title: The Association between Ideal Cardiovascular Health Metrics and Extracranial Carotid Artery Stenosis in a Northern Chinese Population: A Cross-Sectional Study.
abstract: Past epidemiologic studies have indicated that the ideal cardiovascular health (CVH) metrics are associated with a lower risk of cardiovascular diseases (CVDs) and stroke. Carotid artery stenosis (CAS) causes approximately 10% of ischemic strokes. The association between ideal CVH and extracranial CAS has not yet been assessed. In the current study, extracranial CAS was assessed by carotid duplex ultrasonography. Logistic regression was used to analyze the association between ideal CVH metrics and extracranial CAS. A total of 3297 participants (52.2% women) aged 40 years and older were selected from the Jidong community in China. After adjusting for sex, age and other potential confounds, the odds ratios (95% confidence intervals) for extracranial CAS were 0.57 (0.39-0.84), 0.46 (0.26-0.80) and 0.29 (0.15-0.54), and for those quartiles, quartile 2 (9-10), quartile 3 (11) and quartile 4 (12-14), respectively, compared with quartile 1 (≤8). This negative correlation was particularly evident in women and the elderly (≥60 years). This cross-sectional study showed a negative correlation between the ideal CVH metrics and the prevalence of extracranial CAS in northern Chinese adults.
authors: Department of Cardiology, Central Hospital of Baotou, Baotou, 014040 China.
authors: Zhiru
authors: Z
authors: Hao
authors: Department of Cardiology, Central Hospital of Baotou, Baotou, 014040 China.
authors: Yong
authors: Y
authors: Zhang
authors: Department of Cardiology, Central Hospital of Baotou, Baotou, 014040 China.
authors: Yongming
authors: Y
authors: Li
authors: Graduate school, Baotou Medical College, Baotou, 014040 China.
authors: Jinbo
authors: J
authors: Zhao
authors: Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100050 China.
authors: Yong
authors: Y
authors: Zhou
authors: School of Public Health, Ningxia Medical University, Yinchuan, 750004 China.
authors: Jing
authors: J
authors: Qiu
authors: Department of Cardiology, Central Hospital of Baotou, Baotou, 014040 China.
authors: Ruiping
authors: R
authors: Zhao
authors: Department of Surgery, Central Hospital of Baotou, Baotou, 014040 China.
authors: Jiang
authors: J
authors: Hu
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D044466:Asian People; D016893:Carotid Stenosis / Q000000981:diagnostic imaging / Q000453:epidemiology*; D002681:China; D003430:Cross-Sectional Studies; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D008875:Middle Aged; D018570:Risk Assessment; D014463:Ultrasonography; D055815:Young Adult