Ideal Cardiovascular Health and Incident Cardiovascular Disease Among Adults: A Systematic Review and Meta-analysis

Robinson Ramírez-Vélez, José M. Saavedra, Felipe Lobelo, Carlos A. Celis-Morales, Borja del Pozo-Cruz, Antonio García-Hermoso

Resultado de la investigación: Contribución a RevistaArtículo

3 Citas (Scopus)

Resumen

Objective: 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).

Idioma originalEnglish (US)
Páginas (desde-hasta)1589-1599
Número de páginas11
PublicaciónMayo Clinic Proceedings
Volumen93
N.º11
DOI
EstadoPublished - nov 1 2018

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Citar esto

Ramírez-Vélez, R., Saavedra, J. M., Lobelo, F., Celis-Morales, C. A., Pozo-Cruz, B. D., & 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
Ramírez-Vélez, Robinson ; Saavedra, José M. ; Lobelo, Felipe ; Celis-Morales, Carlos A. ; Pozo-Cruz, Borja del ; García-Hermoso, Antonio. / Ideal Cardiovascular Health and Incident Cardiovascular Disease Among Adults : A Systematic Review and Meta-analysis. En: Mayo Clinic Proceedings. 2018 ; Vol. 93, N.º 11. pp. 1589-1599.
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Ramírez-Vélez, R, Saavedra, JM, Lobelo, F, Celis-Morales, CA, Pozo-Cruz, BD & García-Hermoso, A 2018, 'Ideal Cardiovascular Health and Incident Cardiovascular Disease Among Adults: A Systematic Review and Meta-analysis', Mayo Clinic Proceedings, vol. 93, n.º 11, pp. 1589-1599. https://doi.org/10.1016/j.mayocp.2018.05.035

Ideal Cardiovascular Health and Incident Cardiovascular Disease Among Adults : A Systematic Review and Meta-analysis. / Ramírez-Vélez, Robinson; Saavedra, José M.; Lobelo, Felipe; Celis-Morales, Carlos A.; Pozo-Cruz, Borja del; García-Hermoso, Antonio.

En: Mayo Clinic Proceedings, Vol. 93, N.º 11, 01.11.2018, p. 1589-1599.

Resultado de la investigación: Contribución a RevistaArtículo

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Ramírez-Vélez R, Saavedra JM, Lobelo F, Celis-Morales CA, Pozo-Cruz BD, García-Hermoso A. Ideal Cardiovascular Health and Incident Cardiovascular Disease Among Adults: A Systematic Review and Meta-analysis. Mayo Clinic Proceedings. 2018 nov 1;93(11):1589-1599. https://doi.org/10.1016/j.mayocp.2018.05.035