Understanding and Improving Cardiovascular Health: An Update on the American Heart Association's Concept of Cardiovascular Health

被引:46
作者
Shay, Christina M. [1 ]
Gooding, Holly S. [2 ]
Murillo, Rosenda [3 ]
Foraker, Randi [4 ]
机构
[1] Univ N Carolina, Dept Nutr, Chapel Hill, NC 27599 USA
[2] Boston Childrens Hosp, Div Adolescent Young Adult Med, Boston, MA USA
[3] Univ Houston, Dept Psychol Hlth & Learning Sci, Coll Educ, Houston, TX USA
[4] Ohio State Univ, Coll Publ Hlth, Div Epidemiol, Columbus, OH 43210 USA
关键词
Cardiovascular health; Risk factors; Prevention; Children; Adults; INTIMA-MEDIA THICKNESS; RISK-FACTOR BURDEN; LIFES SIMPLE 7; NATIONAL-HEALTH; PRIMORDIAL PREVENTION; MYOCARDIAL-INFARCTION; DISPARITIES RESEARCH; PHYSICAL-ACTIVITY; EUROPEAN COUNTRY; LIFETIME RISKS;
D O I
10.1016/j.pcad.2015.05.003
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The American Heart Association's 2020 Strategic Impact Goal is "By 2020, to improve the cardiovascular health of all Americans by 20% while reducing deaths from cardiovascular diseases and stroke by 20%." To monitor progress towards this goal, a new construct "ideal cardiovascular health" (iCVH) was defined that includes the simultaneous presence of optimal levels of seven health behaviors (physical activity, smoking, dietary intake, and body mass index) andfactors (total cholesterol, blood pressure andfasting blood glucose). In this review, we present a summary of major concepts related to the concept of iCVH and an update of the literature in this area since publication of the 2020 Strategic Impact Goal, including trends in iCVH prevalence, new determinants and outcomes related to iCVH, strategies for maintaining or improving iCVH, policy implications of the iCVH model, and the remaining challenges to reaching the 2020 Strategic Impact Goal. (C) 2015 Elsevier Inc. All rights reserved.
引用
收藏
页码:41 / 49
页数:9
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