Ideal cardiovascular health and all-cause or cardiovascular mortality in a longitudinal study of the Thai National Health Examination Survey IV and V
Issued Date
2023-12-01
Resource Type
eISSN
20452322
Scopus ID
2-s2.0-85148260707
Pubmed ID
36797348
Journal Title
Scientific Reports
Volume
13
Issue
1
Rights Holder(s)
SCOPUS
Bibliographic Citation
Scientific Reports Vol.13 No.1 (2023)
Suggested Citation
Aekplakorn W., Neelapaichit N., Chariyalertsak S., Kessomboon P., Assanangkornchai S., Taneepanichskul S., Sangwatanaroj S., Laohavinij W., Nonthaluck J. Ideal cardiovascular health and all-cause or cardiovascular mortality in a longitudinal study of the Thai National Health Examination Survey IV and V. Scientific Reports Vol.13 No.1 (2023). doi:10.1038/s41598-023-29959-1 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/82118
Title
Ideal cardiovascular health and all-cause or cardiovascular mortality in a longitudinal study of the Thai National Health Examination Survey IV and V
Author's Affiliation
Other Contributor(s)
Abstract
The relationship of ideal cardiovascular health (CVH) and health outcomes has been rarely assessed in middle-income countries. We determined the ideal CVH metrics and association with all-cause and cardiovascular (CVD) mortality in the Thai population. We used baseline data from two rounds of the National Health Examination survey (15,219 participants in 2009 and 14,499 in 2014), and assessed all-cause and CVD deaths until 2020. The prevalence of 5–7 ideal CVH metrics in 2009 was 10.4% versus 9.5% in 2014. During a median follow-up of 7.1 years, the all-cause and CVD mortality rates were 19.4 and 4.6 per 1000 person-years for 0–1 ideal CVH metrics, and 13.0 and 2.1, 9.6 and 1.5, 6.0 and 1.0, and 2.9 and 0.4 per 1000 person-years for 2, 3, 4, and 5–7 ideal CVH metrics, respectively. Participants with 2, 3, 4, or 5–7 ideal metrics had a significantly lower risk of mortality than those with 0–1 ideal CVH metrics (adjusted hazard ratios: 0.75, 0.70, 0.60, and 0.47 for all-cause, and 0.54, 0.52, 0.50, and 0.31 for CVD, respectively). Individuals with a higher number of the modified ideal CVH metrics have a lower risk of all-cause and CVD mortality.