Progress in cardiovascular diseases最新文献

{"title":"An ecological framework for population health and well-being","authors":"Nicolaas P. Pronk ,&nbsp;Colin Woodard ,&nbsp;Frederick J. Zimmerman ,&nbsp;Ross Arena","doi":"10.1016/j.pcad.2025.03.013","DOIUrl":"10.1016/j.pcad.2025.03.013","url":null,"abstract":"<div><div>Social structures have become focal points in considering how to address the circumstances and conditions under which people live their lives. Yet, the many interactions among multiple factors that make up social and structural determinants are complex, interdependent, interactive, dynamic, and multilevel. This paper introduces an evidence-informed ecological framework that organizes drivers and feedback mechanisms collectively representing a generative force towards population health and well-being. The proposed ecological framework supports explanatory and exploratory considerations for prevention and management of population health and well-being issues. The framework explicitly includes a recognition that successful health and well-being outcomes are often dependent on the presence of social capital and healthy power dynamics.</div><div>Dominant cultural norm is positioned as an overarching driver in this framework because it shapes the political realities and power dynamics responsible for infrastructure as well as the habits and behaviors of people at both the individual and social levels.</div></div>","PeriodicalId":21156,"journal":{"name":"Progress in cardiovascular diseases","volume":"90 ","pages":"Pages 13-21"},"PeriodicalIF":5.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiovascular magnetic resonance in pulmonary hypertension: Keeping it simple","authors":"Daniel Lorenzatti ,&nbsp;Manish Motwani","doi":"10.1016/j.pcad.2025.04.010","DOIUrl":"10.1016/j.pcad.2025.04.010","url":null,"abstract":"","PeriodicalId":21156,"journal":{"name":"Progress in cardiovascular diseases","volume":"90 ","pages":"Pages 116-118"},"PeriodicalIF":5.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cover 2 (Masthead)","authors":"","doi":"10.1016/S0033-0620(25)00091-X","DOIUrl":"10.1016/S0033-0620(25)00091-X","url":null,"abstract":"","PeriodicalId":21156,"journal":{"name":"Progress in cardiovascular diseases","volume":"90 ","pages":"Page IFC"},"PeriodicalIF":5.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144713092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The culture of healthy living – The international perspective","authors":"Sisitha Jayasinghe,&nbsp;Nuala M. Byrne,&nbsp;Andrew P. Hills","doi":"10.1016/j.pcad.2025.02.001","DOIUrl":"10.1016/j.pcad.2025.02.001","url":null,"abstract":"<div><div>A culture of health or healthy living can be envisioned as a society where well-being, including essential aspects like sleep, stress management, social connections, and leisure - is not merely an aspiration but a tangible reality for diverse communities, free from systemic inequities. However, the concept of a healthy lifestyle, and by extension a culture of healthy living, varies widely across the globe, shaped by cultural norms, government policies, and social structures. Defining a universally acceptable “culture of healthy living” for every population or subgroup is inherently complex, making it more practical to focus on addressing the barriers and leveraging the enablers associated with leading a healthy life. At its core, discussing the foundational elements of a healthy life - such as diet and nutrition, physical activity, mental health, and access to healthcare - is crucial. To ensure the sustainability of healthy living practices, a multifaceted approach is needed, emphasizing these pillars alongside equity. Existing global initiatives offer promising frameworks to tackle these challenges, highlighting the importance of collaboration, innovation, and systemic change. By fostering mutual support and collective action, we can advance toward a global culture of healthy living that benefits all individuals and communities, leaving no one behind.</div></div>","PeriodicalId":21156,"journal":{"name":"Progress in cardiovascular diseases","volume":"90 ","pages":"Pages 51-55"},"PeriodicalIF":5.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unveiling the burden of acute myocardial infarction deaths associated with COVID-19 during the first five years of the pandemic","authors":"Giuseppe Lippi ,&nbsp;Carl J. Lavie ,&nbsp;Fabian Sanchis Gomar","doi":"10.1016/j.pcad.2025.02.004","DOIUrl":"10.1016/j.pcad.2025.02.004","url":null,"abstract":"","PeriodicalId":21156,"journal":{"name":"Progress in cardiovascular diseases","volume":"90 ","pages":"Pages 150-151"},"PeriodicalIF":5.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143412206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging the adherence gap in ASCVD: Aligning patient and provider perspectives on lipid-lowering therapy","authors":"Vita N. Jaspan ,&nbsp;Michael D. Shapiro","doi":"10.1016/j.pcad.2025.04.011","DOIUrl":"10.1016/j.pcad.2025.04.011","url":null,"abstract":"","PeriodicalId":21156,"journal":{"name":"Progress in cardiovascular diseases","volume":"90 ","pages":"Pages 142-144"},"PeriodicalIF":5.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment adherence patterns for patients with atherosclerotic cardiovascular disease: Patient and provider perspectives","authors":"Mary T. Imboden ,&nbsp;Kyle G. Jones ,&nbsp;Sarah E. Roth ,&nbsp;Roxanne Marsillo ,&nbsp;Laney K. Jones ,&nbsp;Bethany Kalich ,&nbsp;Eduard Sidelnikov ,&nbsp;Ty J. Gluckman ,&nbsp;Jennifer Rountree ,&nbsp;Eleni Wilson ,&nbsp;Staci J. Wendt","doi":"10.1016/j.pcad.2025.06.004","DOIUrl":"10.1016/j.pcad.2025.06.004","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Atherosclerotic cardiovascular disease (ASCVD) is a leading cause of mortality, affecting more than 500 million individuals globally. National guidelines recommend lipid-lowering therapies (LLTs) as first line agents for both primary and secondary prevention of ASCVD. However, under-prescribing of pharmacologic LLTs and sub-optimal medication adherence remain common problems.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Aim&lt;/h3&gt;&lt;div&gt;This mixed-methods study aimed to identify patient and prescriber factors influencing adherence to LLTs.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Patients with an ASCVD diagnosis and treatment plan that included LLT were sampled from a large community health system serving seven states. A stratified random sample of 2500 patients was surveyed by mail, capturing barriers and facilitators to medication adherence using an adapted version of the Adherence Starts with Knowledge-12 (ASK-12) scale, achieving a 16.2 % response rate (406 patients). Twenty-three semi-structured interviews were conducted with a sample of patient survey respondents to further explore drivers of non-adherence. Eligible prescribers with experience treating patients with ASCVD were surveyed by email, resulting in a 3.3 % response rate (122 respondents). Survey data were analyzed descriptively and using regression models; interview data were analyzed thematically.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;While cohort patients were identified as having an ASCVD diagnosis and taking a LLT from their medical chart, only 16.8 % of respondents reported having an ASCVD diagnosis and 84.2 % reported taking LLTs. Patients taking medication reported a higher average number of health condition diagnoses compared to those not taking a medication (2.63 and 1.50, respectively). Of those taking medication, 55.7 % were identified as adherent. Non-adherent patients were more likely to report poor healthcare experiences and social determinants of health needs. Multivariable regression analysis revealed that patients were more likely to be adherent when they felt their healthcare provider always spent enough time with them and treated them with respect. Interview findings further emphasized the importance of healthcare experiences, convenience, and belief the treatment works as important factors to adherence. In contrast, prescribers perceived higher non-adherence rates, citing forgetfulness and medication inconvenience as the main barriers. However, only 10.0 % of responding prescribers reported using a tool to assess patients' medication adherence and only 42.6 % reported asking patients about changes to their medication regimens.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;A substantial proportion of patients reported adherence to their medications, with adherence being associated with positive healthcare experiences, self-reported health conditions, perceived effectiveness of the medication, and social determinants of health needs. Prescribers perceived relatively low adh","PeriodicalId":21156,"journal":{"name":"Progress in cardiovascular diseases","volume":"90 ","pages":"Pages 131-141"},"PeriodicalIF":5.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultural influences on choosing to move more and sit less","authors":"Rıdvan Aktan ,&nbsp;Grenita Hall ,&nbsp;Cemal Ozemek","doi":"10.1016/j.pcad.2025.03.006","DOIUrl":"10.1016/j.pcad.2025.03.006","url":null,"abstract":"<div><div>Low levels of physical activity (PA) and prolonged periods of sedentary time significantly increase the risk of developing non-communicable diseases. Individuals who minimally increase their PA levels can experience significant reductions in risk of morbidity and mortality. Despite regular public messaging cycles and PA promotional campaigns highlighting these observations, the number of individuals meeting the PA recommendations has been underwhelming and stagnant for decades. Numerous studies have identified prominent barriers to becoming and staying physically active, in addition to a person's or people's cultural beliefs. Yet exercise professionals and other allied healthcare professionals may not consider one's cultural experiences when promoting PA. Recognizing the impact of culture on PA, whether it is positive or negative, can facilitate culturally sensitive discussions with individuals or groups and customizing PA recommendations in a way that facilitates its adoption. Accordingly, this paper aims to review relevant studies and examples of how culture can influence PA behaviors, as well as provide considerations for exercise professionals and allied healthcare providers to take when promoting PA in diverse populations.</div></div>","PeriodicalId":21156,"journal":{"name":"Progress in cardiovascular diseases","volume":"90 ","pages":"Pages 27-31"},"PeriodicalIF":5.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The inclusion and consideration of cultural differences and health inequalities in physical activity behaviour in the UK - the impact of guidelines and initiatives","authors":"Mark A. Faghy ,&nbsp;Jack Carr ,&nbsp;David Broom ,&nbsp;Gerri Mortimore ,&nbsp;Vittoria Sorice ,&nbsp;Rebecca Owen ,&nbsp;Ross Arena ,&nbsp;Ruth E.M. Ashton","doi":"10.1016/j.pcad.2025.01.009","DOIUrl":"10.1016/j.pcad.2025.01.009","url":null,"abstract":"<div><div>Despite widespread attempts from governments and leading health organisations worldwide to promote equity in healthy living medicine, the evidence suggests that attempts to curb worsening public health have been almost entirely ineffective. Despite significant advancements in knowledge, medicine, and technology, as well as the promotion of guidelines and the implementation of numerous global initiatives aimed at addressing health disparities and mitigating the progression of non-communicable diseases (NCDs) worldwide, substantial work remains to be undertaken particularly in addressing inequalities in physical activity. Achieving equitable access to health resources and parity in health outcomes remains a critical and unresolved challenge. Whilst it is recognized that the public health paradigm is broad and complex, with many intersecting and interacting parts, the actions and considerations required to address the urgent and escalating scale of the problem appear at a crossroads of now or never. Throughout this narrative review, we describe the effectiveness of landmark physical activity-related guidelines, policies and national interventions that have been implemented since the turn of the century to address physical activity behaviour in the context of health inequalities.</div></div>","PeriodicalId":21156,"journal":{"name":"Progress in cardiovascular diseases","volume":"90 ","pages":"Pages 56-61"},"PeriodicalIF":5.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143049349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A social ecological perspective on interventions to address short sleep duration in adults with coronary heart disease","authors":"Codie R. Rouleau ,&nbsp;Sheila N. Garland","doi":"10.1016/j.pcad.2025.05.003","DOIUrl":"10.1016/j.pcad.2025.05.003","url":null,"abstract":"<div><h3>Background</h3><div>Short sleep duration (&lt;7 h/day) affects one-third of the population, is implicated in morbidity and mortality from coronary heart disease (CHD), and is driven by an interplay of individual, social, and societal factors.</div></div><div><h3>Objective</h3><div>To review observational and experimental studies that have tested interventions to address short sleep in various clinical presentations (sleep disorders, behaviorally induced short sleep, lack of sleep opportunity) and describe considerations needed for CHD populations.</div></div><div><h3>Conclusions</h3><div>Few existing interventions have a primary aim to increase sleep duration in individuals with insufficient sleep, and none specifically target individuals with established CHD. Short sleep duration may be modifiable via treatment of insomnia, behavioral sleep extension, and system-level changes to healthcare settings, workplace policies, and communities. With further research on interventions that address diverse phenotypes of short sleep—while assessing long-term cardiometabolic outcomes, patient preferences, and mechanisms-of-action—sleep health could become an important component of CHD secondary prevention.</div></div>","PeriodicalId":21156,"journal":{"name":"Progress in cardiovascular diseases","volume":"90 ","pages":"Pages 79-85"},"PeriodicalIF":5.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}