Association of the Duration of Ideal Cardiovascular Health Through Adulthood With Cardiometabolic Outcomes and Mortality in the Framingham Offspring Study
Cohort study (n=1445 middle-aged) found for each 5-year period participants had intermediate or ideal CV health, they were 33% less likely to develop hypertension, 14% less likely to die, and ~25% less likely to develop diabetes, CKD, or CVD than individuals in poor CV health.
Source:
JAMA Cardiology
SPS commentary:
This is one of two articles in JAMA Cardiology that add to the growing recognition that assessing longitudinal cardiovascular health is critical for identifying populations at risk for future cardiovascular disease and informing primordial and primary prevention efforts.
The other cohort study that used data from 5 prospective cardiovascular cohort studies from the US and Finland from 1973 to 2015 (n=9388 aged 8 to 55 years) noted significant number of children classified as having intermediate CV health score by age 8 years; many of them experienced more rapid declines in CV health, had greater carotid intima-media thickness (CIMT), and were more likely to have high CIMT by middle age.
Editorial highlights that populations with more optimal and sustained cardiovascular health metrics, including blood pressure, glucose, weight, cholesterol, diet, activity, and smoking status, have less subclinical atherosclerotic disease early in life and fewer cardiovascular events as they age.