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. 2014 Feb 24;9(2):e89161.
doi: 10.1371/journal.pone.0089161. eCollection 2014.

The ideal cardiovascular health metrics associated inversely with mortality from all causes and from cardiovascular diseases among adults in a Northern Chinese industrial city

Yan Liu  1 , Hong-jie Chi  2 , Liu-fu Cui  3 , Xin-chun Yang  2 , Yun-tao Wu  1 , Zhe Huang  1 , Hai-yan Zhao  1 , Jing-sheng Gao  1 , Shou-ling Wu  1 , Jun Cai  2
Affiliations

The ideal cardiovascular health metrics associated inversely with mortality from all causes and from cardiovascular diseases among adults in a Northern Chinese industrial city

Yan Liu et al. PLoS One. .

Abstract

Background and aims: The American Heart Association has recently established seven ideal cardiovascular health metrics for cardiovascular health promotion and disease reduction (i.e., non-smoking, normal body mass index, physically active, healthy diet, and normal levels of cholesterol, blood pressure and fasting blood glucose). The present study seeks to evaluate how well these metrics predict mortality from all causes and cardiovascular diseases in adult Chinese living in a northern industrial city.

Methods and results: Data of 95,429 adults who participated in the Kailuan cohort study from June 2006 to October 2007 was analyzed. All participants underwent questionnaire assessment, clinical examination, laboratory assessments and were followed up biannually. During a median follow-up of 4.02 years, 1,843 deaths occurred, with 597 deaths resulting from cardiovascular diseases. Lower mortality rates from all causes and cardiovascular diseases were observed among the subjects who met a higher number of the ideal health metrics. Compared to the participants who met none or one ideal health metric, those meeting ≥5 ideal health metrics had a lower risk of all-cause mortality by 30% (adjusted hazard ratio, 0.70; 95% confidence interval, 0.56-0.88) and a lower risk of mortality from cardiovascular diseases by 39% (adjusted hazard ratio, 0.61; 95% confidence interval, 0.41-0.89) . Four metrics (smoking status, physical activity, blood pressure and fasting blood glucose) were significantly associated with all-cause mortality. Three metrics (physical activity, blood pressure and fasting blood glucose) were significantly associated with mortality from cardiovascular diseases.

Conclusion: The number of ideal health metrics is negatively associated with mortality rates from all causes and cardiovascular diseases among adults in a Northern Chinese industrial city. The data supports the AHA recommendation of ideal health metrics for adults from Northern China.

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Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Distribution of end digits of systolic blood pressure and diastolic blood pressure.
SBP indicates systolic blood pressure; DBP, diastolic blood pressure.
See this image and copyright information in PMC

References

    1. World Health Organization (2008) The global burden of disease: 2004 update. Geneva, Switzerland: World Health Organization.
    1. Institute of Medicine (2010) Promoting cardiovascular health in the developing world: a critical challenge to achieve global health. Washington, DC: The National Academies Press. - PubMed
    1. Roger VL, Go AS, Lloyd-Jones DM, Benjamin EJ, Berry JD, et al. (2012) Heart disease and stroke statistics – 2012 update: a report from the American Heart Association. Circulation 125: e2–220. - PMC - PubMed
    1. Lloyd-Jones DM, Hong Y, Labarthe D, Mozaffarian D, Appel LJ, et al. (2010) American Heart Association Strategic Planning Task Force and Statistics Committee (2010) Defining and setting national goals for cardiovascular health promotion and disease reduction: the American Heart Association's strategic Impact Goal through 2020 and beyond. Circulation 121: 586–613. - PubMed
    1. Ford ES, Greenlund KJ, Hong Y (2012) Ideal cardiovascular health and mortality from all causes and diseases of the circulatory system among adults in the United States. Circulation 125: 987–95. - PMC - PubMed

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