Whole collection based on Evidence

Heart Disease and Stroke—2015 Update

The concept of cardiovascular health represents a heightened focus for the AHA, with 3 central and novel emphases: —An expanded focus on not only CVD prevention but also promotion of positive cardiovascular health, in addition to the treatment of established CVD. —The prioritization of both health behaviors (healthy diet pattern, appropriate energy intake, physical activity [PA], and nonsmoking) and health factors (optimal blood lipids, blood pressure, glucose levels) throughout the lifespan as primary goals unto themselves. —Population-level health promotion strategies to shift the majority of the public toward greater cardiovascular health, in addition to targeting those individuals at greatest CVD risk, because CVD occurs at all risk levels across the population and because healthy lifestyles are uncommon throughout the US population. ●● The prevalence of ideal cardiovascular health is higher in US children and young adults than in US middle-aged and older adults, largely because of the higher prevalence of ideal levels of health factors in US children and young adults. However, with regard to health behaviors, children and young adults were similar to (PA) or worse than (diet) middle-aged and older adults. Poor diet and physical inactivity in childhood and younger age are strong predictors of suboptimal health factors later in life. ●● Approximately 50% of US children 12 to 19 years of age have ≥5 metrics at ideal levels, with lower prevalence in girls (47%) than in boys (52%). ●● Only 18% of US adults have ≥5 metrics with ideal levels, with lower prevalence in men (11%) than in women (25%). ●● Among children, the prevalence of ideal levels of cardiovascular health behaviors and factors currently varies from <1% for the healthy diet pattern (ie, ><1 in 100 US children meets at least 4 of the 5 dietary components) to >80% for the smoking, blood pressure, and fasting glucose metrics. ●● Among US adults, the prevalence of ideal levels of cardiovascular health behaviors and factors currently varies from 0.5% for the healthy diet pattern to up to 78% for the smoking metric (never having smoked or being a former smoker who has quit for >12 months).

See more news: http://circ.ahajournals.org/content/early/2014/12/18/CIR.0000000000000152.full.pdf+html