美国心脏协会“生命必需8”在一组拉丁裔妇女中的流行程度

IF 4.3 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

American journal of preventive cardiology Pub Date : 2025-04-09 DOI:10.1016/j.ajpc.2025.100988

Paola Varleta , Mónica Acevedo , Giovanna Valentino , Carolina Casas-Cordero , Amalia Berríos , Rosario López-Infante

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引用次数: 0

摘要

理想的心血管健康（CVH）结构最近被更新为“生命基本8”（LE8）。目的了解智利圣地亚哥拉美裔女性人群中LE8的患病率及其与社会人口统计学和社会经济因素的关系。方法对619例35 ~ 70岁女性进行横断面研究，共1.359.509例（剔除扩大因子后）。通过人口统计学和心血管危险因素调查，以及人体测量、血压和生化测量来评估LE8。估计所有参与者的LE8总分，范围从0到100(≥80分，高CVH和<；50分，低CVH)。此外，还确定了各指标的得分。对总体样本进行描述性分析，并按年龄、教育程度、家庭收入水平和公民身份进行分层。通过年龄、家庭收入、教育水平等因素进行回归分析，确定社会人口学变量与LE8评分的关系。结果LE8总分平均为62.7分。只有11.5%的学生LE8得分高，而18.2%的学生LE8得分低。完成最好的指标是血糖和体力活动（PA）；最糟糕的是饮食和尼古丁暴露。调整后的回归分析显示，年龄越小得分越高(45岁+3.2分，p <；0.05)和高等教育程度(+5分，p <；高中和高等教育分别为0.01和+12点（p = 0.000,1）。受教育程度高的女性在5项指标（血脂、血压、体重指数、饮食和PA）上的改善显著推动了LE8得分的提高。结论圣地亚哥9名妇女中有1名LE8评分较为理想。在获得理想CVH的过程中，多年的教育是至关重要的决定因素。

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Prevalence of American heart association's ¨ Life's Essential 8¨ in a cohort of Latino women

The ideal cardiovascular health (CVH) construct has recently been updated to ¨ Life's Essential 8¨(LE8).

Objective

to determine LE8′s prevalence and its association with sociodemographic and socioeconomic determinants in a Latino women cohort in Santiago de Chile.

Methods

Cross-sectional study on 619 women between 35 and 70 years old, representing 1.359.509 women (after expansion factors). LE8 was assessed through a survey on demographic and CV risk factors, as well as anthropometric, blood pressure, and biochemical measurements. The overall LE8 score was estimated for all participants, ranging from 0 to 100 (≥80 points, high CVH and < 50 points, low CVH). Besides, the score for each metric was determined. A descriptive analysis was performed with sample weights for the overall sample, and stratified by age, education, family income level and civil status. A regression analysis was performed adjusted by age group, family income and education level to determine the association of sociodemographic variables with LE8 score.

Results

The mean overall LE8 score was 62.7 points. Only 11.5 % had a high LE8, while 18.2 % had a low score. The best-accomplished metrics were blood glucose and physical activity (PA); the worst were diet and nicotine exposure. The adjusted regression analysis showed significantly higher scores for younger age (+3.2 points for <45yo, p < 0.05) and higher education level (+5 points, p < 0.01 and +12 points, p = 0.000,1 for high school and tertiary education, respectively). Higher LE8 scores in women with high education level were significantly driven by improvements in 5 metrics (lipids, blood pressure, body mass index, diet and PA).