| Title: |
Comparison of cardiovascular health profiles across population surveys from five high- to low-income countries |
| Authors: |
Ware, L; Vermeulen, B; Maposa, I; Floo, D; Brant, LC; Khandelwal, S; Singh, K; Soares, S; Jessen, N; Perman, G; Riaz, BK; Sachdev, HS; Allen, NB; Labarthe, DR |
| Contributors: |
Instituto de Saúde Pública da Universidade do Porto |
| Publication Year: |
2023 |
| Collection: |
Repositório Aberto da Universidade do Porto |
| Description: |
Aims With the greatest burden of cardiovascular disease morbidity and mortality increasingly observed in lower-income countries least prepared for this epidemic, focus is widening from risk factor management alone to primordial prevention to maintain high levels of cardiovascular health (CVH) across the life course. To facilitate this, the American Heart Association (AHA) developed CVH scoring guidelines to evaluate and track CVH. We aimed to compare the prevalence and trajectories of high CVH across the life course using nationally representative adult CVH data from five diverse high- to low-income countries. Methods Surveys with CVH variables (physical activity, cigarette smoking, body mass, blood pressure, blood glucose, and total cholesterol levels) were identified in Ethiopia, Bangladesh, Brazil, England, and the United States (US). Participants were included if they were 18-69y, not pregnant, and had data for these CVH metrics. Comparable data were harmonized and each of the CVH metrics was scored using AHA guidelines as high (2), moderate (1), or low (0) to create total CVH scores with higher scores representing better CVH. High CVH prevalence by age was compared creating country CVH trajectories. Results The analysis included 28,092 adults (Ethiopia n=7686, 55.2% male; Bangladesh n=6731, 48.4% male; Brazil n=7241, 47.9 % male; England n=2691, 49.5% male, and the US n=3743, 50.3% male). As country income level increased, prevalence of high CVH decreased (>90% in Ethiopia, >68% in Bangladesh and under 65% in the remaining countries). This pattern remained using either five or all six CVH metrics and following exclusion of underweight participants. While a decline in CVH with age was observed for all countries, higher income countries showed lower prevalence of high CVH already by age 18y. Excess body weight appeared the main driver of poor CVH in higher income countries, while current smoking was highest in Bangladesh. Conclusion Harmonization of nationally representative survey data on CVH ... |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
English |
| Relation: |
medRxiv. 2023 Jul 28:2023.07.26.23293185. doi:10.1101/2023.07.26.23293185. Preprint.; https://www.medrxiv.org/content/10.1101/2023.07.26.23293185v1; https://hdl.handle.net/10216/154238 |
| DOI: |
10.1101/2023.07.26.23293185 |
| Availability: |
https://hdl.handle.net/10216/154238; https://doi.org/10.1101/2023.07.26.23293185 |
| Rights: |
info:eu-repo/semantics/openAccess |
| Accession Number: |
edsbas.862D4737 |
| Database: |
BASE |