Ideal cardiovascular health and all-cause or cardiovascular mortality in a longitudinal study of the Thai National Health Examination Survey IV and V
Abstract The relationship of ideal cardiovascular health (CVH) and health outcomes has been rarely assessed in middle-income countries. We determined the ideal CVH metrics and association with all-cause and cardiovascular (CVD) mortality in the Thai population. We used baseline data from two rounds...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nature Portfolio
2023-02-01
|
| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-29959-1 |
| _version_ | 1797864952631918592 |
|---|---|
| author | Wichai Aekplakorn Nareemarn Neelapaichit Suwat Chariyalertsak Pattapong Kessomboon Sawitri Assanangkornchai Surasak Taneepanichskul Somkiat Sangwatanaroj Wasin Laohavinij Jiraluck Nonthaluck |
| author_facet | Wichai Aekplakorn Nareemarn Neelapaichit Suwat Chariyalertsak Pattapong Kessomboon Sawitri Assanangkornchai Surasak Taneepanichskul Somkiat Sangwatanaroj Wasin Laohavinij Jiraluck Nonthaluck |
| author_sort | Wichai Aekplakorn |
| collection | DOAJ |
| description | Abstract The relationship of ideal cardiovascular health (CVH) and health outcomes has been rarely assessed in middle-income countries. We determined the ideal CVH metrics and association with all-cause and cardiovascular (CVD) mortality in the Thai population. We used baseline data from two rounds of the National Health Examination survey (15,219 participants in 2009 and 14,499 in 2014), and assessed all-cause and CVD deaths until 2020. The prevalence of 5–7 ideal CVH metrics in 2009 was 10.4% versus 9.5% in 2014. During a median follow-up of 7.1 years, the all-cause and CVD mortality rates were 19.4 and 4.6 per 1000 person-years for 0–1 ideal CVH metrics, and 13.0 and 2.1, 9.6 and 1.5, 6.0 and 1.0, and 2.9 and 0.4 per 1000 person-years for 2, 3, 4, and 5–7 ideal CVH metrics, respectively. Participants with 2, 3, 4, or 5–7 ideal metrics had a significantly lower risk of mortality than those with 0–1 ideal CVH metrics (adjusted hazard ratios: 0.75, 0.70, 0.60, and 0.47 for all-cause, and 0.54, 0.52, 0.50, and 0.31 for CVD, respectively). Individuals with a higher number of the modified ideal CVH metrics have a lower risk of all-cause and CVD mortality. |
| first_indexed | 2024-04-09T23:00:52Z |
| format | Article |
| id | doaj.art-83c3e0d8f7f14f65bba9e147958e5816 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-09T23:00:52Z |
| publishDate | 2023-02-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-83c3e0d8f7f14f65bba9e147958e58162023-03-22T11:00:01ZengNature PortfolioScientific Reports2045-23222023-02-011311910.1038/s41598-023-29959-1Ideal cardiovascular health and all-cause or cardiovascular mortality in a longitudinal study of the Thai National Health Examination Survey IV and VWichai Aekplakorn0Nareemarn Neelapaichit1Suwat Chariyalertsak2Pattapong Kessomboon3Sawitri Assanangkornchai4Surasak Taneepanichskul5Somkiat Sangwatanaroj6Wasin Laohavinij7Jiraluck Nonthaluck8Department of Community Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol UniversityRamathibodi School of Nursing, Faculty of Medicine, Ramathibodi Hospital, Mahidol UniversityFaculty of Public Health, Chiang Mai UniversityFaculty of Medicine, Khon Kaen UniversityEpidemiology Unit, Faculty of Medicine, Prince of Songkla UniversityCollege of Public Health Sciences, Chulalongkorn UniversityDepartment of Internal Medicine, Faculty of Medicine Chulalongkorn Hospital, Chulalongkorn UniversityDepartment of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn UniversityDepartment of Epidemiology, Faculty of Public Health, Mahidol UniversityAbstract The relationship of ideal cardiovascular health (CVH) and health outcomes has been rarely assessed in middle-income countries. We determined the ideal CVH metrics and association with all-cause and cardiovascular (CVD) mortality in the Thai population. We used baseline data from two rounds of the National Health Examination survey (15,219 participants in 2009 and 14,499 in 2014), and assessed all-cause and CVD deaths until 2020. The prevalence of 5–7 ideal CVH metrics in 2009 was 10.4% versus 9.5% in 2014. During a median follow-up of 7.1 years, the all-cause and CVD mortality rates were 19.4 and 4.6 per 1000 person-years for 0–1 ideal CVH metrics, and 13.0 and 2.1, 9.6 and 1.5, 6.0 and 1.0, and 2.9 and 0.4 per 1000 person-years for 2, 3, 4, and 5–7 ideal CVH metrics, respectively. Participants with 2, 3, 4, or 5–7 ideal metrics had a significantly lower risk of mortality than those with 0–1 ideal CVH metrics (adjusted hazard ratios: 0.75, 0.70, 0.60, and 0.47 for all-cause, and 0.54, 0.52, 0.50, and 0.31 for CVD, respectively). Individuals with a higher number of the modified ideal CVH metrics have a lower risk of all-cause and CVD mortality.https://doi.org/10.1038/s41598-023-29959-1 |
| spellingShingle | Wichai Aekplakorn Nareemarn Neelapaichit Suwat Chariyalertsak Pattapong Kessomboon Sawitri Assanangkornchai Surasak Taneepanichskul Somkiat Sangwatanaroj Wasin Laohavinij Jiraluck Nonthaluck Ideal cardiovascular health and all-cause or cardiovascular mortality in a longitudinal study of the Thai National Health Examination Survey IV and V Scientific Reports |
| title | Ideal cardiovascular health and all-cause or cardiovascular mortality in a longitudinal study of the Thai National Health Examination Survey IV and V |
| title_full | Ideal cardiovascular health and all-cause or cardiovascular mortality in a longitudinal study of the Thai National Health Examination Survey IV and V |
| title_fullStr | Ideal cardiovascular health and all-cause or cardiovascular mortality in a longitudinal study of the Thai National Health Examination Survey IV and V |
| title_full_unstemmed | Ideal cardiovascular health and all-cause or cardiovascular mortality in a longitudinal study of the Thai National Health Examination Survey IV and V |
| title_short | Ideal cardiovascular health and all-cause or cardiovascular mortality in a longitudinal study of the Thai National Health Examination Survey IV and V |
| title_sort | ideal cardiovascular health and all cause or cardiovascular mortality in a longitudinal study of the thai national health examination survey iv and v |
| url | https://doi.org/10.1038/s41598-023-29959-1 |
| work_keys_str_mv | AT wichaiaekplakorn idealcardiovascularhealthandallcauseorcardiovascularmortalityinalongitudinalstudyofthethainationalhealthexaminationsurveyivandv AT nareemarnneelapaichit idealcardiovascularhealthandallcauseorcardiovascularmortalityinalongitudinalstudyofthethainationalhealthexaminationsurveyivandv AT suwatchariyalertsak idealcardiovascularhealthandallcauseorcardiovascularmortalityinalongitudinalstudyofthethainationalhealthexaminationsurveyivandv AT pattapongkessomboon idealcardiovascularhealthandallcauseorcardiovascularmortalityinalongitudinalstudyofthethainationalhealthexaminationsurveyivandv AT sawitriassanangkornchai idealcardiovascularhealthandallcauseorcardiovascularmortalityinalongitudinalstudyofthethainationalhealthexaminationsurveyivandv AT surasaktaneepanichskul idealcardiovascularhealthandallcauseorcardiovascularmortalityinalongitudinalstudyofthethainationalhealthexaminationsurveyivandv AT somkiatsangwatanaroj idealcardiovascularhealthandallcauseorcardiovascularmortalityinalongitudinalstudyofthethainationalhealthexaminationsurveyivandv AT wasinlaohavinij idealcardiovascularhealthandallcauseorcardiovascularmortalityinalongitudinalstudyofthethainationalhealthexaminationsurveyivandv AT jiralucknonthaluck idealcardiovascularhealthandallcauseorcardiovascularmortalityinalongitudinalstudyofthethainationalhealthexaminationsurveyivandv |