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Original Research

Cardiovascular Health in a National Sample of Venezuelan Subjects Assessed According to the AHA Score: The EVESCAM

Authors:

Juan P. González-Rivas ,

Foundation for Clinical, Public Health and Epidemiology Research in Venezuela (FISPEVen), Caracas, VE
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Jeffrey I. Mechanick,

Divisions of Cardiology Icahn School of Medicine at Mount Sinai, New York, NY; Division of Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount Sinai, New York, NY, US
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Eunice Ugel,

Foundation for Clinical, Public Health and Epidemiology Research in Venezuela (FISPEVen), Caracas; Public Health Research Unit, Department of Social and Preventive Medicine, School of Medicine, University Centro-Occidental “Lisandro Alvarado”, Barquisimeto, VE
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María Inés Marulanda,

Foundation for Clinical, Public Health and Epidemiology Research in Venezuela (FISPEVen), Caracas, VE; Endocrine Associates of Florida, Research Department, Orlando, Florida, US
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Maritza Duran,

Foundation for Clinical, Public Health and Epidemiology Research in Venezuela (FISPEVen), Caracas; Internal Medicine Department, Avila Clinic, Caracas, VE
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Ramfis Nieto-Martínez

South Florida Veterans Affairs Foundation for Research & Education and Geriatric Research, Education, and Clinical Center (GRECC), Miami VA Healthcare System, Miami, FL; Department of Global Health and Population. Harvard TH Chan School of Public Health, Harvard University, Boston, Massachusetts, US; Department of Physiology, School of Medicine, University Centro-Occidental “Lisandro Alvarado” Barquisimeto, Cardio-metabolic Unit 7, Barquisimeto, VE
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Abstract

Background: Cardiovascular health status of the Venezuelan population has not been evaluated. The American Heart Association recommends the Cardiovascular Health Score (CHS) to assess cardiovascular health.

Objectives: This study sought to determine the prevalence of CHS categories in a nationally representative sample of Venezuelan adults.

Methods: EVESCAM (Venezuelan Study of Cardio-Metabolic Health) was a national population-based, crosssectional, randomized cluster sampling study performed from July 1, 2014 to January 31, 2017, which assessed 3,454 adults, age ≥20 years, with a response rate of 77.3%. The American Heart Association’s CHS evaluates 4 behaviors (smoking, body mass index, physical activity, and diet) and 3 risk factors (total cholesterol, blood pressure, and blood glucose), assigning 1 point to those meting an ideal behavior or factor or 0 points if are not. Subjects were categorized as having ideal (5 to 7 points), intermediate (3 to 4), or poor (<3) cardiovascular health. Weighted prevalence by age, sex, and regions are presented.

Results: A total of 2,992 participants completed the data. Mean age and CHS were 41.4 ± 15.8 years and 4.3 ± 1.1 points, respectively. The prevalence of ideal CHS was 37.9% (95% confidence interval: 35.0 to 40.7); two-thirds presented with intermediate to poor CHS. Ideal CHS was most prevalent in women, in the youngest participants, and in those with higher education degree and living in a rural area. The prevalence of 7 components was 0.13%. Subjects evaluated since mid-2016 had a higher prevalence of ideal CHS (≈47%) than those evaluated before it (≈32%) (p < 0.001).

Conclusions: A high prevalence of ideal CHS was observed in Venezuelan adults compared with other reports; however, a large proportion remain with high risk for cardiovascular disease.

Highlights

  • The AHA recommends the CHS.
  • Venezuelans’ cardiovascular health using the CHS is unknown.
  • Ideal CHS was observed in 37.9% of adults.
  • Two-thirds of Venezuelans were determined to be at high risk for cardiovascular disease.
  • Favorable CHS was less prevalent in men, older age participants, and urban inhabitants.
How to Cite: González-Rivas JP, Mechanick JI, Ugel E, Marulanda MI, Duran M, Nieto-Martínez R. Cardiovascular Health in a National Sample of Venezuelan Subjects Assessed According to the AHA Score: The EVESCAM. Global Heart. 2019;14(3):285–93. DOI: http://doi.org/10.1016/j.gheart.2019.06.006
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Published on 01 Sep 2019.
Peer Reviewed

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