Abstract 10464: Are Adolescents Meeting the 2020 Goals of the American Heart Association for Ideal Cardiovascular Health?
Introduction: There are limited data on whether adolescents meet the 7 metrics of the American Heart Association’s ideal cardiovascular health (ICVH), and relations between ICVH and demographic characteristics. The behavioral metrics (ICVH-B) are: never tried/never smoked; normal BMI (≤85th percentile); physical activity (PA) ≥ 60 min daily; and consuming a healthy diet (4-5 components).The ICVH physiological metrics are: blood pressure (BP) <90th percentile; total blood cholesterol (TBC) <170 mg/dl; and fasting blood glucose (FBG) <100 mg/dl.
Methods: We assessed the four ICVH-B in the NEXT Generation Health Study (NEXT), a nationally represented cohort of U.S. 10th graders (N= 2,734, 16.24±0.53 years). NEXT participants were categorized as ideal (met 4 metrics), intermediate (met 2-3), or poor (met 0-1). All 7 metrics were assessed in NEXT Plus, an intensively measured sub-sample of NEXT (n=278 overweight, n=282 normal weight). NEXT Plus participants’ ICVH was categorized into ideal (≥5 metrics), intermediate (2-4 metrics) or poor (0-1 metrics).
Results: Of the NEXT adolescents, 0.4% met ICVH-B criteria for ideal, 26% for intermediate, and 72% for poor health. Nonsmoking was the most (85%) and healthy diet the least (23%) prevalent metric. ICVH-B prevalence estimates did not differ significantly by race/ethnicity or family affluence. Of the NEXT Plus students, 0.2% met all 7 ICVH metrics; 28% were categorized as ideal, 71% as intermediate and 1% as poor. Regarding the behavioral metrics, 51% were of normal weight by design, 85% were nonsmokers, 26% met PA criteria, and 39% reported a healthy diet; most met the physiological metrics, 96% for BP, 76% for TBC, and 53% for FBG.
Conclusion: Few U.S. adolescents met the ideal cardiovascular health metric. Notably, the two metrics least likely to be met were behavioral, and herefore potentially modifiable through intervention at the individual, family,environment and policy levels.
Author Disclosures: S. Sundaresan: None. C.A. Pratt: None. R.J. Iannotti: None. D. Haynie: None. K. Li: None. B. Simons-Morton: None.
- © 2015 by American Heart Association, Inc.