Ideal Cardiovascular Health Index and Its Determinants in a Rural South African Population
| العنوان: | Ideal Cardiovascular Health Index and Its Determinants in a Rural South African Population |
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| المؤلفون: | Wdf Venter, D. E. Grobbee, Roel A. Coutinho, Hugo A. Tempelman, Alinda G. Vos, Karine Scheuermaier, Walter Devillé, Noortje G. Godijk, Kerstin Klipstein-Grobusch, E J Ketelaar |
| المساهمون: | AISSR Other Research (FMG) |
| المصدر: | Global Heart, Vol 15, Iss 1 (2020) Global Heart Global Heart; Vol 15, No 1 (2020); 76 Global heart, 15(1):76. Elsevier Science & Technology |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, Rural Population, south africa, lcsh:Diseases of the circulatory (Cardiovascular) system, Epidemiology, Health Status, hiv, 030204 cardiovascular system & hematology, Logistic regression, Body Mass Index, 0302 clinical medicine, Risk Factors, cardiovascular disease, Health care, Medicine, ideal cardiovascular health index, 030212 general & internal medicine, Prospective Studies, Ideal cardiovascular health index, carotid intima-media thickness, socio-economic status, HIV, South Africa, Original Research, Aged, 80 and over, education.field_of_study, lcsh:Public aspects of medicine, Middle Aged, Epidemiology, Cardiovascular Disease, HIV, Public Health, Cardiovascular Diseases, Population study, Female, Cardiology and Cardiovascular Medicine, Cohort study, Adult, Adolescent, Population, 03 medical and health sciences, Young Adult, Humans, education, Socioeconomic status, Exercise, Aged, Community and Home Care, business.industry, Surrogate endpoint, lcsh:RA1-1270, Health promotion, Cross-Sectional Studies, lcsh:RC666-701, business, Demography, Follow-Up Studies |
| الوصف: | Background: The ideal cardiovascular health index (CVHI) is a measure to summarize cardiovascular (CV) health, and includes smoking, body-mass index, physical activity, blood pressure, glucose, total cholesterol, and diet. Objective: This study aimed to assess CV health using the CVHI and determinants on CV health in a rural African population, and correlate carotid intima-media thickness (CIMT), a surrogate marker for atherosclerosis, with CVHI. Methods: A cross-sectional analysis was performed on baseline data of the Ndlovu Cohort Study, located in rural South Africa. CVHI score (CVHIs) was calculated by the sum of favourable CVHI factors (range 0 to 7). Logistic regression was performed to examine the association of age, sex, HIV-status, education level, employment status, and income with good CV health (5–7 favourable health factors). Mean CIMT was displayed by poor, intermediate and good CV health. Results: The study included 1927 participants with a mean age of 38.7 years (SD ± 12.8). Of the factors contributing to the CVHI, glucose and total cholesterol scored best; diet least good. Average CVHIs for the population was 4.4 (SD ± 1.2) and 53% of the population had a good CV health. Determinants associated with good CV health were younger age, higher educational attainment, and HIV positivity. CVHIs showed good agreement with CIMT. Conclusion: CVHIs showed that more than half of the participants had a good CV health. Agreement between CVHIs and CIMT indicates potential use of CVHIs as a surrogate marker for CV risk. The study highlights the importance of education for health promotion; good CV health in HIV-positive participants may in part be attributed to more frequent health care contact and provision of chronic disease care. Highlights Good cardiovascular health (CVH) was observed in 53% of the study population. In global comparison, rural African study participants showed a good CVH score. HIV positivity was associated with a good CVH score. CVH score showed good agreement with carotid intima-media thickness. |
| وصف الملف: | application/pdf; application/xml |
| اللغة: | English |
| تدمد: | 2211-8160 2211-8179 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4cacd9977eadf10976d17456e6ec89c7 https://hdl.handle.net/11245.1/318e34af-98e5-4366-aed4-ec1aa0d66736 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....4cacd9977eadf10976d17456e6ec89c7 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22118160 22118179 |
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