title: Prevalence and changes over time of ideal cardiovascular health metrics among African-Americans: the Jackson Heart Study.
abstract: OBJECTIVE
  The aim of this study is to assess the prevalence and changes over time of ideal Life's Simple Seven (LSS) in African-Americans.
  
  
  METHODS
  Prospective cohort of 5301 African-Americans from the Jackson Heart Study (JHS) from 2000 to 2013. Each of the LSS metrics was categorized as poor, intermediate, or ideal.
  
  
  RESULTS
  Among men, the prevalence of having 0, 1, 2, 3, 4, 5, 6, and 7 ideal LSS was 3.3%, 23.0%, 33.5%, 24.7%, 11.6%, 3.6%, 0.3%, and 0%, respectively. Corresponding values for women were 1.7%, 26.3%, 33.1%, 22.8%, 11.9%, 3.7%, 0.6%, and 0%. Prevalence of ideal diet was 0.9%. The proportions of those meeting LSS ideal recommendations for cholesterol and fasting glucose declined from the first through third JHS visits across all age groups, whereas prevalence of ideal BMI declined only in participants <40 years at a given visit. Prevalence of ideal blood pressure did not change over time and being ideal on physical activity improved from the first [18.3% (95% CI: 17.3% to 19.3%)] to third visit [24.8% (95% CI: 23.3% to 26.3%)].
  
  
  CONCLUSIONS
  Our data show a low prevalence of ideal LSS (especially diet, physical activity, and obesity) in the JHS and a slight improvement in adherence to physical activity recommendations over time.
authors.affiliation: Brigham and Women's Hospital, Boston, MA, United States; Boston VA Healthcare System, United States; Harvard Medical School, Boston, MA, United States. Electronic address: ldjousse@rics.bwh.harvard.edu.
authors.forename: Luc
authors.initials: L
authors.lastname: Djoussé
authors.affiliation: Brigham and Women's Hospital, Boston, MA, United States.
authors.forename: Andrew B
authors.initials: AB
authors.lastname: Petrone
authors.affiliation: University of Mississippi Medical Center, Jackson, MS, United States.
authors.forename: Chad
authors.initials: C
authors.lastname: Blackshear
authors.affiliation: University of Mississippi Medical Center, Jackson, MS, United States.
authors.forename: Michael
authors.initials: M
authors.lastname: Griswold
authors.affiliation: National Heart, Lung, and Blood Institute, Bethesda, MD, United States.
authors.forename: Jane L
authors.initials: JL
authors.lastname: Harman
authors.affiliation: Brigham and Women's Hospital, Boston, MA, United States; Harvard Medical School, Boston, MA, United States.
authors.forename: Cheryl R
authors.initials: CR
authors.lastname: Clark
authors.affiliation: Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
authors.forename: Sameera
authors.initials: S
authors.lastname: Talegawkar
authors.affiliation: University of Mississippi Medical Center, Jackson, MS, United States.
authors.forename: DeMarc A
authors.initials: DA
authors.lastname: Hickson
authors.affiliation: Brigham and Women's Hospital, Boston, MA, United States; Boston VA Healthcare System, United States; Harvard Medical School, Boston, MA, United States.
authors.forename: J Michael
authors.initials: JM
authors.lastname: Gaziano
authors.affiliation: South Central VA MIRECC and Little Rock GRECC, Little Rock, AR, United States.
authors.forename: Patricia M
authors.initials: PM
authors.lastname: Dubbert
authors.affiliation: University of Mississippi Medical Center, Jackson, MS, United States.
authors.forename: Adolfo
authors.initials: A
authors.lastname: Correa
authors.affiliation: University of Massachusetts Lowell, Lowell, MA, United States.
authors.forename: Katherine L
authors.initials: KL
authors.lastname: Tucker
authors.affiliation: University of Mississippi Medical Center, Jackson, MS, United States; Jackson State University, Jackson, MS, United States; Tougaloo College, Jackson, MS, United States.
authors.forename: Herman A
authors.initials: HA
authors.lastname: Taylor
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D000368:Aged; D001786:Blood Glucose / Q000032:analysis; D015992:Body Mass Index; D002318:Cardiovascular Diseases / Q000208:ethnology* / Q000209:etiology / Q000517:prevention & control; D002784:Cholesterol / Q000097:blood; D004032:Diet / Q000009:adverse effects / Q000208:ethnology / Q000706:statistics & numerical data; D005260:Female; D015438:Health Behavior / Q000208:ethnology*; D006801:Humans; D006973:Hypertension / Q000150:complications* / Q000208:ethnology; D008297:Male; D008875:Middle Aged; D008922:Mississippi / Q000453:epidemiology; D009043:Motor Activity / Q000502:physiology*; D015596:Nutrition Assessment; D009765:Obesity / Q000150:complications* / Q000208:ethnology; D004364:Pharmaceutical Preparations / Q000008:administration & dosage / Q000145:classification; D015995:Prevalence; D011446:Prospective Studies; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects / Q000208:ethnology; D012959:Socioeconomic Factors
chemical_list: D001786:Blood Glucose; D004364:Pharmaceutical Preparations; D002784:Cholesterol
keywords: Cardiovascular disease; Diet; Epidemiology; Risk factors