Author + information
- Oluremi Ajala,
- Sebhat Erqou,
- Claudia Bambs,
- Michael Sharbaugh,
- Andrew Althouse,
- Aryan Aiyer,
- Kevin Kip and
- Steven Reis
Background: Cardiovascular disease (CVD) remains the leading cause of morbidity and mortality. Better understanding of CVD determinants is needed to decrease CVD risk. We hypothesized that ideal CVD health metrics are mostly concordant among heterosexual spousal or cohabitating couples.
Methods: We evaluated ideal CVD health metrics in the community-based Heart Strategies Concentrating on Risk Evaluation (HeartSCORE) study, which includes 231 couples. Ideal CVD health metrics as defined by the American Heart Association (AHA) comprises: non-smoking, body mass index<25kg/m2, physical activity at goal, diet consistent with guidelines, untreated total cholesterol<200mg/dL, untreated blood pressure<120/80mmHg, and untreated fasting glucose<100mg/dL. We used Fisher's exact test and logistic regression to assess concordance patterns in these variables among partners in couples.
Results: There was a low prevalence of ideal CVD health variables among the 462 participants (mean age 61 years, 22% Black). CVD health metrics with highest concordance (both partners achieving ideal target) were non-smoking (26.1%), ideal fruit and vegetable consumption (23.9%) and ideal fasting blood glucose (35.6%). The strongest intra-couple concordance was for smoking (odds ratio [OR]: 3.6, p<0.001), fruit and vegetable consumption (OR: 4.8, p<0.001) and blood pressure (OR: 3.04, p= 0.034). For discordant variables in couples, females were more likely to meet ideal CVD health metrics than males. None of the couples met ≥5 components of the ideal CVD health metrics. Only 9 (3.9%) couples had both members meeting ≥4 components of the ideal CVD health metrics, while 35 (15.2%) met ≥3 components. An individual had 3-fold higher odds of attaining 3+ ideal CVD health factors if they have a partner who attained 3+ components (OR 3.0, 95% CI=1.6-5.6). The corresponding OR for meeting 4+ ideal health factors was 5.1 (95% CI 1.9-13.7).
Conclusions: Our data suggest that incorporating couple-based interventions in addressing CVD health risk factors may be useful for improving specific factors. Fruit and vegetable consumption and smoking may be particularly good targets for such interventions.
Poster Hall, Hall C
Saturday, March 18, 2017, 3:45 p.m.-4:30 p.m.
Session Title: Innovations in Cardiovascular Risk Assessment and Reduction
Abstract Category: 32. Prevention: Clinical
Presentation Number: 1235-043
- 2017 American College of Cardiology Foundation