Ideal cardiovascular health and incident cardiovascular disease among adults: a systematic review and meta-analysis

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dc.contributor.authorRamírez Vélez, Robinson
dc.contributor.authorSaavedra, José M.
dc.contributor.authorLobelo, Felipe
dc.contributor.authorCelis Morales, Carlos
dc.contributor.authorPozo Cruz, Borja del
dc.contributor.authorGarcía Hermoso, Antonio
dc.contributor.departmentCiencias de la Saludes_ES
dc.contributor.departmentOsasun Zientziakeu
dc.date.accessioned2024-10-01T08:41:03Z
dc.date.available2024-10-01T08:41:03Z
dc.date.issued2018
dc.date.updated2024-10-01T08:37:30Z
dc.description.abstractObjective: 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).en
dc.format.mimetypeapplication/pdfen
dc.identifier.citationRamírez-Vélez, R., Saavedra, J. M., Lobelo, F., Celis-Morales, C. A., Del Pozo-Cruz, B., García-Hermoso, A. (2018) Ideal cardiovascular health and incident cardiovascular disease among adults: a systematic review and meta-analysis. Mayo Clinic Proceedings, 93(11), 1589-1599. https://doi.org/10.1016/j.mayocp.2018.05.035
dc.identifier.doi10.1016/j.mayocp.2018.05.035
dc.identifier.issn0025-6196
dc.identifier.urihttps://academica-e.unavarra.es/handle/2454/51903
dc.language.isoeng
dc.publisherMayo Foundation
dc.relation.ispartofMayo Clinic Proceedings, 93(11), 1589-1599
dc.relation.publisherversionhttps://doi.org/10.1016/j.mayocp.2018.05.035
dc.rights© 2018 Elsevier Inc. This manuscript version is made available under the CC-BY-NC-ND 4.0
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectRisk factorsen
dc.subjectHealth behaviorsen
dc.subjectLife's Simple 7en
dc.subjectStrokeen
dc.subjectCardiac preventionen
dc.titleIdeal cardiovascular health and incident cardiovascular disease among adults: a systematic review and meta-analysisen
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/acceptedVersion
dspace.entity.typePublication
relation.isAuthorOfPublicationd0c2c11e-01d0-46ff-93b4-36b11beaf269
relation.isAuthorOfPublicatione84ae68a-fa4a-4e00-be27-bedfffc8612e
relation.isAuthorOfPublication.latestForDiscoveryd0c2c11e-01d0-46ff-93b4-36b11beaf269

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