Status Of CV Health In The U.S.

Status of CV Health in the U.S.: Defining the Importance of the AHA 2020 Goal

  • Less than 1 percent of the U.S. population has ideal cardiovascular health, according to the AHA’s definition of cardiovascular health.
  • Investigating trends in various populations can provide insights on how to promote improvement in specific groups.
  • Targeted efforts will be required at multiple levels within the community and healthcare environments to move the population towards more ideal cardiovascular health.

Trends in Cardiovascular Health Metrics and Associations With All-Cause and CVD Mortality Among US Adults
Yang Q, Cogswell ME, Flanders WD, Hong Y, Zhang Z, Loustalot F, Gillespie C, Merritt R, Hu FB. JAMA 2012; 307, published online March 16, 2012.
  • An examination of time trends in metrics of cardiovascular health to evaluate the relationship to risk of all-cause and cardiovascular disease mortality.
  • Prevalence of having all seven ideal cardiovascular health metrics was low; however, results indicate that achieving more cardiovascular health metrics at the ideal level reduces risk of total and cardiovascular mortality.
Status of Cardiovascular Health in US Adults / Clinical Perspective: Prevalence Estimates From the National Health and Nutrition Examination Surveys (NHANES) 2003–2008
Shay CM, Ning H, Allen NB, Carnethon MR, Chiuve SE, Greenlund KJ, Daviglus ML, Lloyd-Jones DM. Circulation 2012;125:45-56. Published online before print Nov. 17, 2011, doi: 10.1161/CIRCULATIONAHA.111.035733
  • An analysis of current prevalence of cardiovascular health for the U.S. adult population according to age, sex and race/ethnicity.
  • Prevalence of ideal cardiovascular health behaviors and factors was low and inversely associated with age.
Temporal and Regional Trends in the Prevalence of Healthy Lifestyle Characteristics: United States, 1994-2007
Troost JP, Rafferty AP, Luo Z, Reeves MJ. Am J Public Health 2011 Nov 17. [Epub ahead of print]
  • An examination of temporal and regional trends in the prevalence of health lifestyles in the United States using data from the Behavioral Risk Factor Surveillance System.
  • The study found that increases in overweight offset declines in smoking, providing minimal net change in the prevalence of healthy lifestyles.
Community Prevalence of Ideal Cardiovascular Health, by the American Heart Association Definition, and Relationship with Cardiovascular Disease Incidence
Folsom AR, Yatsuya H, Nettleton JA, Lutsey PL, Cushman M, Rosamond WD; ARIC Study Investigators. J Am Coll Cardiol 2011 19;57(16):1690-6.
  • An investigation estimating the prevalence of ideal cardiovascular health and the relationship with cardiovascular disease incidence in the Atherosclerosis Risk in Communities Study cohort.
  • A graded relationship was found between cardiovascular disease incidence and the number of ideal health behaviors and factors.


Low Prevalence of "Ideal Cardiovascular Health" in a Community-Based Population Clinical Perspective
Bambs C, Kip KE, Dinga A, Mulukutla SR, Aiyer AN, Reis SE. Circulation 2011;123(8):850-7. Published online before print February 14, 2011, doi: 10.1161/?CIRCULATIONAHA.110.980151
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  • A study designed to evaluate the definition of cardiovascular health in a community-based cardiovascular prevention study - the Heart Strategies Concentrating on Risk Evaluation (Heart SCORE) study.
  • Prevalence of ideal cardiovascular health was found to be low across the middle-aged cohort, with blacks exhibiting significantly poorer health status than whites.

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Posted by Stacy AHA Science on Mar 20, 2012 9:54 AM America/Chicago