Abstract MP84: Associations Between Cardiovascular Health and Health-Related Quality of Life
Background: The American Heart Association’s 2020 Strategic Impact Goals define 7 cardiovascular health metrics (CVHM) as targets for promoting prevention of cardiovascular disease risk factors. The association between health-related quality of life (HRQoL) and individual cardiovascular risk factors has been examined; however, to date, no study has examined the joint association between HRQoL and each of the 7 CVHM in a national survey.
Methods: Data were from the 2011 Behavioral Risk Factor Surveillance System. Adults >18 years rated their HRQoL, using 4 measures: 1) general health status, 2) physically unhealthy days per month, and 3) mentally unhealthy days per month. Participants also reported whether or not they met the CVHM -- normal blood pressure, cholesterol, body mass index, not having diabetes, not smoking, being physically active, and having adequate fruit or vegetable intake. Multiple logistic regression was used to examine the association between meeting ideal CVHM and the likelihood of reporting poor HRQoL, adjusting for age, education, race, and income (N = 323,583).
Results: Overall, 18.1% of adults reported their general health status as fair or poor, 12.6% reported ≥14 physically unhealthy days, and 11.2% reported ≥14 mentally unhealthy days in the previous 30-day period. Only 10.8% of adults met ≥6 CVHM; 71.5% met 3-5 CVHM; and 17.7% met 0-2 CVHM. On average, adults who achieved 0-2 CVHM had 11.8 physically or mentally unhealthy days; adults who achieved 3-5 CVHM had 5.8 physically or mentally unhealthy days; adults who achieved 6-7 CVHM had 3.5 physically or mentally unhealthy days. Meeting 3-5 or 6-7 CVHM was associated with 70 and 90% lower odds of having fair/poor health respectively (aOR=.30, 95%CI[.28-.31], aOR=.10, 95%CI[.08-.11]) ; 60 and 81% lower odds of having ≥14 physically unhealthy days respectively (aOR=.40, 95%CI[.38-.42], aOR=.19, 95%CI[.17-.22]); 52 and 73% lower odds of having ≥14 mentally unhealthy days respectively (aOR=.48, 95%CI[.45-.50], aOR=.27, 95%CI[.24-.30]).
Conclusion: Meeting a greater number of CVH recommendations was associated with better self-reported health and fewer mentally or physically unhealthy days. The results of this study contribute to the noted association between health-related quality of life and cardiovascular health. Broad community and clinical activities promoting cardiovascular health should address potential barriers to participation in healthy lifestyles, such as poor HRQoL. Although BRFSS is a cross-sectional survey and causation cannot be inferred from the results, our findings suggest that meeting ideal recommendations of CVHM is a positive goal for all Americans.
Author Disclosures: E. Odom: None. J. Fang: None. L. Moore: None. M. Zack: None. F. Loustalot: None.
- © 2015 by American Heart Association, Inc.