Index of cardiometabolic health: a new method of measuring allostatic load using electronic health records.
OBJECTIVE
We developed a measure of allostatic load from electronic medical records (EMRs), which we named "Index of Cardiometabolic Health" (ICMH).


METHODS
Data were collected from participants' EMRs and a written survey in 2005. We computed allostatic load scores using the ICMH score and two previously described approaches.


RESULTS
We included 1865 employed adults who were 25-59 years old. Although the magnitude of the association was small, all methods of were predictive of SF-12 physical component subscales (all p < 0.001).


CONCLUSIONS
We found that the ICMH had similar relationships with health-related quality of life as previously reported in the literature.
a Department of Quantitative Health Sciences , University of Massachusetts Medical School , Worcester , MA , USA.
Lisa
L
Nobel
b School of Public Health , Georgia State University and Kaiser Permanente , Atlanta , GA , USA.
Douglas W
DW
Roblin
c Rollins School of Public Health , Emory University , Atlanta , GA , USA.
Edmund R
ER
Becker
c Rollins School of Public Health , Emory University , Atlanta , GA , USA.
Benjamin G
BG
Druss
c Rollins School of Public Health , Emory University , Atlanta , GA , USA.
Peter I
PI
Joski
a Department of Quantitative Health Sciences , University of Massachusetts Medical School , Worcester , MA , USA.
Jeroan J
JJ
Allison
D000328:Adult; D052636:Allostasis / Q000502:physiology*; D057286:Electronic Health Records; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D011788:Quality of Life; D011795:Surveys and Questionnaires
Cardiovascular disease; obesity/diabetes; renal disease