Low Prevalence of “Ideal Cardiovascular Health” in a Community-Based Population: The Heart Strategies Concentrating on Risk Evaluation (Heart SCORE) Study
Open accessAbstract
Background—: Cardiovascular health is a new construct defined by the American Heart Association (AHA) as part of its 2020 Impact Goal definition. The applicability of this construct to community-based populations and the distributions of its components by race and sex have not been reported. Methods and Results—: The AHA construct of cardiovascular health and the AHA ideal health behaviors index and ideal health factors index were evaluated among 1933 participants (mean age 59 years; 44% blacks; 66% women) in the community-based Heart Strategies Concentrating on Risk Evaluation (Heart SCORE) study. One of 1933 participants (0.1%) met all 7 components of the AHA's definition of ideal cardiovascular health. Less than 10% of participants met ≥5 components of ideal cardiovascular health in all subgroups (by race, sex, age, and income level). Thirty-nine subjects (2.0%) had all 4 components of the ideal health behaviors index and 27 (1.4%) had all 3 components of the ideal health factors index. Blacks had significantly fewer ideal cardiovascular health components than whites (2.0±1.2 versus 2.6±1.4; P <0.001). After adjustment by sex, age, and income level, blacks had 82% lower odds of having ≥5 components of ideal cardiovascular health (odds ratio 0.18, 95% confidence interval, 0.10 to 0.34; P <0.001). No interaction was found between race and sex. Conclusion—: The prevalence of ideal cardiovascular health is extremely low in a middle-aged community-based study population. Comprehensive individual and population-based interventions must be developed to support the attainment of the AHA′s 2020 Impact Goal for cardiovascular health.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In 2008-2010, among adults 18 years and older, Asian women (5.5%) and Hispanic women (9.6%) were less likely to be current cigarette smokers than non-Hispanic black women (17.6%), non-Hispanic white women (20.9%), and American Indian or Alaska Native women (20.7%).
“Similarly, in 2008 to 2010, Asian women (5.5%) and Hispanic women (9.6%) were less likely to be current cigarette smokers than non-Hispanic black women (17.6%), non-Hispanic white women (20.9%), and American Indian or Alaska Native women (20.7%; NHIS).9”
From Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association (2013) · cites this paper as [9]
In 2008-2010, among people 65 years and older, men were more likely than women to be former smokers (54.0% vs 30.0%).
“In this age group, men were more likely than women to be former smokers (54.0% compared with 30.0%) on the basis of age-adjusted estimates (NHIS).9”
From Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association (2013) · cites this paper as [9]
In 2008-2010, among people 65 years and older, 9.4% of men and 9.1% of women were current smokers.
“In 2008 to 2010, among people ≥65 years of age, 9.4% of men and 9.1% of women were current smokers.”
From Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association (2013) · cites this paper as [9]
The percentage of adults reporting at least 150 minutes of moderate physical activity or 75 minutes of vigorous physical activity or an equivalent combination weekly decreased with age from 55.8% for adults 18-44 years to 27.4% for those 75 years and older, based on the 2011 NHIS.
“The percentage of adults reporting at least 150 minutes of moderate PA or 75 minutes of vigorous PA or an equivalent combination weekly decreased with age from 55.8% for adults 18 to 44 years of age to 27.4% for those ≥75 years of age, on the basis of the 2011 NHIS.9”
From Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association (2013) · cites this paper as [9]
NHANES 2003-2004 and 2005-2006 data showed that 39% of rural versus 32% of urban children had BMI above the 85th percentile.
“the results showed that 39% of rural versus 32% of urban children had BMI >85th percentile.9”
From Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association (2013) · cites this paper as [9]
The odds ratios for the myocardial infarction loci are modest, ranging from 1.06 to 1.51 per copy of the risk allele.
“The ORs are modest, ranging from 1.06 to 1.51 per copy of the risk allele (individuals may harbor up to 2 copies of a risk allele).”
From Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association (2013) · cites this paper as [9]
There are 23 well-replicated loci for myocardial infarction.
“Altogether, there are 23 well-replicated loci for MI.”
From Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association (2013) · cites this paper as [9]
Because the myocardial infarction risk alleles are common, their attributable risk may be substantial.
“However, these are common alleles, which suggests that the attributable risk may be substantial.”
From Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association (2013) · cites this paper as [9]
In 2011, the percentage of US adults screened for high blood cholesterol in the preceding 5 years ranged from 66.3% in Utah to 83.7% in Massachusetts, with a median among all 50 states of 75.5%.
“Data from the BRFSS study of the CDC in 2011 showed that the percentage of adults who had been screened for high blood cholesterol in the preceding 5 years ranged from 66.3% in Utah to 83.7% in Massachusetts. The median percentage among all 50 states was 75.5%.9”
From Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association (2013) · cites this paper as [9]
The age-adjusted prevalence of hypertension, both diagnosed and undiagnosed, in 2003-2006 was 75% for older women and 65% for older men.
“The age-adjusted prevalence of hypertension (both diagnosed and undiagnosed) in 2003 to 2006 was 75% for older women and 65% for older men on the basis of data from NHANES/NCHS.9”
From Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association (2013) · cites this paper as [9]
Approximately half of the 1098 adolescent participants in the Princeton School District Study diagnosed with pediatric Adult Treatment Panel III metabolic syndrome lost the diagnosis over 3 years of follow-up.
“Approximately half of the 1098 adolescent participants in the Princeton School District Study diagnosed with pediatric Adult Treatment Panel III metabolic syndrome lost the diagnosis over 3 years of follow-up.9”
From Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association (2013) · cites this paper as [9]
A study of the decrease in US coronary heart disease deaths from 1980 to 2000 suggests about 47% was attributable to increased use of evidence-based medical therapies and 44% to changes in population risk factors.
“A study of the decrease in US deaths attributable to CHD from 1980 to 2000 suggests that ≈47% of the decrease was attributable to increased use of evidence-based medical therapies and 44% to changes in risk factors in the population attributable to lifestyle and environmental changes.9”
From Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association (2013) · cites this paper as [9]
GCNKSS data show no similar decline in stroke incidence for blacks.
“A similar decline was not seen in blacks.”
From Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association (2013) · cites this paper as [9]
In GCNKSS, the decline in stroke incidence for whites was driven by a decline in ischemic strokes.
“These changes for whites were driven by a decline in ischemic strokes.”
From Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association (2013) · cites this paper as [9]
The prevalence of ideal cardiovascular health is very low in the US population.
“However, the prevalence of ideal cardiovascular health is very low in the US population, and the prevalence of poor-quality diet, physical inactivity, and overweight/obesity is alarmingly high, presaging a worsening of the current distribution of health biomarkers.1–8”
From Better Population Health Through Behavior Change in Adults: A Call to Action (2013) · cites this paper as [3]
The prevalence of poor-quality diet, physical inactivity, and overweight/obesity is alarmingly high in the US population.
“However, the prevalence of ideal cardiovascular health is very low in the US population, and the prevalence of poor-quality diet, physical inactivity, and overweight/obesity is alarmingly high, presaging a worsening of the current distribution of health biomarkers.1–8”
From Better Population Health Through Behavior Change in Adults: A Call to Action (2013) · cites this paper as [3]
The high prevalence of poor-quality diet, physical inactivity, and overweight/obesity presages a worsening of the current distribution of health biomarkers.
“However, the prevalence of ideal cardiovascular health is very low in the US population, and the prevalence of poor-quality diet, physical inactivity, and overweight/obesity is alarmingly high, presaging a worsening of the current distribution of health biomarkers.1–8”
From Better Population Health Through Behavior Change in Adults: A Call to Action (2013) · cites this paper as [3]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III)
Grundy, S. M., Becker, D. M., Clark, L. T., Cooper, R., Denke, M. A., Howard, J. L., Hunninghake, D. B., Illingworth, D. R., Luepker, R. V., McBride, P. E., et al. (2002) · Civil War Book Review · Cited by 12,198 · see citing works
Prevalence and Trends in Obesity Among US Adults, 1999-2008
Flegal, K. M. (2010) · JAMA · doi:10.1001/jama.2009.2014 · Cited by 7,580 · see citing works
Heart Disease and Stroke Statistics—2010 Update: A Report From the American Heart Association
WRITING GROUP MEMBERS, Lloyd-Jones, D., Adams, R. J., Brown, T. M., Carnethon, M., Dai, S., De Simone, G., Ferguson, T. B., Ford, E., Furie, K., et al. (2010) · Circulation · doi:10.1161/circulationaha.109.192667 · Cited by 5,700 · see citing works
Lloyd-Jones, D. M., Hong, Y., Labarthe, D., Mozaffarian, D., Appel, L. J., Van Horn, L., Greenlund, K., Daniels, S., Nichol, G., Tomaselli, G. F., et al. (2010) · Circulation · doi:10.1161/circulationaha.109.192703 · Cited by 4,750 · see citing works
Regression to the mean: what it is and how to deal with it
Barnett, A. G. (2004) · International Journal of Epidemiology · doi:10.1093/ije/dyh299 · Cited by 1,988 · see citing works
State of disparities in cardiovascular health in the United States.
Mensah, G. A., Mokdad, A. H., Ford, E. S., Greenlund, K. J., & Croft, J. B. (2005) · Circulation · doi:10.1161/01.cir.0000158136.76824.04 · Cited by 1,213 · see citing works
Artinian, N. T., Fletcher, G. F., Mozaffarian, D., Kris-Etherton, P., Van Horn, L., Lichtenstein, A. H., Kumanyika, S., Kraus, W. E., Fleg, J. L., Redeker, N. S., et al. (2010) · Circulation · doi:10.1161/cir.0b013e3181e8edf1 · Cited by 919 · see citing works
Goodpaster, B. H., DeLany, J. P., Otto, A. D., Kuller, L., Vockley, J., South-Paul, J. E., Thomas, S. B., Brown, J., McTigue, K., Hames, K. C., et al. (2010) · JAMA · doi:10.1001/jama.2010.1505 · Cited by 558 · see citing works
Primary Prevention of Stroke by Healthy Lifestyle
Chiuve, S. E., Rexrode, K. M., Spiegelman, D. L., Logroscino, G., Manson, J. E., & Rimm, E. B. (2008) · Circulation · doi:10.1161/circulationaha.108.781062 · Cited by 496 · see citing works
Chiuve, S. E., McCullough, M. L., Sacks, F. M., & Rimm, E. B. (2006) · Circulation · doi:10.1161/circulationaha.106.621417 · Cited by 477 · see citing works
An Overview Of Cardiovascular Disease Burden In The United States
Mensah, G. A., & Brown, D. W. (2007) · Health Affairs · doi:10.1377/hlthaff.26.1.38 · Cited by 429 · see citing works
Ainsworth, B. E., Jacobs, D. R., & Leon, A. S. (1993) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-199301000-00013 · Cited by 348 · see citing works
Healthy Lifestyle Characteristics Among Adults in the United States, 2000
Reeves, M. J., & Rafferty, A. P. (2005) · Archives of Internal Medicine · doi:10.1001/archinte.165.8.854 · Cited by 293 · see citing works
Midlife Risk Factors and Healthy Survival in Men
Willcox, B. J., He, Q., Chen, R., Yano, K., Masaki, K., Grove, J., Donlon, T. A., Willcox, D. C., & Curb, J. D. (2006) · JAMA · doi:10.1001/jama.296.19.2343 · Cited by 247 · see citing works
The Affordable Care Act and the Future of Clinical Medicine: The Opportunities and Challenges
Kocher, R. P., Emanuel, E., & DeParle, N.-A. M. (2010) · Annals of Internal Medicine · doi:10.7326/0003-4819-153-8-201010190-00274 · Cited by 247 · see citing works
Healthy lifestyle and the risk of stroke in women
Kurth, T., Moore, S. C., Gaziano, J. M., Kase, C. S., Stampfer, M. J., Berger, K., & Buring, J. E. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.13.1403 · Cited by 246 · see citing works
Rifas‐Shiman, S. L., Willett, W. C., Lobb, R., Kotch, J. B., Dart, C., & Gillman, M. W. (2001) · Public Health Nutrition · doi:10.1079/phn200061 · Cited by 228 · see citing works
Race, Ethnicity, and Health: Can Genetics Explain Disparities?
Braun, L. (2002) · Perspectives in biology and medicine · doi:10.1353/pbm.2002.0023 · Cited by 208 · see citing works
Turning Back the Clock: Adopting a Healthy Lifestyle in Middle Age
King, D. E., Mainous, A. G., & Geesey, M. E. (2007) · The American Journal of Medicine · doi:10.1016/j.amjmed.2006.09.020 · Cited by 151 · see citing works
Knoops, K. T. B., de Groot, L. C. P. G. M., Kromhout, D., Perrin, A.-E., Moreiras-Varela, O., Menotti, A., & van Staveren, W. A. (2004) · JAMA · doi:10.1001/jama.292.12.1433 · Cited by 146 · see citing works
Ford, E. S., Li, C., Zhao, G., Pearson, W. S., & Capewell, S. (2009) · Circulation · doi:10.1161/circulationaha.108.835728 · Cited by 105 · see citing works
Social Science and Health Research: Growth at the National Institutes of Health
Bachrach, C. A., & Abeles, R. P. (2004) · American Journal of Public Health · doi:10.2105/ajph.94.1.22 · Cited by 85 · see citing works
Intervening on the Social Determinants of Cardiovascular Disease and Diabetes
Liburd, L. C., Jack, L., Williams, S. M., & Tucker, P. (2005) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2005.07.013 · Cited by 64 · see citing works
Strandberg, A. Y., Strandberg, T. E., Salomaa, V. V., Pitkälä, K. H., Häppölä, O., & Miettinen, T. A. (2004) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2003.09.013 · Cited by 24 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association
Go, A. S., Mozaffarian, D., Roger, V. L., Benjamin, E. J., Berry, J. D., Borden, W. B., Bravata, D. M., Dai, S., Ford, E. S., Fox, C. S., et al. (2013) · Circulation · doi:10.1161/cir.0b013e31828124ad · Cited by 5,292 · see citing works
Heart Disease and Stroke Statistics—2014 Update
Go, A. S., Mozaffarian, D., Roger, V. L., Benjamin, E. J., Berry, J. D., Blaha, M. J., Dai, S., Ford, E. S., Fox, C. S., Franco, S., et al. (2013) · Circulation · doi:10.1161/01.cir.0000441139.02102.80 · Cited by 5,207 · see citing works
Wu, S., Huang, Z., Yang, X., Zhou, Y., Wang, A., Chen, L., Zhao, H., Ruan, C., Wu, Y., Xin, A., et al. (2012) · Circulation Cardiovascular Quality and Outcomes · doi:10.1161/circoutcomes.111.963694 · Cited by 429 · see citing works
Shay, C. M., Ning, H., Allen, N. B., Carnethon, M. R., Chiuve, S. E., Greenlund, K. J., Daviglus, M. L., & Lloyd-Jones, D. M. (2012) · Circulation · doi:10.1161/circulationaha.111.035733 · Cited by 368 · see citing works
Dong, C., Rundek, T., Wright, C. B., Anwar, Z., Elkind, M. S. V., & Sacco, R. L. (2012) · Circulation · doi:10.1161/circulationaha.111.081083 · Cited by 338 · see citing works
Bellaver, B., Povala, G., Ferreira, P. C. L., Ferrari-Souza, J. P., Leffa, D. T., Lussier, F. Z., Benedet, A. L., Ashton, N. J., Triana-Baltzer, G., Kolb, H. C., et al. (2023) · Nature Medicine · doi:10.1038/s41591-023-02380-x · Cited by 319 · see citing works
Huffman, M. D., Capewell, S., Ning, H., Shay, C. M., Ford, E. S., & Lloyd-Jones, D. M. (2012) · Circulation · doi:10.1161/circulationaha.111.070722 · Cited by 299 · see citing works
Laitinen, T. T., Pahkala, K., Magnussen, C. G., Viikari, J. S. A., Oikonen, M., Taittonen, L., Mikkilä, V., Jokinen, E., Hutri-Kähönen, N., Laitinen, T., et al. (2012) · Circulation · doi:10.1161/circulationaha.111.073585 · Cited by 299 · see citing works
Association of Trajectory of Cardiovascular Health Score and Incident Cardiovascular Disease
Wu, S., An, S., Li, W., Lichtenstein, A. H., Gao, J., Kris‐Etherton, P. M., Wu, Y., Jin, C., Huang, S., Hu, F. B., et al. (2019) · JAMA Network Open · doi:10.1001/jamanetworkopen.2019.4758 · Cited by 293 · see citing works
Xanthakis, V., Enserro, D. M., Murabito, J. M., Polak, J. F., Wollert, K. C., Januzzi, J. L., Wang, T. J., Tofler, G., & Vasan, R. S. (2014) · Circulation · doi:10.1161/circulationaha.114.009273 · Cited by 287 · see citing works
Life’s Simple 7 and Risk of Incident Stroke
Kulshreshtha, A., Vaccarino, V., Judd, S. E., Howard, V. J., McClellan, W. M., Muntner, P., Hong, Y., Safford, M. M., Goyal, A., & Cushman, M. (2013) · Stroke · doi:10.1161/strokeaha.111.000352 · Cited by 266 · see citing works
KONES, R. J. (2011) · Drug Design Development and Therapy · doi:10.2147/dddt.s14934 · Cited by 257 · see citing works
Younus, A., Aneni, E. C., Spatz, E. S., Osondu, C. U., Roberson, L., Ogunmoroti, O., Malik, R., Ali, S. S., Aziz, M., Feldman, T., et al. (2016) · Mayo Clinic Proceedings · doi:10.1016/j.mayocp.2016.01.019 · Cited by 252 · see citing works
Weaver, K. E., Foraker, R. E., Alfano, C. M., Rowland, J. H., Arora, N., Bellizzi, K. M., Hamilton, A. S., Oakley-Girvan, I. A., Keel, G., & Aziz, N. M. (2013) · Journal of Cancer Survivorship · doi:10.1007/s11764-013-0267-9 · Cited by 251 · see citing works
Ideal Cardiovascular Health Metrics and the Risks of Ischemic and Intracerebral Hemorrhagic Stroke
Zhang, Q., Zhou, Y., Gao, X., Wang, C., Zhang, S., Wang, A., Li, N., Bian, L., Wu, J., Jia, Q., et al. (2013) · Stroke · doi:10.1161/strokeaha.113.678839 · Cited by 233 · see citing works
Low-Risk Diet and Lifestyle Habits in the Primary Prevention of Myocardial Infarction in Men
Åkesson, A., Larsson, S. C., Discacciati, A., & Wolk, A. (2014) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2014.06.1190 · Cited by 216 · see citing works
Better Population Health Through Behavior Change in Adults: A Call to Action
Spring, B., Ockene, J. K., Gidding, S. S., Mozaffarian, D., Moore, S., Rosal, M. C., Brown, M. D., Vafiadis, D. K., Cohen, D. L., Burke, L. E., et al. (2013) · Circulation · doi:10.1161/01.cir.0000435173.25936.e1 · Cited by 195 · see citing works
Status of Cardiovascular Health in US Adolescents
Shay, C. M., Ning, H., Daniels, S. R., Rooks, C. R., Gidding, S. S., & Lloyd‐Jones, D. M. (2013) · Circulation · doi:10.1161/circulationaha.113.001559 · Cited by 183 · see citing works
Ideal Cardiovascular Health in Adolescence
Pahkala, K., Hietalampi, H., Laitinen, T. T., Viikari, J. S. A., Rönnemaa, T., Niinikoski, H., Lagström, H., Talvia, S. S., Jula, A., Heinonen, O. J., et al. (2013) · Circulation · doi:10.1161/circulationaha.112.000761 · Cited by 168 · see citing works
Unger, E. D., Roux, A. V. D., Lloyd‐Jones, D. M., Mujahid, M. S., Nettleton, J. A., Bertoni, A. G., Badon, S. E., Ning, H., & Allen, N. B. (2014) · Circulation Cardiovascular Quality and Outcomes · doi:10.1161/circoutcomes.113.000698 · Cited by 159 · see citing works
Life’s Essential 8, Genetic Susceptibility, and Incident Cardiovascular Disease: A Prospective Study
Li, X., Ma, H., Wang, X., Feng, H., & Qi, L. (2023) · Arteriosclerosis Thrombosis and Vascular Biology · doi:10.1161/atvbaha.123.319290 · Cited by 131 · see citing works
Brutto, Ó. H. D., Peñaherrera, E., Ochoa, E., Santamaría, M., Zambrano, M., Brutto, V. J. D., & for the Atahualpa Project Investigators (2013) · International Journal of Stroke · doi:10.1111/ijs.12030 · Cited by 123 · see citing works
Life’s Simple 7 and Incidence of Diabetes Among American Indians: The Strong Heart Family Study
Fretts, A. M., Howard, B. V., McKnight, B., Duncan, G. E., Beresford, S. A. A., Méte, M., Zhang, Y., & Siscovick, D. S. (2014) · Diabetes Care · doi:10.2337/dc13-2267 · Cited by 121 · see citing works
Polonsky, T. S., Ning, H., Daviglus, M. L., Liu, K., Burke, G. L., Cushman, M., Eng, J., Folsom, A. R., Lutsey, P. L., Nettleton, J. A., et al. (2017) · Journal of the American Heart Association · doi:10.1161/jaha.116.004894 · Cited by 113 · see citing works
Gebreab, S. Y., Davis, S., Symanzik, J., Mensah, G. A., Gibbons, G. H., & Roux, A. V. D. (2015) · Journal of the American Heart Association · doi:10.1161/jaha.114.001673 · Cited by 106 · see citing works
Ideal Cardiovascular Health and Mortality: Aerobics Center Longitudinal Study
Artero, E. G., España‐Romero, V., Lee, D.-C., Sui, X., Church, T. S., Lavie, C. J., & Blair, S. N. (2012) · Mayo Clinic Proceedings · doi:10.1016/j.mayocp.2012.07.015 · Cited by 102 · see citing works
Cardiovascular Health and Cognitive Function: The Maine-Syracuse Longitudinal Study
Crichton, G. E., Elias, M. F., Davey, A., & Alkerwi, A. (2014) · PLoS ONE · doi:10.1371/journal.pone.0089317 · Cited by 101 · see citing works
Aatola, H., Hutri‐Kähönen, N., Juonala, M., Laitinen, T. T., Pahkala, K., Mikkilä, V., Telama, R., Koivistoinen, T., Lehtimäki, T. J., Viikari, J. S. A., et al. (2014) · Journal of the American Heart Association · doi:10.1161/jaha.113.000532 · Cited by 101 · see citing works
Cumulative Effect of Psychosocial Factors in Youth on Ideal Cardiovascular Health in Adulthood
Pulkki-Råbäck, L., Elovainio, M. J., Hakulinen, C. A., Lipsanen, J. O., Hintsanen, M., Jokela, M. M., Kubzansky, L. D., Hintsa, T., Serlachius, A. S., Laitinen, T. T., et al. (2015) · Circulation · doi:10.1161/circulationaha.113.007104 · Cited by 101 · see citing works
Oikonen, M., Laitinen, T. T., Magnussen, C. G., Steinberger, J., Sinaiko, A. R., Dwyer, T., Venn, A., Smith, K. J., Hutri‐Kähönen, N., Pahkala, K., et al. (2013) · Journal of the American Heart Association · doi:10.1161/jaha.113.000244 · Cited by 94 · see citing works
Slopen, N. B., Chen, Y., Guida, J., Albert, M. A., & Williams, D. R. (2017) · Preventive Medicine · doi:10.1016/j.ypmed.2017.01.002 · Cited by 99 · see citing works
Berger, J. S., Hochman, J. S., Lobach, I. V., Adelman, M. A., Riles, T. S., & Rockman, C. R. (2013) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2013.01.053 · Cited by 94 · see citing works
González‐Ortiz, F., Ferreira, P. C. L., González‐Escalante, A., Montoliu‐Gaya, L., Ortiz‐Romero, P., Kac, P. R., Turton, M., Kvartsberg, H., Ashton, N. J., Zetterberg, H., et al. (2023) · Alzheimer s & Dementia · doi:10.1002/alz.13525 · Cited by 93 · see citing works
KONES, R. J. (2013) · Vascular Health and Risk Management · doi:10.2147/vhrm.s37119 · Cited by 89 · see citing works
Childhood lifestyle and clinical determinants of adult ideal cardiovascular health
Laitinen, T. T., Pahkala, K., Venn, A., Woo, J. G., Oikonen, M., Dwyer, T., Mikkilä, V., Hutri‐Kähönen, N., Smith, K. J., Gall, S., et al. (2013) · International Journal of Cardiology · doi:10.1016/j.ijcard.2013.08.090 · Cited by 81 · see citing works
“Life's Simple 7” and Long‐Term Mortality After Stroke
Lin, M. P., Ovbiagele, B., Markovic, D., & Towfighi, A. (2015) · Journal of the American Heart Association · doi:10.1161/jaha.114.001470 · Cited by 81 · see citing works
Chiu, M., Rezai, M.-R., Maclagan, L. C., Austin, P. C., Shah, B. R., Redelmeier, D. A., & Tu, J. V. (2015) · Environmental Health Perspectives · doi:10.1289/ehp.1510425 · Cited by 76 · see citing works
Brewer, L. C., Balls‐Berry, J. E., Dean, P., Lackore, K. A., Jenkins, S. M., & Hayes, S. N. (2016) · Journal of Racial and Ethnic Health Disparities · doi:10.1007/s40615-016-0226-z · Cited by 75 · see citing works
Shah, A. M., Claggett, B. L., Folsom, A. R., Lutsey, P. L., Ballantyne, C. M., HEISS, G. M., & Solomon, S. D. (2015) · Circulation · doi:10.1161/circulationaha.115.017882 · Cited by 74 · see citing works
Population-based study of cardiovascular health in Atahualpa, a rural village of coastal Ecuador
Brutto, Ó. H. D., Santamaría, M., Ochoa, E., Peñaherrera, E., Santibáñez, R., Pow-Chon-Long, F., Zambrano, M., & Brutto, V. J. D. (2013) · International Journal of Cardiology · doi:10.1016/j.ijcard.2013.01.017 · Cited by 72 · see citing works
Brewer, L. C., Redmond, N., Slusser, J. P., Scott, C. G., Chamberlain, A. M., Djoussé, L., Patten, C. A., Roger, V. L., & Sims, M. (2018) · Journal of the American Heart Association · doi:10.1161/jaha.118.008855 · Cited by 72 · see citing works
Cardiovascular Health and Incident Cardiovascular Disease and Cancer
Foraker, R. E., Abdel‐Rasoul, M., Kuller, L. H., Jackson, R. D., Horn, L. V., Seguin‐Fowler, R. A., Safford, M. M., Wallace, R. B., Kucharska‐Newton, A., Robinson, J. G., et al. (2015) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2015.07.039 · Cited by 71 · see citing works
Djoussé, L., Petrone, A. B., Blackshear, C. T., Griswold, M. E., Harman, J. L., Clark, C. R., Talegawkar, S. A., Hickson, D. A., Gaziano, J. M., Dubbert, P. M., et al. (2015) · Preventive Medicine · doi:10.1016/j.ypmed.2015.02.006 · Cited by 70 · see citing works
Ideal cardiovascular health in Chinese urban population
Zeng, Q., Dong, S.-Y., Song, Z., Zheng, Y., Wu, H., & Mao, L. (2012) · International Journal of Cardiology · doi:10.1016/j.ijcard.2012.06.022 · Cited by 70 · see citing works
Kruisbrink, M., Robertson, W., Ji, C., Miller, M. A., Geleijnse, J. M., & Cappuccio, F. P. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-018585 · Cited by 71 · see citing works
Predicting Subclinical Atherosclerosis in Low-Risk Individuals
Fernández-Alvira, J. M., Fuster, V., Pocock, S., Sanz, J., Fernández‐Friera, L., Laclaustra, M., Fernández‐Jiménez, R., Mendiguren, J. M., Fernández‐Ortíz, A., Ibáñez, B., et al. (2017) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2017.09.032 · Cited by 71 · see citing works
Liu, Y., Chi, H., Cui, L., Yang, X., Wu, Y., Huang, Z., Zhao, H., Gao, J., Wu, S., & Cai, J. (2014) · PLoS ONE · doi:10.1371/journal.pone.0089161 · Cited by 66 · see citing works
Effoe, V. S., Carnethon, M. R., Echouffo-Tcheugui, J. B., Chen, H., Joseph, J. J., Norwood, A. F., & Bertoni, A. G. (2017) · Journal of the American Heart Association · doi:10.1161/jaha.116.005008 · Cited by 65 · see citing works
Kim, J. I., Sillah, A., Boucher, J. L., Sidebottom, A. C., & Knickelbine, T. (2013) · Journal of the American Heart Association · doi:10.1161/jaha.113.000058 · Cited by 61 · see citing works
Cardiovascular Health Score and the Risk of Cardiovascular Diseases
Miao, C., Bao, M., Xing, A., Chen, S., Wu, Y., Cai, J., Chen, Y., & Yang, X. (2015) · PLoS ONE · doi:10.1371/journal.pone.0131537 · Cited by 60 · see citing works
Serlachius, A. S., Pulkki-Råbäck, L., Elovainio, M. J., Hintsanen, M., Mikkilä, V., Laitinen, T. T., Jokela, M. M., Rosenström, T. H., Josefsson, K., Juonala, M., et al. (2015) · Psychology and Health · doi:10.1080/08870446.2015.1041394 · Cited by 61 · see citing works
Changes in Cardiovascular Health in the United States, 2003–2011
Pilkerton, C. S., Singh, S. S., Bias, T. K., & Frisbee, S. J. (2015) · Journal of the American Heart Association · doi:10.1161/jaha.114.001650 · Cited by 58 · see citing works
Brewer, L. C., Hayes, S. N., Jenkins, S. M., Lackore, K. A., Breitkopf, C. R., Cooper, L. A., & Patten, C. A. (2019) · Journal of General Internal Medicine · doi:10.1007/s11606-019-04936-5 · Cited by 56 · see citing works
Garg, P. K., O’Neal, W. T., Ogunsua, A., Thacker, E. L., Howard, G., Soliman, E. Z., & Cushman, M. (2017) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2017.09.033 · Cited by 56 · see citing works
Saleem, Y., DeFina, L. F., Radford, N. B., Willis, B. L., Barlow, C. E., Gibbons, L. W., & Khera, A. (2015) · Circulation Cardiovascular Imaging · doi:10.1161/circimaging.114.001851 · Cited by 55 · see citing works
Alman, A. C., Maahs, D. M., Rewers, M., & Snell‐Bergeon, J. K. (2013) · Diabetes Care · doi:10.2337/dc13-0997 · Cited by 53 · see citing works
Cardiovascular health in adolescents with type 1 diabetes: The SEARCH CVD Study
Alman, A. C., Talton, J. W., Wadwa, R. P., Urbina, E. M., Dolan, L. M., Daniels, S. R., Hamman, R. F., D'Agostino, R. B., Marcovina, S. M., Mayer‐Davis, E. J., et al. (2014) · Pediatric Diabetes · doi:10.1111/pedi.12120 · Cited by 52 · see citing works
Association Between Ideal Cardiovascular Health and Carotid Intima‐Media Thickness: A Twin Study
Kulshreshtha, A., Goyal, A., Veledar, E., McClellan, W., Judd, S. E., Eufinger, S. C., Bremner, J. D., Goldberg, J. H., & Vaccarino, V. (2014) · Journal of the American Heart Association · doi:10.1161/jaha.113.000282 · Cited by 52 · see citing works
Low prevalence of ideal cardiovascular health in Peru
Benziger, C. P., Zavala-Loayza, J. A., Bernabé‐Ortiz, A., Gilman, R. H., Checkley, W., Smeeth, L. L., Málaga, G., & Miranda, J. J. (2018) · Heart · doi:10.1136/heartjnl-2017-312255 · Cited by 51 · see citing works
Han, X., Jiang, Z., Li, Y., Wang, Y., Liang, Y., Dong, Y., Tang, S. H., Du, Y., & Qiu, C. (2021) · BMC Geriatrics · doi:10.1186/s12877-021-02116-x · Cited by 51 · see citing works
Elgazzar, R., Nolan, T. S., Joseph, J. J., Aboagye-Mensah, E. B., Azap, R. A., & Gray, D. M. (2020) · PLoS ONE · doi:10.1371/journal.pone.0238374 · Cited by 46 · see citing works
Effects of Life Events and Social Isolation on Stroke and Coronary Heart Disease
Gronewold, J., Engels, M., de Velde, S. M. V., Cudjoe, T., Duman, E.-E., Jokisch, M., Kleinschnitz, C., Lauterbach, K. W., Erbel, R. M., Jöckel, K., et al. (2021) · Stroke · doi:10.1161/strokeaha.120.032070 · Cited by 47 · see citing works
Improving the Cardiovascular Health of the US Population
Lloyd‐Jones, D. M. (2012) · JAMA · doi:10.1001/jama.2012.361 · Cited by 46 · see citing works
Brewer, L. C., Bowie, J. V., Slusser, J. P., Scott, C. G., Cooper, L. A., Hayes, S. N., Patten, C. A., & Sims, M. (2022) · Journal of the American Heart Association · doi:10.1161/jaha.121.024974 · Cited by 45 · see citing works
Prevalence of the cardiovascular health status in adults: A systematic review and meta-analysis
Peng, Y., Cao, S., Yao, Z., & Wang, Z. (2018) · Nutrition Metabolism and Cardiovascular Diseases · doi:10.1016/j.numecd.2018.08.002 · Cited by 45 · see citing works
Association Between Cardiovascular Health and Cognitive Performance: A Twins Study
Kulshreshtha, A., Goetz, M., Alonso, Á., Shah, A. J., Bremner, J. D., Goldberg, J. H., & Vaccarino, V. (2019) · Journal of Alzheimer s Disease · doi:10.3233/jad-190217 · Cited by 44 · see citing works
Snitz, B. E., Tudorascu, D., Yu, Z., Campbell, E., Lopresti, B. J., Laymon, C. M., Minhas, D. S., Nadkarni, N. K., Aizenstein, H. J., Klunk, W. E., et al. (2020) · Alzheimer s & Dementia Diagnosis Assessment & Disease Monitoring · doi:10.1002/dad2.12018 · Cited by 44 · see citing works
Assessing Systemic Disease Risk in a Dental Setting
Greenberg, B. L., & Glick, M. (2012) · Dental Clinics of North America · doi:10.1016/j.cden.2012.07.011 · Cited by 44 · see citing works
Association Between Urinary Albumin Excretion and Coronary Heart Disease in Black vs White Adults
Gutiérrez, O. M. (2013) · JAMA · doi:10.1001/jama.2013.8777 · Cited by 43 · see citing works
Association between ideal cardiovascular health and markers of subclinical cardiovascular disease
Shpilsky, D., Claudia Bambs, S., Kip, K. E., Patel, S. R., Aiyer, A., Olafiranye, O., Reís, S. E., & Erqou, S. A. (2018) · Clinical Cardiology · doi:10.1002/clc.23096 · Cited by 43 · see citing works
Self-citationAssociation of Ideal Cardiovascular Health and Long-term Healthcare Costs
Willis, B. L., DeFina, L. F., Bachmann, J. M., Franzini, L., Shay, C. M., Gao, A., Leonard, D. S., & Berry, J. D. (2015) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2015.03.034 · Cited by 42 · see citing works
Wu, H., Sun, Z., Cao, D.-P., Wu, L., & Zeng, Q. (2012) · International Journal of Cardiology · doi:10.1016/j.ijcard.2012.09.235 · Cited by 42 · see citing works
Atkins, J. L., Delgado, J., Pilling, L. C., Bowman, K., Masoli, J. A. H., Kuchel, G. A., Ferrucci, L., & Melzer, D. R. (2018) · The Journals of Gerontology Series A · doi:10.1093/gerona/gly083 · Cited by 42 · see citing works
Ogagarue, E. R., Lutsey, P. L., Klein, R., Klein, R., & Folsom, A. R. (2013) · Journal of the American Heart Association · doi:10.1161/jaha.113.000430 · Cited by 41 · see citing works
Cardiovascular and Cancer Risk: The Role of Cardio-oncology
Coviello, J. S. (2018) · Journal of the Advanced Practitioner in Oncology · doi:10.6004/jadpro.2018.9.2.3 · Cited by 41 · see citing works
Association between cumulative exposure to ideal cardiovascular health and arterial stiffness
Zheng, X., Zhang, R., Liu, X., Zhao, H., Liu, H., Gao, J., Wu, Y., & Wu, S. (2017) · Atherosclerosis · doi:10.1016/j.atherosclerosis.2017.03.018 · Cited by 38 · see citing works
Claudia Bambs, S., Kip, K. E., Mulukutla, S. R., Aiyer, A., Johnson, C., McDowell, L. A., Matthews, K. A., & Reís, S. E. (2013) · Annals of Epidemiology · doi:10.1016/j.annepidem.2013.02.007 · Cited by 36 · see citing works
Self-citationVetrano, D. L., Martone, A. M., Mastropaolo, S., Tosato, M., Colloca, G. A., Marzetti, E., Onder, G., Bernabei, R., & Landi, F. (2013) · European Journal of Public Health · doi:10.1093/eurpub/ckt130 · Cited by 37 · see citing works
Ren, J., Guo, X. L., Lu, Z., Zhang, J., Tang, J., Chen, X., Gao, C., Xu, C., & Xu, A. (2016) · BMC Public Health · doi:10.1186/s12889-016-3632-6 · Cited by 37 · see citing works
Shpilsky, D., Erqou, S. A., Patel, S. R., Kip, K. E., Ajala, O. N., Aiyer, A., Strollo, P. J., Reís, S. E., & Olafiranye, O. (2018) · Vascular Medicine · doi:10.1177/1358863x18755003 · Cited by 37 · see citing works
Self-citationJanković, J., Mandić‐Rajčević, S., Davidović, M., & Janković, S. (2021) · PLoS ONE · doi:10.1371/journal.pone.0255959 · Cited by 37 · see citing works
Brutto, Ó. H. D., Mera, R. M., Peralta, L. D., Hill, J. P., Generale, L. M., Torpey, A. P., & Sedler, M. J. (2019) · Journal of Community Health · doi:10.1007/s10900-019-00728-4 · Cited by 35 · see citing works
Baruth, M., & Wilcox, S. (2013) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2013.03.002 · Cited by 34 · see citing works
Janković, S., Stojisavljević, D., Janković, J., Erić, M., & Marinković, J. (2014) · International Journal of Public Health · doi:10.1007/s00038-014-0579-1 · Cited by 33 · see citing works
Foraker, R. E., Shoben, A. B., Lopetegui, M. A., Lai, A. M., Payne, P., Kelley, M. M., Roth, C., Tindle, H. A., Schreiner, A. D., & Jackson, R. D. (2014) · Contemporary Clinical Trials · doi:10.1016/j.cct.2014.03.007 · Cited by 33 · see citing works
Brutto, Ó. H. D., Dong, C., Rundek, T., Elkind, M. S. V., Brutto, V. J. D., & Sacco, R. L. (2013) · Journal of Community Health · doi:10.1007/s10900-013-9658-0 · Cited by 33 · see citing works
Chang, Y., Guo, X., Chen, Y., Guo, L., Li, Z., Yu, S., Yang, H., Sun, G., & Sun, Y. (2016) · Heart Lung and Circulation · doi:10.1016/j.hlc.2016.02.007 · Cited by 33 · see citing works
Distribution of ideal cardiovascular health in a community-based cohort of Middle East population
Moghaddam, M. M., Mohebi, R., Hosseini‐Esfahani, F., Lotfaliany, M., Azizi, F., Saadat, N., & Hadaegh, F. (2014) · Annals of Saudi Medicine · doi:10.5144/0256-4947.2014.134 · Cited by 31 · see citing works
Foraker, R. E., Shoben, A. B., Kelley, M. M., Lai, A. M., Lopetegui, M. A., Jackson, R. D., Langan, M., & Payne, P. (2016) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2016.07.006 · Cited by 31 · see citing works
Nguyen, A. T. H., Saeed, A., Claudia Bambs, S., Swanson, J., Emechebe, N. C., Mansuri, F., Talreja, K., Reís, S. E., & Kip, K. E. (2020) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2020.10.019 · Cited by 31 · see citing works
Self-citationŠpeh, A., Wang, R., Winblad, B. G., Kramberger, M. G., Bäckman, L., Qiu, C., & Laukka, E. J. (2021) · Journal of Alzheimer s Disease · doi:10.3233/jad-210280 · Cited by 31 · see citing works
van Nieuwenhuizen, B. V., Zafarmand, M., Beune, E., Meeks, K., Aikins, A. D., Addo, J., Owusu-Dabo, E., Mockenhaupt, F., Bahendeka, S., Schulze, M., et al. (2018) · Internal and Emergency Medicine · doi:10.1007/s11739-018-1846-6 · Cited by 26 · see citing works
Savelieva, K., Pulkki-Råbäck, L., Jokela, M. M., Kubzansky, L. D., Elovainio, M. J., Mikkilä, V., Tammelin, T., Juonala, M., Raitakari, O. T., & Keltikangas‐Järvinen, L. (2016) · Health Psychology · doi:10.1037/hea0000441 · Cited by 28 · see citing works
The social determinants of ideal cardiovascular health: A global systematic review
Qureshi, F., Bousquet‐Santos, K., Okuzono, S. S., Tsao, E., Delaney, S., Guimond, A., Boehm, J. K., & Kubzansky, L. D. (2022) · Annals of Epidemiology · doi:10.1016/j.annepidem.2022.09.006 · Cited by 27 · see citing works
Life's Simple 7 and Nonalcoholic Fatty Liver Disease: The Multiethnic Study of Atherosclerosis
Oni, E., Ogunmoroti, O., Allen, N. B., Al-Mallah, M. H., Blankstein, R., Martin, S. S., Zeb, I., Cushman, M., Joshi, P. H., Budoff, M. J., et al. (2020) · The American Journal of Medicine · doi:10.1016/j.amjmed.2020.09.023 · Cited by 26 · see citing works
Application of Life’s Essential 8 to assess cardiovascular health during early childhood
Perng, W., Aris, I. M., Slopen, N. B., Younoszai, N., Swanson, V., Mueller, N. T., Sauder, K. A., & Dabelea, D. (2023) · Annals of Epidemiology · doi:10.1016/j.annepidem.2023.02.004 · Cited by 26 · see citing works
Association of cumulative social risk with mortality and adverse cardiovascular disease outcomes
Erqou, S. A., Echouffo-Tcheugui, J. B., Kip, K. E., Aiyer, A., & Reís, S. E. (2017) · BMC Cardiovascular Disorders · doi:10.1186/s12872-017-0539-9 · Cited by 26 · see citing works
Self-citationGupta, B., Gupta, R., Sharma, K. K., Gupta, A., Mahanta, T. G., & DEEDWANIA, P. C. (2015) · Global Heart · doi:10.1016/j.gheart.2014.09.004 · Cited by 26 · see citing works
McAlister, F. A., Robitaille, C., Gillespie, C., Yuan, K., Rao, D. P., Grover, S., Dai, S., Johansen, H., Joffres, M., Loustalot, F., et al. (2013) · Canadian Journal of Cardiology · doi:10.1016/j.cjca.2012.12.004 · Cited by 25 · see citing works
Ogunmoroti, O., Younus, A., Rouseff, M., Spatz, E. S., Das, S., Parris, D., Aneni, E. C., Holzwarth, L., Guzmán, H., Tran, T. H., et al. (2015) · Clinical Cardiology · doi:10.1002/clc.22417 · Cited by 25 · see citing works
- Authors
- Bambs, C., Kip, K. E., Dinga, A., Mulukutla, S. R., Aiyer, A. N., & Reis, S. E.
- Affiliations
- From the School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile (C.B.); College of Nursing, University of South Florida, Tampa, FL (K.E.K.); and Cardiovascular Institute, University of Pittsburgh, Pittsburgh, PA (A.D., S.R.M., A.N.A., S.E.R.).
- Pontificia Universidad Católica de Chile (CL)
- Venue
- Circulation
- Published
- 2011-03
- Volume
- 123
- Issue
- 8
- Pages
- 850-857
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- PMC
- PMC3061396
- OpenAlex
- W2563662165
- Cited by
- 235
- References
- 26
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 6 · 2023: 12 · 2022: 13 · 2021: 14 · 2020: 13 · 2019: 16 · 2018: 19 · 2017: 14 · 2016: 14 · 2015: 21 · 2014: 22 · 2013: 33 · 2012: 18
- FWCI
- 17.38
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Circulation (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- American Heart Association
- Pennsylvania Department of Health (ME-02-384)
- National Institutes of Health (ME-02-384)
- National Heart, Lung, and Blood Institute (R01HL089292)
- Bioenergy Technologies Office
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
- Keywords
- ideal cardiovascular health, cardiovascular health, racial disparities, sex differences, middle-aged adults, community-based population, cardiovascular risk
- MeSH terms
- American Heart Association, Black or African American, Coronary Disease, Female, Health Status, Health Surveys, Humans, Male, Middle Aged, Residence Characteristics, Risk Factors, United States, Prevalence, Black People, White People
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
