title: Trends in Ideal Cardiovascular Health Metrics Among Employees of a Large Healthcare Organization (from the Baptist Health South Florida Employee Study).
abstract: The American Heart Association (AHA)'s 2020 goal is to improve the cardiovascular health (CVH) of people living in the United States (US) by 20% and reduce mortality from cardiovascular diseases and stroke by 20%. Given that 155 million adults are in the US workforce, and >60% have employee-based insurance, workplace studies provide an important opportunity to assess and potentially advance CVH through the use of comprehensive workplace wellness programs. Among a cohort of employees of the Baptist Health System, CVH was assessed annually during voluntary health fairs and health risk assessments (HRA) from 2011 to 2014 using the AHA's 7 CVH metrics: smoking, body mass index (BMI), physical activity, diet, blood pressure, total cholesterol, and blood glucose. Each metric was categorized as ideal, intermediate, or poor according to the AHA criteria. Cochrane-Armitage test was used to detect trends in CVH by year. Ideal CVH, defined as meeting ideal criteria for all 7 metrics, was assessed and compared across years. The overall cohort was 34,746 with 4,895 employees in 2011, 10,724 in 2012, 9,763 in 2013, and 9,364 in 2014. Mean age (SD) was between 43 (±12) and 46 years (±12). Female to male ratio was 3:1. The prevalence of study participants who met the ideal criteria for diet, physical activity, and blood pressure increased significantly from 2011 to 2014 but for BMI, total cholesterol, and blood glucose, a significant decrease was noticed. In addition, the prevalence of study participants in ideal CVH although low, increased significantly over time (0.3% to 0.6%, p <0.0001). In conclusion, this study shows the trends of the AHA's CVH metrics in a large health care organization. The positive findings noted for the metrics of smoking, physical activity, total cholesterol, and blood glucose should be reinforced. However, the metrics of diet, BMI, and blood pressure need more attention.
authors.affiliation: Center for Healthcare Advancement and Outcomes, Baptist Health South Florida, Miami, Florida; Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida.
authors.forename: Oluseye
authors.initials: O
authors.lastname: Ogunmoroti
authors.affiliation: Department of Epidemiology and Biostatistics, College of Public Health, University of South Florida, Tampa, Florida.
authors.forename: Ovie
authors.initials: O
authors.lastname: Utuama
authors.affiliation: Center for Outcomes Research and Evaluation, Yale New Haven Hospital, New Haven, Connecticut; Section of Cardiovascular Medicine, Yale University, New Haven, Connecticut.
authors.forename: Erica S
authors.initials: ES
authors.lastname: Spatz
authors.affiliation: Wellness Advantage Administration, Baptist Health South Florida, Miami, Florida.
authors.forename: Maribeth
authors.initials: M
authors.lastname: Rouseff
authors.affiliation: Center for Research and Grants, Baptist Health South Florida, Miami, Florida.
authors.forename: Don
authors.initials: D
authors.lastname: Parris
authors.affiliation: Wellness Advantage Administration, Baptist Health South Florida, Miami, Florida.
authors.forename: Sankalp
authors.initials: S
authors.lastname: Das
authors.affiliation: Center for Healthcare Advancement and Outcomes, Baptist Health South Florida, Miami, Florida.
authors.forename: Adnan
authors.initials: A
authors.lastname: Younus
authors.affiliation: Employee Health Management, Baptist Health South Florida, Miami, Florida.
authors.forename: Henry
authors.initials: H
authors.lastname: Guzman
authors.affiliation: Center for Performance and Excellence, Baptist Health South Florida, Miami, Florida.
authors.forename: Thinh
authors.initials: T
authors.lastname: Tran
authors.affiliation: Center for Healthcare Advancement and Outcomes, Baptist Health South Florida, Miami, Florida; South Beach Preventive Cardiology, Miami Beach, Florida.
authors.forename: Arthur
authors.initials: A
authors.lastname: Agatston
authors.affiliation: Center for Healthcare Advancement and Outcomes, Baptist Health South Florida, Miami, Florida; Herbert Wertheim College of Medicine, Florida International University, Miami, Florida.
authors.forename: Theodore
authors.initials: T
authors.lastname: Feldman
authors.affiliation: Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas; Baylor College of Medicine, Houston, Texas.
authors.forename: Salim S
authors.initials: SS
authors.lastname: Virani
authors.affiliation: Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida.
authors.forename: Wasim
authors.initials: W
authors.lastname: Maziak
authors.affiliation: Center for Healthcare Advancement and Outcomes, Baptist Health South Florida, Miami, Florida; Department of Biostatistics, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida.
authors.forename: Emir
authors.initials: E
authors.lastname: Veledar
authors.affiliation: Center for Healthcare Advancement and Outcomes, Baptist Health South Florida, Miami, Florida; Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida; Herbert Wertheim College of Medicine, Florida International University, Miami, Florida; The Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, Baltimore, Maryland; Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida. Electronic address: KhurramN@baptisthealth.net.
authors.forename: Khurram
authors.initials: K
authors.lastname: Nasir
mesh_terms: D000328:Adult; D002318:Cardiovascular Diseases / Q000175:diagnosis / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D005260:Female; D005431:Florida / Q000453:epidemiology; D006282:Health Personnel; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity / Q000639:trends; D016272:Occupational Health; D015995:Prevalence; D033303:Protestantism; D065834:Religious Personnel; D012189:Retrospective Studies; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors