Trends in cardiovascular health metrics and associations with long-term mortality among US adults with coronary heart disease

Our study examined the trends of cardiovascular health metrics in individuals with coronary heart disease (CHD) and their associations with all-cause and cardiovascular disease mortality in the US. The cohort study was conducted based on the National Health and Nutrition Examination Survey 1999–2018...

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Published in:Nutrition, metabolism, and cardiovascular diseases metabolism, and cardiovascular diseases, 2024-08, Vol.34 (8), p.1932-1941
Main Authors: Xue, Qingping, Wu, Shiyi, He, Xingchen, Huang, Yuli, Liu, Yanjun, Yan, Tong, Wu, Nianwei, Yang, Xue, Wen, Ying, Li, Sheyu, Cravens, Lauryn, Yang, Chun-Xia, Wu, Jason H.Y., Pan, An, Yang, Xiaohong, Pan, Xiong-Fei
Format: Article
Language:English
Subjects:
Adult
Aged
Cardiovascular health metrics
Cause of Death
cohort studies
Cohort study
confidence interval
coronary disease
Coronary Disease - diagnosis
Coronary Disease - epidemiology
Coronary Disease - mortality
Coronary heart disease
Female
hazard ratio
Health Status
Health Status Indicators
Heart Disease Risk Factors
Humans
Male
metabolism
Middle Aged
Mortality
myocardial infarction
National Health and Nutrition Examination Survey
nutrition
Nutrition Surveys
Prevalence
Prognosis
Protective Factors
regression analysis
risk
Risk Assessment
Risk Factors
Risk Reduction Behavior
Time Factors
United States - epidemiology
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Summary:Our study examined the trends of cardiovascular health metrics in individuals with coronary heart disease (CHD) and their associations with all-cause and cardiovascular disease mortality in the US. The cohort study was conducted based on the National Health and Nutrition Examination Survey 1999–2018 and their linked mortality files (through 2019). Baseline CHD was defined as a composite of self-reported doctor-diagnosed coronary heart disease, myocardial infarction, and angina pectoris. Cardiovascular health metrics were assessed according to the American Heart Association recommendations. Long-term all-cause and cardiovascular disease mortality were the primary outcomes. Survey-adjusted Cox regression models were used to estimate hazard ratios and corresponding 95% confidence intervals for the associations between cardiovascular health metrics and all-cause and cardiovascular disease mortality. The prevalence of one or fewer ideal cardiovascular health metrics increased from 14.15% to 22.79% (P 
ISSN:0939-4753
1590-3729
1590-3729
DOI:10.1016/j.numecd.2024.03.031