Cardiovascular health status of Chinese adults based on "Life's Essential 8" score.
10.3760/cma.j.cn112338-20221020-00894
- VernacularTitle:基于“生命八要素”评分的中国成年居民心血管健康状况分析
- Author:
Tao Tao XUE
1
;
Li Min WANG
1
;
Zhen Ping ZHAO
1
;
Xiao ZHANG
1
;
Chun LI
1
;
Zheng Jing HUANG
1
;
Xing Xing GAO
2
;
Chen Yi LIU
2
;
Ning YU
1
;
Yu Shu ZHANG
3
;
Xiao Qing DENG
3
;
Lan WANG
1
;
Mei ZHANG
1
Author Information
1. Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
2. Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China School of Public Health, Baotou Medical College, Baotou 014040, China.
3. Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China Department of Health Statistics, School of Public Health, China Medical University, Shenyang 110122, China.
- Publication Type:Journal Article
- MeSH:
Adult;
Female;
Humans;
Male;
Asian People;
Cardiovascular Diseases/prevention & control*;
China/epidemiology*;
Diet;
East Asian People;
Health Status;
Risk Factors;
United States;
Young Adult;
Health Status Indicators
- From:
Chinese Journal of Epidemiology
2023;44(7):1054-1062
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To assess the cardiovascular health status of adults in China by using the "Life's Essential 8" score, and provide reference for the development and improvement of cardiovascular disease prevention and control policies and measures. Methods: Chronic Disease and Nutrition Surveillance was conducted in 298 counties/districts in 2015 in 31 provinces (autonomous regions, municipalities) across China, multi-stage stratified cluster random sampling was used to select 45 households in each village or neighborhood, and 20 households were further selected to conduct dietary surveys. In this study, a total of 70 093 adults aged ≥20 years who completed the dietary survey and had complete information were included, their cardiovascular health status were assessed by using the "Life's Essential 8" score, a cardiovascular health scoring standard released by the American Heart Association in 2022. All results were adjusted using complex design-based sampling weights to achieve a better estimate of the population. Results: In 2015, the overall cardiovascular health score of Chinese adults aged ≥20 years was 73.3±12.6, the score was significantly higher in women (77.9±11.6) than in men (68.7±11.8), and higher in urban area (74.5±12.8) than in rural area (71.9±12.2), the differences were significant (P<0.001). It was estimated that about 0.25% (95%CI: 0.16%-0.33%) of adults in China had cardiovascular health score of 100, and 33.0% (95%CI: 31.6%-34.3%), 63.2% (95%CI: 62.1%-64.3%), and 3.9% (95%CI: 3.5%-4.2%) of adults had high, moderate and low cardiovascular health scores, respectively. The proportion of those with high cardiovascular health scores was relatively low in men, those with low education level, those with low income, those living in rural areas, and those living in southwest China (P<0.001). Of the eight factors, diet had the lowest mean score (46.0, 95%CI: 44.7-47.3), followed by blood pressure (59.4, 95%CI: 58.2-60.6) and tobacco exposure (61.4, 95%CI: 60.6-62.2). Conclusions: The cardiovascular health status of two-thirds of adult population in China needs to be improved. Diet, tobacco exposure, and blood pressure are the factors affecting the cardiovascular health of Chinese population, to which close attention needs to be paid, and men, rural residents, and those with lower socioeconomic status are key groups in cardiovascular health promotion.
