Ideal cardiovascular health and all-cause or cardiovascular mortality in a longitudinal study of the Thai National Health Examination Survey IV and V

The relationship of ideal cardiovascular health (CVH) and health outcomes has been rarely assessed in middle-income countries. We determined the ideal CVH metrics and association with all-cause and cardiovascular (CVD) mortality in the Thai population. We used baseline data from two rounds of the Na...

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Published inScientific reports Vol. 13; no. 1; p. 2781
Main Authors Aekplakorn, Wichai, Neelapaichit, Nareemarn, Chariyalertsak, Suwat, Kessomboon, Pattapong, Assanangkornchai, Sawitri, Taneepanichskul, Surasak, Sangwatanaroj, Somkiat, Laohavinij, Wasin, Nonthaluck, Jiraluck
Format Journal Article
LanguageEnglish
Published London Nature Publishing Group UK 16.02.2023
Nature Publishing Group
Nature Portfolio
Subjects
692/308
692/499
692/700
Cardiovascular diseases
Cardiovascular Diseases - epidemiology
Health Status
Humanities and Social Sciences
Humans
Longitudinal Studies
Mortality
Mortality risk
multidisciplinary
Proportional Hazards Models
Risk Factors
Science
Science (multidisciplinary)
Southeast Asian People
Surveys
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Summary:The relationship of ideal cardiovascular health (CVH) and health outcomes has been rarely assessed in middle-income countries. We determined the ideal CVH metrics and association with all-cause and cardiovascular (CVD) mortality in the Thai population. We used baseline data from two rounds of the National Health Examination survey (15,219 participants in 2009 and 14,499 in 2014), and assessed all-cause and CVD deaths until 2020. The prevalence of 5–7 ideal CVH metrics in 2009 was 10.4% versus 9.5% in 2014. During a median follow-up of 7.1 years, the all-cause and CVD mortality rates were 19.4 and 4.6 per 1000 person-years for 0–1 ideal CVH metrics, and 13.0 and 2.1, 9.6 and 1.5, 6.0 and 1.0, and 2.9 and 0.4 per 1000 person-years for 2, 3, 4, and 5–7 ideal CVH metrics, respectively. Participants with 2, 3, 4, or 5–7 ideal metrics had a significantly lower risk of mortality than those with 0–1 ideal CVH metrics (adjusted hazard ratios: 0.75, 0.70, 0.60, and 0.47 for all-cause, and 0.54, 0.52, 0.50, and 0.31 for CVD, respectively). Individuals with a higher number of the modified ideal CVH metrics have a lower risk of all-cause and CVD mortality.
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ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-023-29959-1