title: Cardiovascular Health Score and the Risk of Cardiovascular Diseases.
abstract: In 2010 the American Heart Association proposed a definition of ideal health behaviors and health factors to measure cardiovascular health, from which Huffman et al. created the Cardiovascular Health Score (CVH score) to estimate these metrics on an individual level. We performed a prospective cohort study among employees of the Kailuan Group Corporation, who underwent a physical examination in 2006-2007 to investigate the relationship between the CVH score and the risk of cardiovascular disease (CVD). A total of 91,598 individuals free of stroke and myocardial infarction at baseline were included in the final analysis. We calculated baseline CVH score for each metric (poor=0, intermediate=1, ideal=2 points; range=0-14 points for all seven metrics) and categorized them into three groups: inadequate (0-4 points), average (5-9 points), and optimum (10-14 points). Incidence of total number of CVD events, myocardial infarction, and stroke was analyzed among these three groups and each incremental point on the CVH score. During an average 6.81 years of follow-up, there were 3276 CVD events, 2579 strokes and 747 myocardial infarction occurred. After adjusting for several confounding factors, each better health category of the CVH score was associated with reduced odds of 47% for all CVD events, and each point higher on the CVH score was associated with reduced odds of 18%. Similar trends were detected in the risks for myocardial infarction and stroke. A higher CVH score is therefore a protective factor for CVD, myocardial infarction, and stroke.
authors.affiliation: Department of Cardiology, Second Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong, China.
authors.forename: Congliang
authors.initials: C
authors.lastname: Miao
authors.affiliation: Department of Cardiology, Chaoyang Hospital, Capital Medical University, Beijing, China.
authors.forename: Minghui
authors.initials: M
authors.lastname: Bao
authors.affiliation: Department of Cardiology, Kailuan Hospital, Hebei United University, Tangshan, China.
authors.forename: Aijun
authors.initials: A
authors.lastname: Xing
authors.affiliation: Department of Cardiology, Kailuan Hospital, Hebei United University, Tangshan, China.
authors.forename: Shuohua
authors.initials: S
authors.lastname: Chen
authors.affiliation: Department of Cardiology, Kailuan Hospital, Hebei United University, Tangshan, China.
authors.forename: Yuntao
authors.initials: Y
authors.lastname: Wu
authors.affiliation: Department of Cardiology, Chaoyang Hospital, Capital Medical University, Beijing, China.
authors.forename: Jun
authors.initials: J
authors.lastname: Cai
authors.affiliation: Department of Cardiology, Second Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong, China.
authors.forename: Youren
authors.initials: Y
authors.lastname: Chen
authors.affiliation: Department of Cardiology, Chaoyang Hospital, Capital Medical University, Beijing, China.
authors.forename: Xinchun
authors.initials: X
authors.lastname: Yang
mesh_terms: D002318:Cardiovascular Diseases / Q000453:epidemiology*; D002681:China / Q000453:epidemiology; D005260:Female; D006304:Health Status; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000453:epidemiology; D012307:Risk Factors; D020521:Stroke / Q000453:epidemiology