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Ideal cardiovascular health in young adult populations from the United States,Finland,and Australia and its association with cIMT: the international childhood cardiovascular cohort consortium
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نویسنده
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oikonen m. ,laitinen t.t. ,magnussen c.g. ,steinberger j. ,sinaiko a.r. ,dwyer t. ,venn a. ,smith k.j. ,hutri-kahonen n. ,pahkala k. ,mikkila v. ,prineas r. ,viikari j.s.a. ,morrison j.a. ,woo j.g. ,chen w. ,nicklas t. ,srinivasan s.r. ,berenson g. ,juonala m. ,raitakari o.t.
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منبع
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journal of the american heart association - 2013 - دوره : 2 - شماره : 3
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چکیده
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Background--goals for cardiovascular (cv) disease prevention were set by the american heart association in 2010 for the concept of cv health. ideal cv health is defined by 7 cv health metrics: blood pressure,glucose,cholesterol,body mass index,and physical activity on recommended levels; nonsmoking; and a healthy diet. we studied the prevalence of ideal cv health and its associations with ultrasonographically measured carotid intima-media thickness (cimt) cross-sectionally in 5 international populations. methods and results--prevalence of ideal cv health was assessed among 5785 young adults (age,36.6±3.2 years) comprising 335 participants from the minneapolis childhood cohort studies (minnesota),723 from the princeton follow-up study,981 from the bogalusa heart study (bhs),1898 from the cardiovascular risk in young finns study (yfs),and 1848 from the childhood determinants of adult health study (cdah). only 1% of the participants had all 7 ideal cv health metrics. the number of ideal cv health metrics associated inversely with cimt in the 4 cohorts in which cimt was available: for each additional ideal cv health metric,cimt was 12.7 μm thinner in minnesota (p=0.0002),9.1 μm thinner in bhs (p=0.05),10.4 lm thinner in yfs (p<0.0001),and 3.4 μm thinner in cdah (p=0.03). conclusions--the number of ideal cv health metrics was inversely associated with cimt in the cohorts in which cimt was available,indicating that ideal cv health metrics are associated with vascular health at the population level. ideal cv health was rare in this large international sample of young adults,emphasizing the need for effective strategies for health promotion. © 2013 the authors.
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کلیدواژه
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Cardiovascular; Carotid intima-media thickness; Cohort studies; Health behavior
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آدرس
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research centre of applied and preventive cardiovascular medicine,university of turku, Finland, research centre of applied and preventive cardiovascular medicine,university of turku, Finland, research centre of applied and preventive cardiovascular medicine,university of turku,finland,menzies research institute tasmania,university of tasmania,hobart,tas, Australia, department of pediatrics,university of minnesota amplatz children's hospital,minneapolis,mn, United States, department of pediatrics,university of minnesota amplatz children's hospital,minneapolis,mn, United States, environmental and genetic epidemiology research group,murdoch children's research institute,royal children's hospital,melbourne,vic, Australia, menzies research institute tasmania,university of tasmania,hobart,tas, Australia, menzies research institute tasmania,university of tasmania,hobart,tas, Australia, department of pediatrics,university of tampere and tampere university hospital,tampere, Finland, research centre of applied and preventive cardiovascular medicine,university of turku,finland,department of physical activity and health,paavo nurmi centre,sports and exercise medicine unit,turku, Finland, department of food and environmental sciences,university of helsinki,helsinki, Finland, division of public health sciences,wake forest university school of medicine,winston-salem,nc, United States, department of medicine,university of turku and turku university hospital,turku, Finland, the heart institute,department of pediatrics,cincinnati children's hospital medical center,cincinnati,oh, United States, the heart institute,department of pediatrics,cincinnati children's hospital medical center,cincinnati,oh,united states,division of biostatistics and epidemiology,department of pediatrics,cincinnati children's hospital medical center,cincinnati,oh, United States, tulane school of public health and tropical medicine,new orleans,la, United States, children's nutrition research center,department of pediatrics,baylor college of medicine,houston,tx, United States, tulane school of public health and tropical medicine,new orleans,la, United States, tulane school of public health and tropical medicine,new orleans,la, United States, research centre of applied and preventive cardiovascular medicine,university of turku,finland,department of pediatrics,university of tampere and tampere university hospital,tampere, Finland, research centre of applied and preventive cardiovascular medicine,university of turku,finland,department of clinical physiology and nuclear medicine,turku university hospital,turku, Finland
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Authors
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