Ideal Cardiovascular Health Metrics in Couples: A Community‐Based Study

BackgroundDetermination of the correlation of ideal cardiovascular health variables among spousal or cohabitating partners may guide the development of couple‐based interventions to reduce cardiovascular disease risk. Method and ResultsWe used data from the HeartSCORE (Heart Strategies Concentrating...

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Autores principales:	Sebhat Erqou, Oluremi Ajala, Claudia E. Bambs, Andrew D. Althouse, Michael S. Sharbaugh, Jared Magnani, Aryan Aiyer, Steven E. Reis
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2018
Materias:	couples epidemiology ideal cardiovascular health primary prevention risk factor Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/8955984b35fb4a85ae1c4f761e27c5c7
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spelling	oai:doaj.org-article:8955984b35fb4a85ae1c4f761e27c5c72021-11-12T17:01:53ZIdeal Cardiovascular Health Metrics in Couples: A Community‐Based Study10.1161/JAHA.118.0087682047-9980https://doaj.org/article/8955984b35fb4a85ae1c4f761e27c5c72018-05-01T00:00:00Zhttps://www.ahajournals.org/doi/10.1161/JAHA.118.008768https://doaj.org/toc/2047-9980BackgroundDetermination of the correlation of ideal cardiovascular health variables among spousal or cohabitating partners may guide the development of couple‐based interventions to reduce cardiovascular disease risk. Method and ResultsWe used data from the HeartSCORE (Heart Strategies Concentrating on Risk Evaluation) study. Ideal cardiovascular health, defined by the American Heart Association, comprises nonsmoking, body mass index <25 kg/m2, physical activity at goal, diet consistent with guidelines, untreated total cholesterol <200 mg/dL, untreated blood pressure <120/80 mm Hg, and untreated fasting glucose <100 mg/dL. McNemar test and logistic regression were used to assess concordance patterns in these variables among partners (ie, concordance in achieving ideal factor status, concordance in not achieving ideal factor status, or discordance—only one partner achieving ideal factor status). Overall, there was a low prevalence of ideal cardiovascular health among the 231 couples studied (median age 61 years, 78% white). The highest concordances in achieving ideal factor status were for nonsmoking (26.1%), ideal fruit and vegetable consumption (23.9%), and ideal fasting blood glucose (35.6%). The strongest odds of intracouple concordance were for smoking (odds ratio, 3.6; 95% confidence interval, 1.9–6.5), fruit and vegetable consumption (odds ratio, 4.8; 95% confidence interval, 2.5–9.3) and blood pressure (odds ratio, 3.0; 95% confidence interval, 1.2–7.9). A participant had 3‐fold higher odds of attaining ≥3 ideal cardiovascular health variables if he or she had a partner who attained ≥3 components (odds ratio 3.0; 95% confidence interval, 1.6–5.6). ConclusionsIntracouple concordance of ideal cardiovascular health variables supports the development and testing of couple‐based interventions to promote cardiovascular health. Fruit and vegetable consumption and smoking may be particularly good intervention targets.Sebhat ErqouOluremi AjalaClaudia E. BambsAndrew D. AlthouseMichael S. SharbaughJared MagnaniAryan AiyerSteven E. ReisWileyarticlecouplesepidemiologyideal cardiovascular healthprimary preventionrisk factorDiseases of the circulatory (Cardiovascular) systemRC666-701ENJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, Vol 7, Iss 10 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	couples epidemiology ideal cardiovascular health primary prevention risk factor Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	couples epidemiology ideal cardiovascular health primary prevention risk factor Diseases of the circulatory (Cardiovascular) system RC666-701 Sebhat Erqou Oluremi Ajala Claudia E. Bambs Andrew D. Althouse Michael S. Sharbaugh Jared Magnani Aryan Aiyer Steven E. Reis Ideal Cardiovascular Health Metrics in Couples: A Community‐Based Study
description	BackgroundDetermination of the correlation of ideal cardiovascular health variables among spousal or cohabitating partners may guide the development of couple‐based interventions to reduce cardiovascular disease risk. Method and ResultsWe used data from the HeartSCORE (Heart Strategies Concentrating on Risk Evaluation) study. Ideal cardiovascular health, defined by the American Heart Association, comprises nonsmoking, body mass index <25 kg/m2, physical activity at goal, diet consistent with guidelines, untreated total cholesterol <200 mg/dL, untreated blood pressure <120/80 mm Hg, and untreated fasting glucose <100 mg/dL. McNemar test and logistic regression were used to assess concordance patterns in these variables among partners (ie, concordance in achieving ideal factor status, concordance in not achieving ideal factor status, or discordance—only one partner achieving ideal factor status). Overall, there was a low prevalence of ideal cardiovascular health among the 231 couples studied (median age 61 years, 78% white). The highest concordances in achieving ideal factor status were for nonsmoking (26.1%), ideal fruit and vegetable consumption (23.9%), and ideal fasting blood glucose (35.6%). The strongest odds of intracouple concordance were for smoking (odds ratio, 3.6; 95% confidence interval, 1.9–6.5), fruit and vegetable consumption (odds ratio, 4.8; 95% confidence interval, 2.5–9.3) and blood pressure (odds ratio, 3.0; 95% confidence interval, 1.2–7.9). A participant had 3‐fold higher odds of attaining ≥3 ideal cardiovascular health variables if he or she had a partner who attained ≥3 components (odds ratio 3.0; 95% confidence interval, 1.6–5.6). ConclusionsIntracouple concordance of ideal cardiovascular health variables supports the development and testing of couple‐based interventions to promote cardiovascular health. Fruit and vegetable consumption and smoking may be particularly good intervention targets.
format	article
author	Sebhat Erqou Oluremi Ajala Claudia E. Bambs Andrew D. Althouse Michael S. Sharbaugh Jared Magnani Aryan Aiyer Steven E. Reis
author_facet	Sebhat Erqou Oluremi Ajala Claudia E. Bambs Andrew D. Althouse Michael S. Sharbaugh Jared Magnani Aryan Aiyer Steven E. Reis
author_sort	Sebhat Erqou
title	Ideal Cardiovascular Health Metrics in Couples: A Community‐Based Study
title_short	Ideal Cardiovascular Health Metrics in Couples: A Community‐Based Study
title_full	Ideal Cardiovascular Health Metrics in Couples: A Community‐Based Study
title_fullStr	Ideal Cardiovascular Health Metrics in Couples: A Community‐Based Study
title_full_unstemmed	Ideal Cardiovascular Health Metrics in Couples: A Community‐Based Study
title_sort	ideal cardiovascular health metrics in couples: a community‐based study
publisher	Wiley
publishDate	2018
url	https://doaj.org/article/8955984b35fb4a85ae1c4f761e27c5c7
work_keys_str_mv	AT sebhaterqou idealcardiovascularhealthmetricsincouplesacommunitybasedstudy AT oluremiajala idealcardiovascularhealthmetricsincouplesacommunitybasedstudy AT claudiaebambs idealcardiovascularhealthmetricsincouplesacommunitybasedstudy AT andrewdalthouse idealcardiovascularhealthmetricsincouplesacommunitybasedstudy AT michaelssharbaugh idealcardiovascularhealthmetricsincouplesacommunitybasedstudy AT jaredmagnani idealcardiovascularhealthmetricsincouplesacommunitybasedstudy AT aryanaiyer idealcardiovascularhealthmetricsincouplesacommunitybasedstudy AT stevenereis idealcardiovascularhealthmetricsincouplesacommunitybasedstudy
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Ideal Cardiovascular Health Metrics in Couples: A Community‐Based Study

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