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Relationship Between Ideal Cardiovascular Health and Disability in Older Adults: The Chilean National Health Survey (2009–10)
Author(s) -
GarcíaHermoso Antonio,
RamírezVélez Robinson,
RamirezCampillo Rodrigo,
Izquierdo Mikel
Publication year - 2017
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/jgs.15139
Subject(s) - medicine , odds ratio , logistic regression , affect (linguistics) , confidence interval , body mass index , national health and nutrition examination survey , gerontology , odds , national health interview survey , physical therapy , environmental health , population , psychology , communication
This study aimed to examine the relationship between disability and the American Heart Association metric of ideal cardiovascular health ( CVH ) in older adults from the 2009–10 Chilean National Health Survey. Data from 460 older adults were analyzed. All subjects were interviewed using the standardized World Health Survey, which includes 16 health‐related questions and assesses the domains of mobility, self‐care, pain and discomfort, cognition, interpersonal activities, vision, sleep and energy, and affect. A person who responds with a difficulty rating of severe, extreme, or unable to do in at least one of these eight functioning domains is considered to have a disability. Ideal CVH was defined as meeting the ideal levels of four behaviors (smoking, body mass index, physical activity, diet adherence) and three factors (total cholesterol, fasting glucose, blood pressure). Logistic regression analysis suggested that ideal physical activity reduces the odds of disability (odds ratio ( OR ) = 0.55, 95% confidence interval ( CI ) = 0.36–0.85). Moreover, participants with intermediate (3–4 metrics) ( OR = 0.63, 95% CI = 0.41–0.97) and ideal (5–7 metrics) ( OR = 0.51, 95% CI = 0.24–0.97) CVH profiles had lower odds of disability independent of history of vascular events and arthritis disease than those with a poor profile (0–2 metrics). In conclusion, despite the cross‐sectional design, this study suggests the importance of promoting ideal CVH because of their relationship with disability.