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. 2017 May 18:7:20-25.
doi: 10.1016/j.pmedr.2017.05.005. eCollection 2017 Sep.

Ideal cardiovascular health and peripheral artery disease in African Americans: Results from the Jackson Heart Study

Tracie C Collins  1 , David P Slovut  2 , Robert Newton Jr  3 , William D Johnson  4 , Sandra Larrivee  4 , Jeremy Patterson  5 , Judy A Johnston  1 , Adolfo Correa  6
Affiliations

Ideal cardiovascular health and peripheral artery disease in African Americans: Results from the Jackson Heart Study

Tracie C Collins et al. Prev Med Rep. .

Abstract

We sought to determine the association of Life's Simple Seven (LSS) with peripheral artery disease (PAD) in African Americans. We performed a cross-sectional analysis of baseline data (2000-2004) from subjects participating in the Jackson Heart Study. African American men and women (N = 4403) age 35-84 years participated in the study. PAD was defined by an ankle-brachial index (ABI) of < 0.9. We assessed frequency of LSS (body mass index [BMI], blood pressure, total cholesterol, glucose, dietary habits, physical activity, and smoking) among participants with and without PAD. LSS variables were categorized as ideal, intermediate, or poor to indicate a participant's health status. Data were analyzed using logistic regression to assess the association of PAD with LSS. PAD was diagnosed in 113 participants (2.6%). The percentage of the cohort meeting criteria for ideal health for each of the seven LSS factors was: 14.2% for BMI, 17.1% for blood pressure, 38.0% for total cholesterol, 72.9% for glucose, 1.0% for dietary habits, 19.2% for physical activity, and 84.6% for smoking. Having ≥ 3 LSS variables within the category of poor health was associated with elevated odds for PAD (odds ratio (OR) 1.34, 95% CI 1.11-1.63) after adjusting for age. Among African American adults, LSS variables are associated with PAD. Further studies are needed to determine the association of LSS with PAD among other racial/ethnic groups.

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Figures

Fig. 1
Fig. 1
Age adjusted prevalence of PAD by number of poor health factors.
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