Ideal Cardiovascular Health and Incident Cardiovascular Disease Among Adults: A Systematic Review and Meta-analysis
Objective: To investigate the association between ideal cardiovascular health (CVH) metrics and incident cardiovascular disease (CVD) by conducting a systematic review and meta-analysis of prospective cohort studies. Methods: The MEDLINE, EMBASE, and CINAHL databases were searched from January 1, 20...
- Autores:
- Tipo de recurso:
- Fecha de publicación:
- 2018
- Institución:
- Universidad del Rosario
- Repositorio:
- Repositorio EdocUR - U. Rosario
- Idioma:
- eng
- OAI Identifier:
- oai:repository.urosario.edu.co:10336/22563
- Acceso en línea:
- https://doi.org/10.1016/j.mayocp.2018.05.035
https://repository.urosario.edu.co/handle/10336/22563
- Palabra clave:
- Adult
Age
Aged
Article
Cardiovascular disease
Cardiovascular risk
Cohort analysis
Hazard ratio
Health
Heart rate
High risk population
Human
Incidence
Major clinical study
Systematic review
Cardiovascular disease
Cardiovascular function
Cardiovascular system
Female
Health status
Male
Meta analysis
Proportional hazards model
Prospective study
Regression analysis
Risk factor
Adult
Age factors
Cardiovascular diseases
Cardiovascular physiological phenomena
Cardiovascular system
Female
Health status
Humans
Male
Proportional hazards models
Prospective studies
Regression analysis
Risk factors
- Rights
- License
- Abierto (Texto Completo)
Summary: | Objective: To investigate the association between ideal cardiovascular health (CVH) metrics and incident cardiovascular disease (CVD) by conducting a systematic review and meta-analysis of prospective cohort studies. Methods: The MEDLINE, EMBASE, and CINAHL databases were searched from January 1, 2010, through July 31, 2017, for studies that met the following criteria: (1) prospective studies conducted in adults, (2) with outcome data on CVD incidence and (3) a measure of ideal CVH metrics. Results: Twelve studies (210,443 adults) were included in this analysis. Compared with adults who met 0 to 2 of the ideal CVH metrics (high-risk individuals), a significantly lower hazard for CVD incidence was observed in those who had 3 to 4 points for the ideal CVH metrics (hazard ratio [HR]=0.53; 95% CI, 0.47-0.59) and 5 to 7 points (HR=0.28; 95% CI, 0.23-0.33). Weaker associations were observed in studies with older individuals, suggesting that there is a positive relationship between age and HR. Conclusion: Although meeting 5 to 7 metrics is associated with the lowest hazard for CVD incidence, meeting 3 to 4 metrics still offers an important protective effect for CVD. Therefore, a realistic goal in the general population in the short term could be to promote at least an intermediate ideal CVH profile (3 to 4 metrics). © 2018 Mayo Foundation for Medical Education and Research |
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