RT Journal Article
SR Electronic
T1 Sex disparities in ideal cardiovascular health
JF Heart
JO Heart
FD BMJ Publishing Group Ltd and British Cardiovascular Society
SP 1595
OP 1601
DO 10.1136/heartjnl-2017-311311
VO 103
IS 20
A1 Marie Simon
A1 Pierre Boutouyrie
A1 Kumar Narayanan
A1 Bamba Gaye
A1 Muriel Tafflet
A1 Frédérique Thomas
A1 Catherine Guibout
A1 Marie-Cécile Périer
A1 Bruno Pannier
A1 Xavier Jouven
A1 Jean-Philippe Empana
YR 2017
UL http://heart.bmj.com/content/103/20/1595.abstract
AB Objective To quantify the gap in the distribution of ideal cardiovascular health (CVH) between men and women accounting for comorbidities, socioeconomic and psychological confounding factors.Methods A cross-sectional analysis was conducted among 9012 French men and women aged 50-75 years who were participants of the Paris Prospective Study 3. Each of the seven metrics was defined according to the American Heart Association criteria, and the CVH was considered as poor (0 or 1 ideal health metric), intermediate (2, 3 or 4 ideal health metrics) and ideal (5-7 ideal health metrics). The odds of intermediate and ideal CVH in women compared with men were estimated by multivariate polytomous logistic regression analysis using poor CVH as the reference category.Results The mean age was 59.49 year (SD 6.25) and there were 38.54% of women. Though women were slightly older, less educated, more deprived, more often depressed, they were twice more often in ideal CVH than men (14.77% vs 6.84%, p<0.0001). After adjustment for age, deprivation score, education and depression, women were four times more often in ideal CVH (OR 4.01, 95% CI 3.42 to 4.69) and two times more often in intermediate CVH (OR 2.07, 95% CI 1.88 to 2.28) than men.Conclusion The sex disparities in the prevalence of ideal CVH have the potential to guide sex-specific strategies for improving CVH status in the general population.Clinical trial registration NCT00741728;Pre-results.