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Comparison of Cardiovascular Health Between US Army and Civilians.
Shrestha, Alice; Ho, Tiffany E; Vie, Loryana L; Labarthe, Darwin R; Scheier, Lawrence M; Lester, Paul B; Seligman, Martin E P.
Afiliación
  • Shrestha A; 1 Department of Psychology University of Pennsylvania Philadelphia PA.
  • Ho TE; 2 Research Facilitation Laboratory Army Analytics Group Monterey CA.
  • Vie LL; 1 Department of Psychology University of Pennsylvania Philadelphia PA.
  • Labarthe DR; 2 Research Facilitation Laboratory Army Analytics Group Monterey CA.
  • Scheier LM; 1 Department of Psychology University of Pennsylvania Philadelphia PA.
  • Lester PB; 2 Research Facilitation Laboratory Army Analytics Group Monterey CA.
  • Seligman MEP; 3 Feinberg School of Medicine Northwestern University Chicago IL.
J Am Heart Assoc ; 8(12): e009056, 2019 06 18.
Article en En | MEDLINE | ID: mdl-31164033
Background Cardiovascular conditions are common in US Army and civilian populations. The recently developed concept of ideal cardiovascular health provides a new approach to evaluating population cardiovascular status. Methods and Results We defined a cohort of 263 430 active duty Army personnel, aged 17 to 64 years, who completed a 2012 physical examination and a corresponding subset of the noninstitutionalized, civilian US population, who participated in the National Health and Nutrition Examination Survey ( NHANES ) 2011 to 2012 cycle. We compared 4 cardiovascular health metrics (current smoking, body mass index, blood pressure, and diabetic status) between Army and civilian groups overall, and separately by sex, race/ethnicity, and age. The Army population was younger, was less often women or Hispanic, and had less post-high school education than the NHANES population. Smoking rates were ≈20% in the Army and NHANES groups, but <15% among Army women and Hispanics. Overall, one third of the Army and NHANES groups and NHANES women, but nearly half of Army women, demonstrated ideal body mass index. Ideal blood pressure was strikingly less prevalent in the Army than NHANES participants (30% versus 55%). Diabetes mellitus was rare in both groups. Conclusions Ideal cardiovascular health was less prevalent in the Army than NHANES group, despite exclusion of the least healthy recruits. Prevalence of ideal body mass index and blood pressure was low in both the Army and NHANES groups, even at early adult ages. This finding reveals the need for policy changes to promote, preserve, and improve ideal cardiovascular health in both the Army and the US population as a whole.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Presión Sanguínea / Fumar / Índice de Masa Corporal / Estado de Salud / Diabetes Mellitus / Personal Militar Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Patient_preference Límite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: J Am Heart Assoc Año: 2019 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Presión Sanguínea / Fumar / Índice de Masa Corporal / Estado de Salud / Diabetes Mellitus / Personal Militar Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Patient_preference Límite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: J Am Heart Assoc Año: 2019 Tipo del documento: Article Pais de publicación: Reino Unido