Cardiovascular Health Among Non‐Hispanic Asian Americans: NHANES, 2011–2016

Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease

卷:8

Fleetwood Loustalot¹  Jing Fang¹  Angela M. Thompson‐Paul¹  Carma Ayala¹  Zefeng Zhang¹ 

[1] Division for Heart Disease and Stroke Prevention National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention Atlanta GA;

关键词: cardiovascular health;    non‐Hispanic Asian American;    race and ethnicity;    surveillance;   

DOI  :  10.1161/JAHA.118.011324

来源: DOAJ

【 摘 要 】

Background Asian Americans are the fastest growing population in the United States, but little is known about their cardiovascular health (CVH). The objective of this study was to assess CVH among non‐Hispanic Asian Americans (NHAAs) and to compare these estimates to those of non‐Hispanic white (NHW) participants. Methods and Results Merging NHANES (National Health and Nutrition Examination Survey) data from 2011 to 2016, we examined 7 metrics (smoking, weight, physical activity, diet, blood cholesterol, blood glucose, and blood pressure) to assess CVH among 5278 NHW and 1486 NHAA participants aged ≥20 years. We assessed (1) the percentage meeting 6 to 7 metrics (ideal CVH), (2) the percentage meeting only 0 to 2 metrics (poor CVH), and (3) the overall mean CVH score. We compared these estimates between NHAAs and NHWs and among foreign‐born NHAAs by birthplace and number of years living in the United States. The adjusted prevalence of ideal CVH was 8.7% among NHAAs and 5.9% among NHWs (P<0.001). NHAAs were significantly more likely to have ideal CVH (adjusted prevalence ratio: 1.42; 95% CI, 1.29–1.55) compared with NHWs. Among NHAAs, there was no significant difference in ideal CVH between US‐ and foreign‐born participants, nor by number of years living in the United States. With lower body mass index thresholds (<23, normal weight) for NHAAs, there were no statistically significant differences in the adjusted prevalence of ideal CVH (6.5% versus 5.9%, P=0.216) between NHAAs and NHWs. Conclusions NHAAs had a higher prevalence of overall ideal CVH compared with NHWs. However, when using a lower body mass index threshold for NHAAs, there was no difference in ideal CVH between the groups.

【 授权许可】

Unknown