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Int. J. Environ. Res. Public Health 2016, 13(10), 1027; doi:10.3390/ijerph13101027

The Association of Ideal Cardiovascular Health and Atherogenic Index of Plasma in Rural Population: A Cross-Sectional Study from Northeast China

Department of Cardiology, the First Hospital of China Medical University, Shenyang 110001, China
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Academic Editor: Peter Clifton
Received: 6 August 2016 / Revised: 12 October 2016 / Accepted: 17 October 2016 / Published: 19 October 2016
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Abstract

In 2010, the American Heart Association has proposed a new concept “ideal cardiovascular health” (CVH) based on seven CVH metrics: smoking, body mass index, physical activity, diet score, total cholesterol, blood pressure, and fasting plasma glucose. We aimed to determine the association of CVH with atherogenic index of plasma (AIP), a strong marker for atherosclerosis (AS). This cross-sectional study was conducted in the rural areas of northeast China and 11,113 middle-aged subjects were enrolled. Seven CVH metrics were classified into ideal, intermediate, and poor groups. AIP was calculated as log (TG/HDL) (triglycerides/high-density lipoprotein cholesterol). AIP > 0.21 was classified into the high AIP group and served as dependent variable. All seven CVH metrics were correlated with AIP. A gradient relationship between the number of poor CVH metrics and the prevalence of high AIP existed. Log binomial regression analysis showed that compared to those with five to seven ideal CVH metrics, individuals with four, three, two, one, and no ideal CVH metrics had 1.67, 2.66, 4.00, 5.30 and 6.50 times higher prevalence for high AIP. The subjects with poor CVH status had 2.73 times higher prevalence for high AIP. We found an inversely gradient relationship between the number of ideal CVH metrics and lower prevalence of high AIP. View Full-Text
Keywords: ideal cardiovascular health; atherogenic index of plasma; atherosclerosis; rural population ideal cardiovascular health; atherogenic index of plasma; atherosclerosis; rural population
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Chang, Y.; Li, Y.; Guo, X.; Dai, D.; Sun, Y. The Association of Ideal Cardiovascular Health and Atherogenic Index of Plasma in Rural Population: A Cross-Sectional Study from Northeast China. Int. J. Environ. Res. Public Health 2016, 13, 1027.

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