And you are using this to blame the patients for not recovering? I even fail normal BMI, my healthy diet contains lots of dark beers and red wine.
Fewer than 1 in 100 stroke survivors meet ideal CV health
Less than 1% of stroke survivors in the U.S. have achieved ideal CV health, according to a poster presentation from the International Stroke Conference.
According to the abstract, the American Heart Association defines ideal CV health through the achievement of seven medical and behavioral metrics (Life’s Simple 7), including not smoking, engaging in regular physical activity, normal BMI, BP, glucose and cholesterol levels, and a healthy diet. BP and lipid control have improved in the past 30 years, but obesity, diabetes and poor diet rates have increased.
To determine the prevalence, pattern and predictors of achieving ideal Life’s Simple 7s, among stroke survivors in the U.S., researchers analyzed prevalence and predictors of achieving these goals in a nationally representative sample of adults with self-reported stroke who participated in the 1988-2014 National Health and Nutrition Examination Survey.
The odds of a low or high Life’s Simple 7 score were determined according to sex, race, poverty-income ratio and education level before and after adjusting for sociodemographic and medical covariates among 1,597 participants.
Less than 1% of participants met all seven measures in the Life’s Simple 7 metrics.
The proportion with a low Life’s Simple 7 score increased from 18% in 1988-1994 to 34% in 2005-2010 (P < .001), where it remained stable.
From 1988-1994 to 2011-2014, BP and cholesterol control improved. The proportion of participants with BP 140/90 mm Hg decreased from 45% to 26% and the proportion of participants with cholesterol 240 mg/dL decreased from 37% to 10%. However, the proportion with obesity increased from 27% to 40%, the proportion with prediabetes/diabetes increased from 49% to 56%, and the proportion with a healthy diet score greater than 80% decreased from 22% to 1% (P < .05 for all).
After adjustment, the researchers found that those with low scores were more likely to be black (OR = 2.41; 95% CI, 1.22-4.76), have a poverty-income ratio of 200% or less (OR = 2.1; 95% CI, 1.09-4.04) and have less than a 12th-grade education (OR = 4.62; 95% CI, 2.38-8.97). – by Dave Quaile
According to the abstract, the American Heart Association defines ideal CV health through the achievement of seven medical and behavioral metrics (Life’s Simple 7), including not smoking, engaging in regular physical activity, normal BMI, BP, glucose and cholesterol levels, and a healthy diet. BP and lipid control have improved in the past 30 years, but obesity, diabetes and poor diet rates have increased.
The odds of a low or high Life’s Simple 7 score were determined according to sex, race, poverty-income ratio and education level before and after adjusting for sociodemographic and medical covariates among 1,597 participants.
Less than 1% of participants met all seven measures in the Life’s Simple 7 metrics.
The proportion with a low Life’s Simple 7 score increased from 18% in 1988-1994 to 34% in 2005-2010 (P < .001), where it remained stable.
From 1988-1994 to 2011-2014, BP and cholesterol control improved. The proportion of participants with BP 140/90 mm Hg decreased from 45% to 26% and the proportion of participants with cholesterol 240 mg/dL decreased from 37% to 10%. However, the proportion with obesity increased from 27% to 40%, the proportion with prediabetes/diabetes increased from 49% to 56%, and the proportion with a healthy diet score greater than 80% decreased from 22% to 1% (P < .05 for all).
After adjustment, the researchers found that those with low scores were more likely to be black (OR = 2.41; 95% CI, 1.22-4.76), have a poverty-income ratio of 200% or less (OR = 2.1; 95% CI, 1.09-4.04) and have less than a 12th-grade education (OR = 4.62; 95% CI, 2.38-8.97). – by Dave Quaile
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