title: Cross-sectional analysis of deprivation and ideal cardiovascular health in the Paris Prospective Study 3.
abstract: We hypothesised that deprivation might represent a barrier to attain an ideal cardiovascular health (CVH) as defined by the American Heart Association (AHA).
  
  
  
  The baseline data of 8916 participants of the Paris Prospective Study 3, an observational cohort on novel markers for future cardiovascular disease, were used. The AHA 7-item tool includes four health behaviours (smoking, body weight, physical activity and optimal diet) and three biological measures (blood cholesterol, blood glucose and blood pressure). A validated 11-item score of individual material and psychosocial deprivation, the Evaluation de la Précarité et des Inégalités dans les Centres d'Examens de Santé-Evaluation of Deprivation and Inequalities in Health Examination centres (EPICES) score was used. The mean age was 59.5 years (standard deviation 6.2), 61.2% were men and 9.98% had an ideal CVH. In sex-specific multivariable polytomous logistic regression, the odds ratio (OR) for ideal behavioural CVH progressively decreased with quartile of increasing deprivation, from 0.54 (95% CI 0.41 to 0.72) to 0.49 (0.37 to 0.65) in women and from 0.61 (0.50 to 0.76) to 0.57 (0.46 to 0.71) in men. Associations with ideal biological CVH were confined to the most deprived women (OR=0.60; 95% CI 0.37 to 0.99), whereas in men, greater deprivation was related to higher OR of intermediate biological CVH (OR=1.28; 95% CI 1.05 to 1.57 for the third quartile vs the first quartile).
  
  
  
  Higher material and psychosocial deprivation may represent a barrier to reach an ideal CVH.
  
  
  
  NCT00741728.
authors.affiliation: Department of Epidemiology, INSERM, UMR-S970, Paris Cardiovascular Research Center, Paris, France.|Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France.
authors.forename: J P
authors.initials: JP
authors.lastname: Empana
authors.affiliation: Department of Epidemiology, INSERM, UMR-S970, Paris Cardiovascular Research Center, Paris, France.|Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France.
authors.forename: M C
authors.initials: MC
authors.lastname: Perier
authors.affiliation: INSERM, U1018, Epidemiology of Ageing and Age Related Diseases, Villejuif, France.|Université Paris-Saclay, Univ. Paris-Sud, UVSQ, France.
authors.forename: A
authors.initials: A
authors.lastname: Singh-Manoux
authors.affiliation: Department of Epidemiology, INSERM, UMR-S970, Paris Cardiovascular Research Center, Paris, France.|Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France.
authors.forename: B
authors.initials: B
authors.lastname: Gaye
authors.affiliation: Preventive and Clinical Investigation Center, Paris, France.
authors.forename: F
authors.initials: F
authors.lastname: Thomas
authors.affiliation: Institute of Public Health, Charité University Medicine Berlin, Berlin, Germany.
authors.forename: C
authors.initials: C
authors.lastname: Prugger
authors.affiliation: Department of Epidemiology, INSERM, UMR-S970, Paris Cardiovascular Research Center, Paris, France.|Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France.|Department of Geriatry, APHP, Hopital Broca, Paris, France.
authors.forename: M
authors.initials: M
authors.lastname: Plichart
authors.affiliation: INSERM, U1018, Epidemiology of Ageing and Age Related Diseases, Villejuif, France.|Université Paris-Saclay, Univ. Paris-Sud, UVSQ, France.
authors.forename: E
authors.initials: E
authors.lastname: Wiernik
authors.affiliation: Department of Epidemiology, INSERM, UMR-S970, Paris Cardiovascular Research Center, Paris, France.|Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France.
authors.forename: C
authors.initials: C
authors.lastname: Guibout
authors.affiliation: Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France.|Psychiatry Department, APHP, Georges Pompidou European Hospital, Paris, France.|INSERM, Centre for Psychiatry and Neuroscience, Paris, France.
authors.forename: C
authors.initials: C
authors.lastname: Lemogne
authors.affiliation: Preventive and Clinical Investigation Center, Paris, France.
authors.forename: B
authors.initials: B
authors.lastname: Pannier
authors.affiliation: Department of Epidemiology, INSERM, UMR-S970, Paris Cardiovascular Research Center, Paris, France.|Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France.|Pharmacology Departments, APHP, Georges Pompidou European Hospital, Paris, France.
authors.forename: P
authors.initials: P
authors.lastname: Boutouyrie
authors.affiliation: Department of Epidemiology, INSERM, UMR-S970, Paris Cardiovascular Research Center, Paris, France.|Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France.|Cardiology Department, APHP, Georges Pompidou European Hospital, Paris, France.
authors.forename: X
authors.initials: X
authors.lastname: Jouven
mesh_terms: D000368:Aged; D001786:Blood Glucose / Q000032:analysis; D001794:Blood Pressure; D001835:Body Weight; D002318:Cardiovascular Diseases / Q000175:diagnosis / Q000453:epidemiology* / Q000503:physiopathology / Q000523:psychology; D002784:Cholesterol / Q000097:blood; D003430:Cross-Sectional Studies; D000072001:Diet, Healthy; D015444:Exercise; D005260:Female; D015438:Health Behavior; D006304:Health Status; D000070497:Healthy Lifestyle; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D016017:Odds Ratio; D010297:Paris / Q000453:epidemiology; D011203:Poverty; D011446:Prospective Studies; D011610:Psychosocial Deprivation; D018570:Risk Assessment; D012307:Risk Factors; D057185:Sedentary Behavior; D012907:Smoking / Q000009:adverse effects / Q000453:epidemiology; D011795:Surveys and Questionnaires; D014504:Urban Health
chemical_list: D001786:Blood Glucose; D002784:Cholesterol