Abstract P054: Prevalence and Sociodemographic Determinants of Cardiovascular Health in a Sample of Adults From a Developing Country: Results From the Chicamocha Cohort Study
Background: The novel AHA's concept of cardiovascular health (CVH) extends the traditional factor composition by incorporating promotion of primordial prevention into a more comprehensive framework. We aimed to estimate the prevalence of CVH and to identify potential sociodemographic determinants in a sample of adults from Colombia.
Methods: We conducted a cross-sectional analysis on a subsample of adults, free of transfusion-transmitted infectious and cardiovascular diseases, who attended to a follow-up evaluation of the CHICAMOCHA cohort study. We determined the proportion of participants with ideal healthy behaviors (never/former smoking, ≥150 minutes/week of moderate-vigorous physical activity, and consumption of ≥5 servings of fruits and vegetables per day) and health factors, including body mass index (<25 kg/m2), untreated blood pressure (<120/80 mmHg), untreated fasting total cholesterol (<200 mg/dl), and untreated fasting glucose (<100 mg/dl, untreated). Educational attainment and socioeconomic stratification were assessed and dichotomized. We estimated prevalence ratios (PRs) and 95% confidence intervals (95%CI) for a high cardiovascular health score (≥4/7 vs. <4/7 ideal items) using multiple binomial regression.
Results: We evaluated 624 participants (mean age = 50.3 years; 64.6% male). Ideal diet was the least prevalent CVH component (0.5%) and ideal smoking status was the most frequent component (90.4%). Prevalence of the number of ideal cardiovascular health components was 2.3%, 48.2%, 46.3%, and 3.2% for 0-1, 2-3, 4-5, and 6-7 items, respectively. Age and educational attainment, but not sex or SES, were associated with higher numbers of CVH components. In a multivariate model including age, sex, and education, older participants were less likely to have a higher number of CVH components and there was evidence of an age-by-education interaction (p=0.018). PRs for a high cardiovascular health score were 0.60 (95%CI: 0.48, 0.75) and 0.40 (95%CI: 0.29, 0.55) in participants with low educational attainment aged 45-55 and ≥55 years old, as compared to participants <45 years old, respectively. PRs for the same contrasts but among participants with high educational attainment were 0.84 (95%CI: 0.67, 1.05) and 0.70 (95%CI: 0.52, 0.93), respectively.
Conclusion: Colombians exhibit fewer components of ideal CVH with increasing age; however, educational attainment seems to attenuate this age-related loss of CVH, an effect that might be explained by higher levels of risk factors awareness and treatment adherence.
Author Disclosures: V.M. Herrera: None. C.M. Shay: None. Y.Z. Castellanos: None. J.C. Villar: None.
- © 2015 by American Heart Association, Inc.