Abstract P209: Socioeconomic Position is Associated with Cardiovascular Health Following the E-Mechanic Exercise Intervention

Circulation ◽  
2016 ◽  
Vol 133 (suppl_1) ◽  
Author(s):  
Candice A Myers ◽  
Stephanie T Broyles ◽  
Corby Martin ◽  
Timothy S Church
Keyword(s):  
Socioeconomic Position ◽  
American Heart Association ◽  
Cardiovascular Health ◽  
Exercise Intervention ◽  
American Heart ◽  
Heart Association ◽  
The United States ◽  
Socioeconomic Factor ◽  
Post Intervention ◽  
Health Factors

Cardiovascular disease is the leading cause of death in the United States. The American Heart Association set national goals for cardiovascular health, including 7 metrics for ideal cardiovascular health. Research has shown that social factors, such as socioeconomic position (i.e., income, education), are important influences on cardiovascular health. Specifically, disparities in cardiovascular health exist between higher and lower socioeconomic positions. We assessed the hypothesis that higher socioeconomic position would be associated with improved cardiovascular health, measured as 4 cardiovascular health factors as outlined by the American Heart Association Life’s Simple 7, following an exercise intervention. This study used data from the Examination of Mechanisms (E-Mechanic) of Exercise-Induced Weight Compensation randomized control trial. Cardiovascular health factors included 1) BMI, 2) cholesterol, 3) glucose, and 4) systolic blood pressure, which were used to create composite cardiovascular health scores based upon ideal (2 points), intermediate (1 point), and poor (0 points) health for each factor for a possible range of 0 points (worst CVH) to 8 points (best CVH). These scores were calculated pre- and post-intervention. The primary covariate, socioeconomic position, was created using principal components analysis with income and educational attainment to produce a single socioeconomic factor that was dichotomized to indicate high socioeconomic position (=1). We also included covariates for age, sex, race, and marital status. Among the 114 participants (21-65 years old; 72% female; 30% black) who received the E-MECHANIC exercise intervention, the mean cardiovascular health factor score pre-intervention was 5.1 points (SD=1.2 points) and post-intervention 5.4 (SD=1.2 points). Regression analysis revealed that the exercise intervention increased cardiovascular health overall (p=0.03). However, participants with higher socioeconomic position had significantly (p=0.002) greater improvement in cardiovascular health factor scores. At baseline participants with higher socioeconomic position had better cardiovascular health, but not significantly better (LS-means difference = 0.38; p=0.35). Yet, after the intervention the difference in cardiovascular health between high and low socioeconomic position participants had increased (LS-means difference = 0.71; p=0.01). Although cardiovascular health improved for all intervention participants, those with higher socioeconomic position demonstrated better improvement in cardiovascular health thusly increasing socioeconomic health disparities. This provides further evidence that in order for interventions to be equally effective among participants consideration should be given to socioeconomic influences and interventions may need to be customized for different populations.

Abstract P003: Distribution of Ideal Cardiovascular Health Metrics in US and Non-US populations: A Meta-Analysis of Proportions

Circulation ◽  
2015 ◽  
Vol 131 (suppl_1) ◽  
Author(s):  
Adnan Younus ◽  
Ehimen Aneni ◽  
Oluseye Ogunmoroti ◽  
Omar Jamal ◽  
Shozab Ali ◽  
...  
Keyword(s):  
American Heart Association ◽  
Cardiovascular Health ◽  
American Heart ◽  
Meta Analysis ◽  
Heart Association ◽  
The United States ◽  
Free Text ◽  
Significant Heterogeneity ◽  
Ideal Cardiovascular Health ◽  
Us Studies

Introduction: With the development of new health metrics to define ideal cardiovascular health (CVH), several studies have examined the distribution of the American Heart Association (AHA) 2020 ideal CVH metrics both within and outside the United States (US). In this meta-analysis of proportions, we synthesized available data on ideal CVH metrics distribution in US cohorts and compared them with non-US populations. Methods: A MEDLINE database search was conducted using relevant free text terms such as “life’s simple 7”, “AHA 2020”, “American Heart Association 2020” and “ideal cardiovascular health” between January 2000 and October 2014. Studies were included in the meta-analysis if the proportions achieving ideal for 0, 1, 2, 3, 4, 5 or ≥6 ideal CVH metrics were known or could be estimated. A meta-analysis of proportions was conducted for US and non-US studies using a random effect model (REM). REM models were chosen because of the significant heterogeneity among studies. Results: Overall the pooled data consisted of 10 US cohorts with a total population of 94,761 participants and 6 non-US cohorts with a total of 130,242 participants. The table shows the pooled prevalence of ideal CVH factors in this population. Overall the pooled estimates of US cohorts showed 15% had 0-1 ideal CVH metrics (inter-study range: 7-22%), while 3% (inter-study range: 1-10%) had 6-7 ideal CVH metrics. This is comparable to 12% (inter-study range 1-17%) and 2% (inter-study range: 1-12%) for 0-1 and 6-7 ideal CVH metrics in the non-US studies. Conclusion: The proportion of persons achieving 6 or more ideal CVH metrics in both US and non-US cohorts is very low and the distribution of CVH metrics is similar in both US and non-US populations. Considering the strong association with worse outcomes, a coordinated global effort at improving CVH should be considered a priority.

scholarly journals Socioeconomic position and intergenerational associations of ideal health behaviors

2019 ◽  
Vol 26 (15) ◽  
pp. 1605-1612 ◽  
Author(s):  
Kaisla Komulainen ◽  
Murray A Mittleman ◽  
Markus Jokela ◽  
Tomi T Laitinen ◽  
Katja Pahkala ◽  
...  
Keyword(s):  
Health Behaviors ◽  
Socioeconomic Position ◽  
American Heart Association ◽  
Parental Education ◽  
Cardiovascular Health ◽  
American Heart ◽  
Heart Association ◽  
Repeated Measurements ◽  
Adult Offspring ◽  
Ideal Cardiovascular Health

Background Promoting ideal cardiovascular health behaviors is an objective of the American Heart Association 2020 goals. We hypothesized that ideal health behaviors of parents are associated with health behaviors of their adult offspring, and that higher socioeconomic position in either generation enhances intergenerational associations of ideal health behaviors. Design Prospective cohort study. Methods We included 1856 Young Finns Study participants who had repeated measurements of socioeconomic position (education, income, occupation), smoking status, body mass index, physical activity and diet from 2001, 2007 and 2011, and data on parental socioeconomic position and health behaviors from 1980. We calculated the total number of ideal behaviors in both generations using American Heart Association definitions. Intergenerational associations were examined using ordinal and linear multilevel regression with random intercepts, in which each participant contributed one, two or three measurements of adult health behaviors (2001, 2007, 2011). All analyses were adjusted for offspring sex, birth year, age, parental education and single parenthood. Results Overall, parental ideal health behaviors were associated with ideal behaviors among offspring (odds ratio (OR) 1.28, 95% confidence interval 1.17, 1.39). Furthermore, ORs for these intergenerational associations were greater among offspring whose parents or who themselves had higher educational attainment (OR 1.56 for high vs. OR 1.19 for low parental education; P = 0.01 for interaction, OR 1.32 for high vs. OR 1.04 for low offspring education; P = 0.02 for interaction). Similar trends were seen with parental income and offspring occupation. Results from linear regression analyses were similar. Conclusions These prospective data suggest higher socioeconomic position in parents or in their adult offspring strengthens the intergenerational continuum of ideal cardiovascular health behaviors.

scholarly journals The American Heart Association 2030 Impact Goal: A Presidential Advisory From the American Heart Association

Circulation ◽  
2020 ◽  
Vol 141 (9) ◽  
Author(s):  
Sonia Y. Angell ◽  
Michael V. McConnell ◽  
Cheryl A.M. Anderson ◽  
Kirsten Bibbins-Domingo ◽  
Douglas S. Boyle ◽  
...  
Keyword(s):  
American Heart Association ◽  
Cardiovascular Health ◽  
American Heart ◽  
Mission Statement ◽  
Healthcare Delivery ◽  
Heart Association ◽  
Well Being ◽  
The United States ◽  
Research Quality ◽  
Strategic Direction

Each decade, the American Heart Association (AHA) develops an Impact Goal to guide its overall strategic direction and investments in its research, quality improvement, advocacy, and public health programs. Guided by the AHA’s new Mission Statement, to be a relentless force for a world of longer, healthier lives, the 2030 Impact Goal is anchored in an understanding that to achieve cardiovascular health for all, the AHA must include a broader vision of health and well-being and emphasize health equity. In the next decade, by 2030, the AHA will strive to equitably increase healthy life expectancy beyond current projections, with global and local collaborators, from 66 years of age to at least 68 years of age across the United States and from 64 years of age to at least 67 years of age worldwide. The AHA commits to developing additional targets for equity and well-being to accompany this overarching Impact Goal. To attain the 2030 Impact Goal, we recommend a thoughtful evaluation of interventions available to the public, patients, providers, healthcare delivery systems, communities, policy makers, and legislators. This presidential advisory summarizes the task force’s main considerations in determining the 2030 Impact Goal and the metrics to monitor progress. It describes the aspiration that these goals will be achieved by working with a diverse community of volunteers, patients, scientists, healthcare professionals, and partner organizations needed to ensure success.

scholarly journals Workplace Wellness Recognition for Optimizing Workplace Health

Circulation ◽  
2015 ◽  
Vol 131 (20) ◽  
Author(s):  
Gregg C. Fonarow ◽  
Chris Calitz ◽  
Ross Arena ◽  
Catherine Baase ◽  
Fikry W. Isaac ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Stroke Prevention ◽  
American Heart Association ◽  
Cardiovascular Health ◽  
American Heart ◽  
Heart Association ◽  
Wellness Programs ◽  
The United States ◽  
Workplace Wellness ◽  
Workplace Wellness Programs

The workplace is an important setting for promoting cardiovascular health and cardiovascular disease and stroke prevention in the United States. Well-designed, comprehensive workplace wellness programs have the potential to improve cardiovascular health and to reduce mortality, morbidity, and disability resulting from cardiovascular disease and stroke. Nevertheless, widespread implementation of comprehensive workplace wellness programs is lacking, and program composition and quality vary. Several organizations provide worksite wellness recognition programs; however, there is variation in recognition criteria, and they do not specifically focus on cardiovascular disease and stroke prevention. Although there is limited evidence to suggest that company performance on employer health management scorecards is associated with favorable healthcare cost trends, these data are not currently robust, and further evaluation is needed. As a recognized national leader in evidence-based guidelines, care systems, and quality programs, the American Heart Association/American Stroke Association is uniquely positioned and committed to promoting the adoption of comprehensive workplace wellness programs, as well as improving program quality and workforce health outcomes. As part of its commitment to improve the cardiovascular health of all Americans, the American Heart Association/American Stroke Association will promote science-based best practices for comprehensive workplace wellness programs and establish benchmarks for a national workplace wellness recognition program to assist employers in applying the best systems and strategies for optimal programming. The recognition program will integrate identification of a workplace culture of health and achievement of rigorous standards for cardiovascular health based on Life’s Simple 7 metrics. In addition, the American Heart Association/American Stroke Association will develop resources that assist employers in meeting these rigorous standards, facilitating access to high-quality comprehensive workplace wellness programs for both employees and dependents, and fostering innovation and additional research.

scholarly journals Heart Disease and Stroke Statistics—2020 Update: A Report From the American Heart Association

Circulation ◽  
2020 ◽  
Vol 141 (9) ◽  
Author(s):  
Salim S. Virani ◽  
Alvaro Alonso ◽  
Emelia J. Benjamin ◽  
Marcio S. Bittencourt ◽  
Clifton W. Callaway ◽  
...  
Keyword(s):  
Heart Disease ◽  
American Heart Association ◽  
Cardiovascular Health ◽  
American Heart ◽  
Subclinical Atherosclerosis ◽  
Implementation Strategies ◽  
Heart Association ◽  
The United States ◽  
Venous Disease ◽  
Healthcare Administrators

Background: The American Heart Association, in conjunction with the National Institutes of Health, annually reports on the most up-to-date statistics related to heart disease, stroke, and cardiovascular risk factors, including core health behaviors (smoking, physical activity, diet, and weight) and health factors (cholesterol, blood pressure, and glucose control) that contribute to cardiovascular health. The Statistical Update presents the latest data on a range of major clinical heart and circulatory disease conditions (including stroke, congenital heart disease, rhythm disorders, subclinical atherosclerosis, coronary heart disease, heart failure, valvular disease, venous disease, and peripheral artery disease) and the associated outcomes (including quality of care, procedures, and economic costs). Methods: The American Heart Association, through its Statistics Committee, continuously monitors and evaluates sources of data on heart disease and stroke in the United States to provide the most current information available in the annual Statistical Update. The 2020 Statistical Update is the product of a full year’s worth of effort by dedicated volunteer clinicians and scientists, committed government professionals, and American Heart Association staff members. This year’s edition includes data on the monitoring and benefits of cardiovascular health in the population, metrics to assess and monitor healthy diets, an enhanced focus on social determinants of health, a focus on the global burden of cardiovascular disease, and further evidence-based approaches to changing behaviors, implementation strategies, and implications of the American Heart Association’s 2020 Impact Goals. Results: Each of the 26 chapters in the Statistical Update focuses on a different topic related to heart disease and stroke statistics. Conclusions: The Statistical Update represents a critical resource for the lay public, policy makers, media professionals, clinicians, healthcare administrators, researchers, health advocates, and others seeking the best available data on these factors and conditions.

Heart Disease and Stroke Statistics—2021 Update: A Report From the American Heart Association

Circulation ◽  
2021 ◽  
Author(s):  
Salim S. Virani ◽  
Alvaro Alonso ◽  
Hugo J. Aparicio ◽  
Emelia J. Benjamin ◽  
Marcio S. Bittencourt ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Heart Disease ◽  
American Heart Association ◽  
Cardiovascular Health ◽  
American Heart ◽  
Subclinical Atherosclerosis ◽  
Heart Association ◽  
The United States ◽  
Venous Disease ◽  
Adverse Pregnancy

BACKGROUND: The American Heart Association, in conjunction with the National Institutes of Health, annually reports the most up-to-date statistics related to heart disease, stroke, and cardiovascular risk factors, including core health behaviors (smoking, physical activity, diet, and weight) and health factors (cholesterol, blood pressure, and glucose control) that contribute to cardiovascular health. The Statistical Update presents the latest data on a range of major clinical heart and circulatory disease conditions (including stroke, congenital heart disease, rhythm disorders, subclinical atherosclerosis, coronary heart disease, heart failure, valvular disease, venous disease, and peripheral artery disease) and the associated outcomes (including quality of care, procedures, and economic costs). METHODS: The American Heart Association, through its Statistics Committee, continuously monitors and evaluates sources of data on heart disease and stroke in the United States to provide the most current information available in the annual Statistical Update. The 2021 Statistical Update is the product of a full year’s worth of effort by dedicated volunteer clinicians and scientists, committed government professionals, and American Heart Association staff members. This year’s edition includes data on the monitoring and benefits of cardiovascular health in the population, an enhanced focus on social determinants of health, adverse pregnancy outcomes, vascular contributions to brain health, the global burden of cardiovascular disease, and further evidence-based approaches to changing behaviors related to cardiovascular disease. RESULTS: Each of the 27 chapters in the Statistical Update focuses on a different topic related to heart disease and stroke statistics. CONCLUSIONS: The Statistical Update represents a critical resource for the lay public, policy makers, media professionals, clinicians, health care administrators, researchers, health advocates, and others seeking the best available data on these factors and conditions.

Cardiopulmonary Resuscitation of the Newborn

1990 ◽  
Vol 12 (5) ◽  
pp. 136-141
Author(s):  
Robert A. Sinkin ◽  
Jonathan M. Davis
Keyword(s):  
United States ◽  
American Academy ◽  
American Heart Association ◽  
Life Support ◽  
American Heart ◽  
Neonatal Resuscitation ◽  
Heart Association ◽  
The United States ◽  
Delivery Room ◽  
American Academy Of Pediatrics

Approximately 3.5 million babies are born each year in approximately 5000 hospitals in the United States. Only 15% of these hospitals have neonatal intensive care facilities. Six percent of all newborns require life support in the delivery room or nursery, and this need for resuscitation rises to 80% in neonates weighing less than 1500 g at birth. Personnel who are skilled in neonatal resuscitation and capable of functioning as a team and an appropriately equipped delivery room must always be readily available. At least one person skilled in neonatal resuscitation should be in attendance at every delivery. Currently, a joint effort by the American Academy of Pediatrics and the American Heart Association has resulted in the development of a comprehensive course to train appropriate personnel in neonatal resuscitation throughout the United States. Neonatal resuscitation is also taught as part of a Pediatric Advanced Life Support course offered by the American Heart Association. In concert with the goals of the American Academy of Pediatrics and the American Heart Association, we strongly urge all personnel responsible for care of the newborn in the delivery room to become certified in neonatal resuscitation. The practical approach to neonatal resuscitation is the focus of this article.

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