incident cardiovascular disease among adults : A systematic review and meta-analysis
Journal article
Ramírez-Vélez, Robinson, Saavedra, José M., Lobelo, Felipe, Celis-Morales, Carlos A., del Pozo Cruz, Borja and García-Hermoso, Antonio. (2018). Ideal cardiovascular health and incident cardiovascular disease among adults : A systematic review and meta-analysis. Mayo Clinic Proceedings. 93(11), pp. 1589-1599. https://doi.org/10.1016/j.mayocp.2018.05.035
Authors | Ramírez-Vélez, Robinson, Saavedra, José M., Lobelo, Felipe, Celis-Morales, Carlos A., del Pozo Cruz, Borja and García-Hermoso, Antonio |
---|---|
Abstract | Objective: To investigate the association between ideal cardiovascular health (CVH) metrics and incident cardiovascular disease (CVD) by conducting a systematic review and meta-analysis of prospective cohort studies. Methods: The MEDLINE, EMBASE, and CINAHL databases were searched from January 1, 2010, through July 31, 2017, for studies that met the following criteria: (1) prospective studies conducted in adults, (2) with outcome data on CVD incidence and (3) a measure of ideal CVH metrics. Results: Twelve studies (210,443 adults) were included in this analysis. Compared with adults who met 0 to 2 of the ideal CVH metrics (high-risk individuals), a significantly lower hazard for CVD incidence was observed in those who had 3 to 4 points for the ideal CVH metrics (hazard ratio [HR]=0.53; 95% CI, 0.47-0.59) and 5 to 7 points (HR=0.28; 95% CI, 0.23-0.33). Weaker associations were observed in studies with older individuals, suggesting that there is a positive relationship between age and HR. Conclusion: Although meeting 5 to 7 metrics is associated with the lowest hazard for CVD incidence, meeting 3 to 4 metrics still offers an important protective effect for CVD. Therefore, a realistic goal in the general population in the short term could be to promote at least an intermediate ideal CVH profile (3 to 4 metrics). |
Year | 2018 |
Journal | Mayo Clinic Proceedings |
Journal citation | 93 (11), pp. 1589-1599 |
Publisher | Elsevier Inc. |
ISSN | 0025-6196 |
Digital Object Identifier (DOI) | https://doi.org/10.1016/j.mayocp.2018.05.035 |
Scopus EID | 2-s2.0-85054002324 |
Open access | Published as green open access |
Page range | 1589-1599 |
Research Group | Institute for Positive Psychology and Education |
Author's accepted manuscript | License File Access Level Open |
Publisher's version | License All rights reserved File Access Level Controlled |
Output status | Published |
Publication dates | |
Online | 28 Sep 2018 |
https://acuresearchbank.acu.edu.au/item/86q4v/ideal-cardiovascular-health-and-incident-cardiovascular-disease-among-adults-a-systematic-review-and-meta-analysis
Download files
Author's accepted manuscript
AM_Ramirez-Velez_2018_Ideal_cardiovascular_health_and_incident_cardiovascular.pdf | |
License: CC BY-NC-ND 4.0 | |
File access level: Open |
Restricted files
Publisher's version
113
total views122
total downloads2
views this month2
downloads this month