Relationship between cardiovascular health score and year-to-year blood pressure variability in China: a prospective cohort study
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Published on: May 3, 2018
Shasha An1, Minghui Bao2, Yang Wang3
1Department of Cardiology, Chaoyang Hospital, Capital Medical University, Beijing, China Department of Cardiology, Kailuan Hospital, Hebei United University, Tangshan, China.
Insights
Higher Cardiovascular Health Scores (CHS) are linked to lower blood pressure variability (BPV). This suggests that adopting a healthy lifestyle may improve blood pressure management and reduce cardiovascular risks.
Area of Science:
- Cardiology
- Public Health
- Preventive Medicine
Background:
- The American Heart Association developed the Cardiovascular Health Score (CHS) to assess cardiovascular health based on lifestyle factors.
- CHS is a widely adopted metric for evaluating individual cardiovascular health status.
- Understanding factors influencing blood pressure variability (BPV) is crucial for cardiovascular risk assessment.
Purpose of the Study:
- To examine the association between the Cardiovascular Health Score (CHS) and year-to-year blood pressure variability (BPV).
- To determine if CHS can serve as an indicator for blood pressure stability.
Main Methods:
- Prospective cohort study design.
- Analysis of 41,613 participants with complete blood pressure data and no history of major cardiovascular events or cancer.
- Stratification of participants by gender (female and male groups).
Main Results:
- The coefficient of variation for systolic blood pressure (SCV) was 8.33% overall.
- Higher CHS was significantly and inversely associated with increased year-to-year BPV.
- An increase in CHS by one standard deviation was associated with a 0.016 standard deviation decrease in SCV, even after adjusting for confounders.
Conclusions:
- Cardiovascular Health Score (CHS) demonstrates an inverse relationship with year-to-year blood pressure variability (BPV).
- A healthy lifestyle, as indicated by a higher CHS, may contribute to more stable blood pressure levels.
- These findings highlight the potential of CHS in predicting blood pressure management and cardiovascular health.
Objectives:
On the basis of cardiovascular health factors and behaviours, the American Heart Association proposed the Cardiovascular Health Score (CHS). It has been widely used to estimate the cardiovascular health status of individuals. The aim of this study was to investigate the relationship between CHS and year-to-year blood pressure variability (BPV).
Design:
Prospective cohort study.
Settings:
We stratified participants into two groups by gender: first group, female group; second group, male group. The relationship between CHS and year-to-year blood pressure variability were analysed.
Participants:
A total of 41,613 individuals met the inclusion criteria (no history of stroke, transient ischaemic attack, myocardial infarction, malignant tumour or atrial fibrillation) and had complete blood pressure data.
Results:
The coefficient of the variation of systolic blood pressure (SCV) was 8.33% in the total population and 8.68% and 8.22% in female and male groups, respectively (p<0.05). Multivariable linear regression analysis revealed that higher CHS was inversely associated with increasing year-to-year BPV, which persisted after adjusting for baseline systolic blood pressure and other risk factors. Each SD increase in CHS could lead to a 0.016SD decrease in SCV (p<0.05).
Conclusions:
In summary, CHS was inversely related to year-to-year BPV, which suggested that a healthy lifestyle may contribute to better blood pressure management.
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