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   Changes in cardiovascular health in the United States,2003-2011  
   
نویسنده pilkerton c.s. ,singh s.s. ,bias t.k. ,frisbee s.j.
منبع journal of the american heart association - 2015 - دوره : 4 - شماره : 9
چکیده    Background-cardiovascular disease is the leading cause of death in the united states,making improving cardiovascular health a key population health goal. as part of efforts to achieve this,the american heart association has developed the first comprehensive cardiovascular health index (cvhi). our objective was to investigate the changes in cvhi in us states from 2003 to 2011. methods and results-cvhi was examined using behavioral risk factor surveillance system data between 2003 and 2011 (oddnumbered years). total cvhi decreased from 3.73±l0.01 in 2003 to 3.65±l0.01 in 2009. the majority of states (88%) experienced a decline in cvhi and an increase in the prevalence of poor cvhi between 2003 and 2009. among cvhi components,the highest prevalence of ideal was observed for blood glucose followed by smoking,whereas the lowest prevalence of ideal was observed for physical activity and diet. between 2003 and 2009,prevalence of ideal smoking and diet status increased,while ideal prevalence of blood pressure,cholesterol,blood glucose,body mass index,and physical activity status decreased. we observed statistically significant differences between 2009 and 2011,outside the scope of the 2003-2009 trend,which we hypothesize are partially attributable to differences in sample demographic characteristics related to changes in behavioral risk factor surveillance system methodology. conclusions-overall,cvhi decreased,most likely due to decreases in ideal blood pressure,body mass index,and cholesterol status,which may stem from low prevalence of ideal physical activity and diet status. these findings can be used to inform statespecific strategies and targets to improve cardiovascular health. © 2015 the authors.
کلیدواژه 2020 Strategic Impact Goals; Cardiovascular health; Epidemiology; States; Trends
آدرس school of medicine,west virginia university,morgantown,wv,united states,school of public health,west virginia university,morgantown,wv,united states,center for cardiovascular and respiratory sciences,west virginia university robert c. byrd health sciences center,morgantown,wv, United States, school of medicine,west virginia university,morgantown,wv,united states,school of public health,west virginia university,morgantown,wv,united states,center for cardiovascular and respiratory sciences,west virginia university robert c. byrd health sciences center,morgantown,wv, United States, school of public health,west virginia university,morgantown,wv,united states,center for cardiovascular and respiratory sciences,west virginia university robert c. byrd health sciences center,morgantown,wv,united states,health research center,west virginia university robert c. byrd health sciences center,morgantown,wv, United States, school of public health,west virginia university,morgantown,wv,united states,center for basic and translational stroke research,west virginia university robert c. byrd health sciences center,morgantown,wv, United States
 
     
   
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