Loading...
Temporal trends of cardiovascular health factors among 366 270 French adults
Gaye, B Tajeu, GS Offredo, L Vignac, M Johnson, S Thomas, F Jouven, X
Gaye, B
Tajeu, GS
Offredo, L
Vignac, M
Johnson, S
Thomas, F
Jouven, X
Citations
Altmetric:
Genre
Journal Article
Date
2020-04-01
Advisor
Committee member
Group
Department
Permanent link to this record
Collections
Research Projects
Organizational Units
Journal Issue
DOI
10.1093/ehjqcco/qcz038
Abstract
© 2019 The Author(s) 2019. Published by Oxford University Press on behalf of the European Society of Cardiology. Aims: We aimed to investigate time trends in cardiovascular health (CVH) metrics in the population at large, as well as in important subgroups. Methods and results: In this study, we used a community-based sample of 366 270 adults from France who had a standardized examination to assess cardiovascular risk factors between 1992 and 2011 (20 years). Cardiovascular health metrics categorized into ideal, intermediate, and poor categories were computed using smoking, physical activity, body mass index, total cholesterol, blood glucose, and blood pressure. Matching on age, sex, and depression across 5-year periods (1992-96, 1997-2001, 2002-06, and 2007-11) was performed in order to correct for the sociodemographic differences between the examinations at different periods of times. Mean age across all four time periods was 44.7 (SD 13) years and 38% (138 228) were women. Overall, few participants (≤3.5%) met all six ideal CVH metrics at any time point. The prevalence of meeting ≥5 ideal CVH metrics increased from 6.7% in 1992-96 to 15.0% in 2007-11 (P < 0.001). A significant improvement in CVH (meeting ≥5 ideal CVH metrics) from 1992 to 2011 was observed among younger (from 7.5% to 16.6%) and older individuals (from 1.3% to 4.2%), men (from 4.4% to 11.8%) and women (from 10.4% to 20.1%), those with low (from 9.1% to 10.4%) and high education status (from 15% to 18.1%) and those with (from 5.1% to 12.7%) and without depressive symptoms (from 6.8% to 15.1%). However, the rate of improvement was steepest in the most affluent group in comparison with those with lower socio-economic status. Conclusion: Overall CVH improved from 1992 until 2006 and slightly decreased between 2006 and 2011 in French adults. From 1992 until 2006, the improvement in CVH was less pronounced among those with low socio-economic status as compared to those with a higher socio-economic status.
Description
Citation
Citation to related work
Oxford University Press (OUP)
Has part
European Heart Journal - Quality of Care and Clinical Outcomes
ADA compliance
For Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu