Cardiovascular Health Metrics Differ Between Individuals With and Without Cancer
Background Although individuals with cancer experience high rates of cardiovascular morbidity, there are limited data on the potential differences in cardiovascular health (CVH) metrics between individuals with and without cancer. Methods and Results The National Health and Nutrition Examination Sur...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-12-01
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| Series: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| Subjects: | |
| Online Access: | https://www.ahajournals.org/doi/10.1161/JAHA.123.030942 |
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| author | Ofer Kobo Dmitry Abramov Manuela Fiuza Nicholas W. S. Chew Cheng Han Ng Purvi Parwani Miguel Nobre Menezes Paaladinesh Thavendiranathan Mamas A. Mamas |
| author_facet | Ofer Kobo Dmitry Abramov Manuela Fiuza Nicholas W. S. Chew Cheng Han Ng Purvi Parwani Miguel Nobre Menezes Paaladinesh Thavendiranathan Mamas A. Mamas |
| author_sort | Ofer Kobo |
| collection | DOAJ |
| description | Background Although individuals with cancer experience high rates of cardiovascular morbidity, there are limited data on the potential differences in cardiovascular health (CVH) metrics between individuals with and without cancer. Methods and Results The National Health and Nutrition Examination Survey between 2015 and 2020 was queried to evaluate the prevalence of health metrics that comprise the American Heart Association Life's Essential 8 construct of cardiovascular health among adult individuals with and without cancer in the United States. Health metric scores were also evaluated according to important patient demographics including age, sex, race and ethnicity, and socioeconomic status. Among 4370 participants representing >180 million US adults, 9.4% had a history of cancer. Individuals with cancer had lower overall cardiovascular health scores (67.1 versus 69.1, P<0.001) compared with individuals without cancer. Among individual components of the cardiovascular health score, those with cancer had better health scores on key behaviors including physical activity, diet, and sleep compared with those without cancer, although variation was noted based on age. Higher scores on these modifiable health behaviors among those with cancer compared with those without cancer were noted in older individuals, in White individuals compared with other races and ethnicities, and in individuals with higher socioeconomic status. Conclusions We highlight important variations in simple cardiovascular health metrics among individuals with cancer compared with individuals without cancer and demonstrate differences among health metrics based on age, race and ethnicity, and socioeconomic status. These findings may explain ongoing racial, ethnic, and socioeconomic status disparities in the cancer population and provide a framework for optimizing cardiovascular health among individuals with cancer. |
| first_indexed | 2024-03-09T02:41:58Z |
| format | Article |
| id | doaj.art-0ecad6bf872f4d2ea92bf4a3b2427ea2 |
| institution | Directory Open Access Journal |
| issn | 2047-9980 |
| language | English |
| last_indexed | 2024-03-09T02:41:58Z |
| publishDate | 2023-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| spelling | doaj.art-0ecad6bf872f4d2ea92bf4a3b2427ea22023-12-06T02:49:39ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802023-12-01122310.1161/JAHA.123.030942Cardiovascular Health Metrics Differ Between Individuals With and Without CancerOfer Kobo0Dmitry Abramov1Manuela Fiuza2Nicholas W. S. Chew3Cheng Han Ng4Purvi Parwani5Miguel Nobre Menezes6Paaladinesh Thavendiranathan7Mamas A. Mamas8Department of Cardiology Hillel Yaffe Medical Center Hadera IsraelDivision of Cardiology, Department of Medicine Loma Linda University Health Loma Linda CACardio‐Oncology Unit, Serviço de Cardiologia Centro Hospitalar Universitário Lisboa Norte—EPE, Centro Cardiovascular da Universidade de Lisboa, Faculdade de Medicina da Universidade de Lisboa Lisboa PortugalDepartment of Cardiology National University Heart Centre, National University Health System SingaporeMinistry of Health Holdings Singapore SingaporeDivision of Cardiology, Department of Medicine Loma Linda University Health Loma Linda CAStructural and Coronary Heart Disease Unit, Cardio‐Oncology Unit CHULN Hospital de Santa Maria, Cardiovascular Center of the University of Lisbon(CCUL@RISE), Universidade de Lisboa Lisbon PortugalDivision of Cardiology, Ted Rogers Program in Cardiotoxicity Prevention, Peter Munk Cardiac Centre, Toronto General Hospital University Health Network (UHN), University of Toronto Toronto ON CanadaKeele Cardiovascular Research Group, Centre for Prognosis Research Keele University Stoke‐on‐Trent United KingdomBackground Although individuals with cancer experience high rates of cardiovascular morbidity, there are limited data on the potential differences in cardiovascular health (CVH) metrics between individuals with and without cancer. Methods and Results The National Health and Nutrition Examination Survey between 2015 and 2020 was queried to evaluate the prevalence of health metrics that comprise the American Heart Association Life's Essential 8 construct of cardiovascular health among adult individuals with and without cancer in the United States. Health metric scores were also evaluated according to important patient demographics including age, sex, race and ethnicity, and socioeconomic status. Among 4370 participants representing >180 million US adults, 9.4% had a history of cancer. Individuals with cancer had lower overall cardiovascular health scores (67.1 versus 69.1, P<0.001) compared with individuals without cancer. Among individual components of the cardiovascular health score, those with cancer had better health scores on key behaviors including physical activity, diet, and sleep compared with those without cancer, although variation was noted based on age. Higher scores on these modifiable health behaviors among those with cancer compared with those without cancer were noted in older individuals, in White individuals compared with other races and ethnicities, and in individuals with higher socioeconomic status. Conclusions We highlight important variations in simple cardiovascular health metrics among individuals with cancer compared with individuals without cancer and demonstrate differences among health metrics based on age, race and ethnicity, and socioeconomic status. These findings may explain ongoing racial, ethnic, and socioeconomic status disparities in the cancer population and provide a framework for optimizing cardiovascular health among individuals with cancer.https://www.ahajournals.org/doi/10.1161/JAHA.123.030942cancercardiovascular diseasehealth metrics |
| spellingShingle | Ofer Kobo Dmitry Abramov Manuela Fiuza Nicholas W. S. Chew Cheng Han Ng Purvi Parwani Miguel Nobre Menezes Paaladinesh Thavendiranathan Mamas A. Mamas Cardiovascular Health Metrics Differ Between Individuals With and Without Cancer Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease cancer cardiovascular disease health metrics |
| title | Cardiovascular Health Metrics Differ Between Individuals With and Without Cancer |
| title_full | Cardiovascular Health Metrics Differ Between Individuals With and Without Cancer |
| title_fullStr | Cardiovascular Health Metrics Differ Between Individuals With and Without Cancer |
| title_full_unstemmed | Cardiovascular Health Metrics Differ Between Individuals With and Without Cancer |
| title_short | Cardiovascular Health Metrics Differ Between Individuals With and Without Cancer |
| title_sort | cardiovascular health metrics differ between individuals with and without cancer |
| topic | cancer cardiovascular disease health metrics |
| url | https://www.ahajournals.org/doi/10.1161/JAHA.123.030942 |
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