Ideal Cardiovascular Health During Adult Life and Cardiovascular Structure and Function Among the Elderly

Circulation
Amil M ShahScott D Solomon

Abstract

A higher American Heart Association cardiovascular health score (CVHS) predicts a lower incidence of cardiovascular disease (CVD). However, the relationship of CVHS attainment through midlife to late life with CVD prevalence and cardiovascular structure and function in late life is not well described. The following 6 ideal cardiovascular health metrics were assessed in the Atherosclerosis Risk in Communities (ARIC) study participants at 5 examination visits between 1987 and 2013: nonsmoking, body mass index <25 kg/m(2), untreated total cholesterol <200 mg/dL, untreated blood pressure <120/<80 mm Hg, fasting blood glucose <100 mg/dL, and ideal physical activity. Attainment over time was assessed as the percentage of maximum possible CVHS metrics achieved at visits 1 through 5, the slope of change in CVHS per decade of follow-up, and CVHS trajectory through follow-up. At visit 5, participant groups were characterized with respect to CVD prevalence (n=6520) and echocardiographic measures of cardiac structure and function (n=5903 free of CVD). CVHS was low at baseline and declined with age. Both greater CVHS attainment and improvement in CVHS during follow-up were associated with a lower prevalence of CVD and better left ventricula...Continue Reading

References

Jun 14, 2003·The American Journal of Cardiology·Miriam Y Cortez-CooperHirofumi Tanaka
Mar 25, 2008·The American Journal of Cardiology·Laura R LoehrLloyd E Chambless
Oct 8, 2009·Circulation. Heart Failure·Aaron R FolsomUNKNOWN Atherosclerosis Risk in Communities Study Investigators
Jan 22, 2010·Circulation·Donald M Lloyd-JonesUNKNOWN American Heart Association Strategic Planning Task Force and Statistics Committee
Apr 16, 2011·Journal of the American College of Cardiology·Aaron R FolsomUNKNOWN ARIC Study Investigators
Aug 25, 2011·JAMA : the Journal of the American Medical Association·Garvan C KaneRichard J Rodeheffer
Oct 13, 2011·Epidemiology·Jennifer WeuveCarlos F Mendes de Leon
Jan 27, 2012·The New England Journal of Medicine·Jarett D BerryDonald M Lloyd-Jones
Mar 20, 2012·JAMA : the Journal of the American Medical Association·Quanhe YangFrank B Hu
Aug 21, 2013·JAMA Internal Medicine·Thomas M GillHeather G Allore
Nov 21, 2013·Journal of the American Heart Association·Ejovwoke R OgagarueAaron R Folsom
Feb 6, 2014·JAMA : the Journal of the American Medical Association·Norrina B AllenDonald Lloyd-Jones

❮ Previous
Next ❯

Citations

Apr 28, 2016·The Canadian Journal of Cardiology·Matthias BartonMatthias R Meyer
Mar 30, 2017·Medicine and Science in Sports and Exercise·Yasuhiko KubotaAaron R Folsom
Feb 13, 2018·Journal of the American Heart Association·Morten SengeløvAmil M Shah
Sep 3, 2016·Arteriosclerosis, Thrombosis, and Vascular Biology·Bamba GayeJean-Philippe Empana
Mar 23, 2017·Journal of the American Heart Association·Tamar S PolonskyDonald M Lloyd-Jones
Feb 18, 2017·Circulation. Heart Failure·Aferdita SpahillariRavi V Shah
Sep 15, 2016·Circulation. Cardiovascular Imaging·Wilson NadruzScott D Solomon
Nov 2, 2019·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Ruiying ZhangYa Yang
Jul 23, 2019·European Heart Journal. Quality of Care & Clinical Outcomes·Bamba GayeXavier Jouven
Sep 29, 2020·Journal of the American Heart Association·Bamba GayeXavier Jouven
Oct 17, 2017·American Journal of Epidemiology·Kristen M GeorgeAaron R Folsom
Nov 7, 2018·JAMA : the Journal of the American Medical Association·Thomas T van SlotenJean-Philippe Empana
Feb 24, 2021·The Medical Journal of Australia·J Andrew BlackThomas H Marwick
Mar 4, 2021·Metabolic Syndrome and Related Disorders·Eun Jung Choi, Sang Yeoup Lee
Mar 6, 2021·Frontiers in Pharmacology·Yuting ZhuangMingyu Zhang
Apr 2, 2021·Circulation Research·Pierre BoutouyrieGary F Mitchell
Apr 1, 2021·The Journal of International Medical Research·Yu SangCuntai Zhang
May 18, 2021·Journal of the American Heart Association·Pil-Sung YangBoyoung Joung
Jun 12, 2021·Journal of the American College of Cardiology·Jacqueline D WrightGerardo Heiss

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiovascular Disease Pathophysiology

Cardiovascular disease involves several different processes that contribute to the pathological mechanism, including hyperglycemia, inflammation, atherosclerosis, hypertension and more. Vasculature stability plays a critical role in the development of the disease. Discover the latest research on cardiovascular disease pathophysiology here.

Cardiology Journals

Discover the latest cardiology research in this collection of the top cardiology journals.