Status of Cardiovascular Health in Chinese Adults

Cardiovascular disease has become the leading cause of death in China. The goal of this study was to evaluate the current status of cardiovascular health in Chinese adults. Cardiovascular health data were collected from a nationally representative sample of 96,121 Chinese adults age ≥20 years in 201...

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Published inJournal of the American College of Cardiology Vol. 65; no. 10; pp. 1013 - 1025
Main Authors Bi, Yufang, Jiang, Yong, He, Jiang, Xu, Yu, Wang, Limin, Xu, Min, Zhang, Mei, Li, Yichong, Wang, Tiange, Dai, Meng, Lu, Jieli, Li, Mian, Chen, Chung-Shiuan, Lai, Shenghan, Wang, Weiqing, Wang, Linhong, Ning, Guang
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 17.03.2015
Elsevier Limited
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Abstract Cardiovascular disease has become the leading cause of death in China. The goal of this study was to evaluate the current status of cardiovascular health in Chinese adults. Cardiovascular health data were collected from a nationally representative sample of 96,121 Chinese adults age ≥20 years in 2010. Ideal cardiovascular health was defined according to the American Heart Association’s 2020 Strategic Impact Goals as follows: the simultaneous presence of 4 favorable health behaviors (ideal smoking status, ideal body mass index, physical activity at goal, and healthy dietary habits) and 4 favorable health factors (ideal smoking status, untreated total cholesterol <200 mg/dl, untreated blood pressure <120/<80 mm Hg, and untreated fasting plasma glucose <100 mg/dl) in the absence of a history of cardiovascular disease. The estimated percentage of ideal cardiovascular health was 0.2% in the general adult population in China (0.1% in men and 0.4% in women). An estimated 0.7% (0.4% in men and 1.0% in women) of Chinese adults had all 4 ideal health behaviors, and 13.5% (5.0% in men and 22.3% in women) had all 4 ideal health factors. Men most frequently had 3 to 4 ideal components, and women most commonly had 4 to 5 ideal components of the 7 cardiovascular health metrics. Ideal diet (1.6%) was the least common among all cardiovascular health metrics. Female sex and younger age were the 2 most common protective factors for cardiovascular health in Chinese adults. The percentage of ideal cardiovascular health in Chinese adults is extremely low. Both population-wide and high-risk strategies should be implemented with great effort to promote cardiovascular health in China.
AbstractList Cardiovascular disease has become the leading cause of death in China. The goal of this study was to evaluate the current status of cardiovascular health in Chinese adults. Cardiovascular health data were collected from a nationally representative sample of 96,121 Chinese adults age ≥20 years in 2010. Ideal cardiovascular health was defined according to the American Heart Association’s 2020 Strategic Impact Goals as follows: the simultaneous presence of 4 favorable health behaviors (ideal smoking status, ideal body mass index, physical activity at goal, and healthy dietary habits) and 4 favorable health factors (ideal smoking status, untreated total cholesterol <200 mg/dl, untreated blood pressure <120/<80 mm Hg, and untreated fasting plasma glucose <100 mg/dl) in the absence of a history of cardiovascular disease. The estimated percentage of ideal cardiovascular health was 0.2% in the general adult population in China (0.1% in men and 0.4% in women). An estimated 0.7% (0.4% in men and 1.0% in women) of Chinese adults had all 4 ideal health behaviors, and 13.5% (5.0% in men and 22.3% in women) had all 4 ideal health factors. Men most frequently had 3 to 4 ideal components, and women most commonly had 4 to 5 ideal components of the 7 cardiovascular health metrics. Ideal diet (1.6%) was the least common among all cardiovascular health metrics. Female sex and younger age were the 2 most common protective factors for cardiovascular health in Chinese adults. The percentage of ideal cardiovascular health in Chinese adults is extremely low. Both population-wide and high-risk strategies should be implemented with great effort to promote cardiovascular health in China.
Cardiovascular disease has become the leading cause of death in China. The goal of this study was to evaluate the current status of cardiovascular health in Chinese adults. Cardiovascular health data were collected from a nationally representative sample of 96,121 Chinese adults age ≥ 20 years in 2010. Ideal cardiovascular health was defined according to the American Heart Association's 2020 Strategic Impact Goals as follows: the simultaneous presence of 4 favorable health behaviors (ideal smoking status, ideal body mass index, physical activity at goal, and healthy dietary habits) and 4 favorable health factors (ideal smoking status, untreated total cholesterol <200 mg/dl, untreated blood pressure <120/<80 mm Hg, and untreated fasting plasma glucose <100 mg/dl) in the absence of a history of cardiovascular disease. The estimated percentage of ideal cardiovascular health was 0.2% in the general adult population in China (0.1% in men and 0.4% in women). An estimated 0.7% (0.4% in men and 1.0% in women) of Chinese adults had all 4 ideal health behaviors, and 13.5% (5.0% in men and 22.3% in women) had all 4 ideal health factors. Men most frequently had 3 to 4 ideal components, and women most commonly had 4 to 5 ideal components of the 7 cardiovascular health metrics. Ideal diet (1.6%) was the least common among all cardiovascular health metrics. Female sex and younger age were the 2 most common protective factors for cardiovascular health in Chinese adults. The percentage of ideal cardiovascular health in Chinese adults is extremely low. Both population-wide and high-risk strategies should be implemented with great effort to promote cardiovascular health in China.
Cardiovascular disease has become the leading cause of death in China.BACKGROUNDCardiovascular disease has become the leading cause of death in China.The goal of this study was to evaluate the current status of cardiovascular health in Chinese adults.OBJECTIVESThe goal of this study was to evaluate the current status of cardiovascular health in Chinese adults.Cardiovascular health data were collected from a nationally representative sample of 96,121 Chinese adults age ≥ 20 years in 2010. Ideal cardiovascular health was defined according to the American Heart Association's 2020 Strategic Impact Goals as follows: the simultaneous presence of 4 favorable health behaviors (ideal smoking status, ideal body mass index, physical activity at goal, and healthy dietary habits) and 4 favorable health factors (ideal smoking status, untreated total cholesterol <200 mg/dl, untreated blood pressure <120/<80 mm Hg, and untreated fasting plasma glucose <100 mg/dl) in the absence of a history of cardiovascular disease.METHODSCardiovascular health data were collected from a nationally representative sample of 96,121 Chinese adults age ≥ 20 years in 2010. Ideal cardiovascular health was defined according to the American Heart Association's 2020 Strategic Impact Goals as follows: the simultaneous presence of 4 favorable health behaviors (ideal smoking status, ideal body mass index, physical activity at goal, and healthy dietary habits) and 4 favorable health factors (ideal smoking status, untreated total cholesterol <200 mg/dl, untreated blood pressure <120/<80 mm Hg, and untreated fasting plasma glucose <100 mg/dl) in the absence of a history of cardiovascular disease.The estimated percentage of ideal cardiovascular health was 0.2% in the general adult population in China (0.1% in men and 0.4% in women). An estimated 0.7% (0.4% in men and 1.0% in women) of Chinese adults had all 4 ideal health behaviors, and 13.5% (5.0% in men and 22.3% in women) had all 4 ideal health factors. Men most frequently had 3 to 4 ideal components, and women most commonly had 4 to 5 ideal components of the 7 cardiovascular health metrics. Ideal diet (1.6%) was the least common among all cardiovascular health metrics. Female sex and younger age were the 2 most common protective factors for cardiovascular health in Chinese adults.RESULTSThe estimated percentage of ideal cardiovascular health was 0.2% in the general adult population in China (0.1% in men and 0.4% in women). An estimated 0.7% (0.4% in men and 1.0% in women) of Chinese adults had all 4 ideal health behaviors, and 13.5% (5.0% in men and 22.3% in women) had all 4 ideal health factors. Men most frequently had 3 to 4 ideal components, and women most commonly had 4 to 5 ideal components of the 7 cardiovascular health metrics. Ideal diet (1.6%) was the least common among all cardiovascular health metrics. Female sex and younger age were the 2 most common protective factors for cardiovascular health in Chinese adults.The percentage of ideal cardiovascular health in Chinese adults is extremely low. Both population-wide and high-risk strategies should be implemented with great effort to promote cardiovascular health in China.CONCLUSIONSThe percentage of ideal cardiovascular health in Chinese adults is extremely low. Both population-wide and high-risk strategies should be implemented with great effort to promote cardiovascular health in China.
AbstractBackgroundCardiovascular disease has become the leading cause of death in China. ObjectivesThe goal of this study was to evaluate the current status of cardiovascular health in Chinese adults. MethodsCardiovascular health data were collected from a nationally representative sample of 96,121 Chinese adults age ≥20 years in 2010. Ideal cardiovascular health was defined according to the American Heart Association’s 2020 Strategic Impact Goals as follows: the simultaneous presence of 4 favorable health behaviors (ideal smoking status, ideal body mass index, physical activity at goal, and healthy dietary habits) and 4 favorable health factors (ideal smoking status, untreated total cholesterol <200 mg/dl, untreated blood pressure <120/<80 mm Hg, and untreated fasting plasma glucose <100 mg/dl) in the absence of a history of cardiovascular disease. ResultsThe estimated percentage of ideal cardiovascular health was 0.2% in the general adult population in China (0.1% in men and 0.4% in women). An estimated 0.7% (0.4% in men and 1.0% in women) of Chinese adults had all 4 ideal health behaviors, and 13.5% (5.0% in men and 22.3% in women) had all 4 ideal health factors. Men most frequently had 3 to 4 ideal components, and women most commonly had 4 to 5 ideal components of the 7 cardiovascular health metrics. Ideal diet (1.6%) was the least common among all cardiovascular health metrics. Female sex and younger age were the 2 most common protective factors for cardiovascular health in Chinese adults. ConclusionsThe percentage of ideal cardiovascular health in Chinese adults is extremely low. Both population-wide and high-risk strategies should be implemented with great effort to promote cardiovascular health in China.
Background Cardiovascular disease has become the leading cause of death in China. Objectives The goal of this study was to evaluate the current status of cardiovascular health in Chinese adults. Methods Cardiovascular health data were collected from a nationally representative sample of 96,121 Chinese adults age >=20 years in 2010. Ideal cardiovascular health was defined according to the American Heart Association's 2020 Strategic Impact Goals as follows: the simultaneous presence of 4 favorable health behaviors (ideal smoking status, ideal body mass index, physical activity at goal, and healthy dietary habits) and 4 favorable health factors (ideal smoking status, untreated total cholesterol <200 mg/dl, untreated blood pressure <120/<80 mm Hg, and untreated fasting plasma glucose <100 mg/dl) in the absence of a history of cardiovascular disease. Results The estimated percentage of ideal cardiovascular health was 0.2% in the general adult population in China (0.1% in men and 0.4% in women). An estimated 0.7% (0.4% in men and 1.0% in women) of Chinese adults had all 4 ideal health behaviors, and 13.5% (5.0% in men and 22.3% in women) had all 4 ideal health factors. Men most frequently had 3 to 4 ideal components, and women most commonly had 4 to 5 ideal components of the 7 cardiovascular health metrics. Ideal diet (1.6%) was the least common among all cardiovascular health metrics. Female sex and younger age were the 2 most common protective factors for cardiovascular health in Chinese adults. Conclusions The percentage of ideal cardiovascular health in Chinese adults is extremely low. Both population-wide and high-risk strategies should be implemented with great effort to promote cardiovascular health in China.
Author Xu, Yu
Wang, Limin
Lai, Shenghan
Xu, Min
Li, Yichong
Zhang, Mei
Wang, Linhong
He, Jiang
Lu, Jieli
Bi, Yufang
Jiang, Yong
Wang, Weiqing
Wang, Tiange
Chen, Chung-Shiuan
Dai, Meng
Li, Mian
Ning, Guang
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  surname: Bi
  fullname: Bi, Yufang
  organization: State Key Laboratory of Medical Genomics, Key Laboratory for Endocrine and Metabolic Diseases of Ministry of Health, National Clinical Research Center for Metabolic Diseases, Collaborative Innovation Center of Systems Biomedicine and Shanghai Clinical Center for Endocrine and Metabolic Diseases, Rui-Jin Hospital, Shanghai Jiao-Tong University School of Medicine, Shanghai, China
– sequence: 2
  givenname: Yong
  surname: Jiang
  fullname: Jiang, Yong
  organization: National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China
– sequence: 3
  givenname: Jiang
  surname: He
  fullname: He, Jiang
  organization: Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana
– sequence: 4
  givenname: Yu
  surname: Xu
  fullname: Xu, Yu
  organization: State Key Laboratory of Medical Genomics, Key Laboratory for Endocrine and Metabolic Diseases of Ministry of Health, National Clinical Research Center for Metabolic Diseases, Collaborative Innovation Center of Systems Biomedicine and Shanghai Clinical Center for Endocrine and Metabolic Diseases, Rui-Jin Hospital, Shanghai Jiao-Tong University School of Medicine, Shanghai, China
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  organization: National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China
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  surname: Xu
  fullname: Xu, Min
  organization: State Key Laboratory of Medical Genomics, Key Laboratory for Endocrine and Metabolic Diseases of Ministry of Health, National Clinical Research Center for Metabolic Diseases, Collaborative Innovation Center of Systems Biomedicine and Shanghai Clinical Center for Endocrine and Metabolic Diseases, Rui-Jin Hospital, Shanghai Jiao-Tong University School of Medicine, Shanghai, China
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  givenname: Mei
  surname: Zhang
  fullname: Zhang, Mei
  organization: National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China
– sequence: 8
  givenname: Yichong
  surname: Li
  fullname: Li, Yichong
  organization: National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China
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  givenname: Tiange
  surname: Wang
  fullname: Wang, Tiange
  organization: State Key Laboratory of Medical Genomics, Key Laboratory for Endocrine and Metabolic Diseases of Ministry of Health, National Clinical Research Center for Metabolic Diseases, Collaborative Innovation Center of Systems Biomedicine and Shanghai Clinical Center for Endocrine and Metabolic Diseases, Rui-Jin Hospital, Shanghai Jiao-Tong University School of Medicine, Shanghai, China
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  givenname: Meng
  surname: Dai
  fullname: Dai, Meng
  organization: State Key Laboratory of Medical Genomics, Key Laboratory for Endocrine and Metabolic Diseases of Ministry of Health, National Clinical Research Center for Metabolic Diseases, Collaborative Innovation Center of Systems Biomedicine and Shanghai Clinical Center for Endocrine and Metabolic Diseases, Rui-Jin Hospital, Shanghai Jiao-Tong University School of Medicine, Shanghai, China
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  surname: Lu
  fullname: Lu, Jieli
  organization: State Key Laboratory of Medical Genomics, Key Laboratory for Endocrine and Metabolic Diseases of Ministry of Health, National Clinical Research Center for Metabolic Diseases, Collaborative Innovation Center of Systems Biomedicine and Shanghai Clinical Center for Endocrine and Metabolic Diseases, Rui-Jin Hospital, Shanghai Jiao-Tong University School of Medicine, Shanghai, China
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  surname: Li
  fullname: Li, Mian
  organization: State Key Laboratory of Medical Genomics, Key Laboratory for Endocrine and Metabolic Diseases of Ministry of Health, National Clinical Research Center for Metabolic Diseases, Collaborative Innovation Center of Systems Biomedicine and Shanghai Clinical Center for Endocrine and Metabolic Diseases, Rui-Jin Hospital, Shanghai Jiao-Tong University School of Medicine, Shanghai, China
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  surname: Chen
  fullname: Chen, Chung-Shiuan
  organization: Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana
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  givenname: Shenghan
  surname: Lai
  fullname: Lai, Shenghan
  organization: Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland
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  givenname: Weiqing
  surname: Wang
  fullname: Wang, Weiqing
  email: wqingw@hotmail.com
  organization: State Key Laboratory of Medical Genomics, Key Laboratory for Endocrine and Metabolic Diseases of Ministry of Health, National Clinical Research Center for Metabolic Diseases, Collaborative Innovation Center of Systems Biomedicine and Shanghai Clinical Center for Endocrine and Metabolic Diseases, Rui-Jin Hospital, Shanghai Jiao-Tong University School of Medicine, Shanghai, China
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  givenname: Linhong
  surname: Wang
  fullname: Wang, Linhong
  email: linhong@chinawch.org.cn
  organization: National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China
– sequence: 17
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  surname: Ning
  fullname: Ning, Guang
  email: gning@sibs.ac.cn
  organization: State Key Laboratory of Medical Genomics, Key Laboratory for Endocrine and Metabolic Diseases of Ministry of Health, National Clinical Research Center for Metabolic Diseases, Collaborative Innovation Center of Systems Biomedicine and Shanghai Clinical Center for Endocrine and Metabolic Diseases, Rui-Jin Hospital, Shanghai Jiao-Tong University School of Medicine, Shanghai, China
BackLink https://www.ncbi.nlm.nih.gov/pubmed/25766949$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
Copyright 2015 American College of Cardiology Foundation
American College of Cardiology Foundation
Copyright © 2015 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.
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CorporateAuthor 2010 China Noncommunicable Disease Surveillance Group
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Issue 10
Keywords health status
cardiovascular disease
epidemiology
CDC
China
AHA
BMI
American Heart Association
body mass index
Center for Disease Control and Prevention
Language English
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25766950 - J Am Coll Cardiol. 2015 Mar 17;65(10):1026-8
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Snippet Cardiovascular disease has become the leading cause of death in China. The goal of this study was to evaluate the current status of cardiovascular health in...
AbstractBackgroundCardiovascular disease has become the leading cause of death in China. ObjectivesThe goal of this study was to evaluate the current status of...
Background Cardiovascular disease has become the leading cause of death in China. Objectives The goal of this study was to evaluate the current status of...
Cardiovascular disease has become the leading cause of death in China.BACKGROUNDCardiovascular disease has become the leading cause of death in China.The goal...
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SubjectTerms Adult
Age
Blood pressure
Body Mass Index
Cardiology
Cardiovascular
Cardiovascular disease
Cardiovascular Diseases - epidemiology
China
China - epidemiology
Confidence intervals
Disease prevention
epidemiology
Female
Glucose
Health Behavior
Health promotion
Health Status
Health Surveys
Households
Humans
Hyperglycemia - epidemiology
Hypertension - epidemiology
Laboratories
Male
Mortality
Neighborhoods
Population
Prevalence
Questionnaires
Risk Factors
Smoking
Smoking - epidemiology
Stroke
Young Adult
Title Status of Cardiovascular Health in Chinese Adults
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https://dx.doi.org/10.1016/j.jacc.2014.12.044
https://www.ncbi.nlm.nih.gov/pubmed/25766949
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Volume 65
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