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Cardiovascular Risk Factor Control and Adherence to Recommended Lifestyle and Medical Therapies in Persons With Coronary Heart Disease (from the National Health and Nutrition Examination Survey 2007–2010)

The American journal of cardiology, 2013-10, Vol.112 (8), p.1126-1132 [Peer Reviewed Journal]

Elsevier Inc. ;2013 Elsevier Inc. ;Copyright © 2013 Elsevier Inc. All rights reserved. ;Copyright Elsevier Limited Oct 15, 2013 ;ISSN: 0002-9149 ;EISSN: 1879-1913 ;DOI: 10.1016/j.amjcard.2013.05.064 ;PMID: 23827404 ;CODEN: AJCDAG

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Title:
Cardiovascular Risk Factor Control and Adherence to Recommended Lifestyle and Medical Therapies in Persons With Coronary Heart Disease (from the National Health and Nutrition Examination Survey 2007–2010)
Author: Tang, Lijiang, MD ; Patao, Chistopher, BS ; Chuang, Joanna, BS ; Wong, Nathan D., PhD
Subjects: Adolescent ; Adult ; Aged ; Aged, 80 and over ; Alcohol ; Body Mass Index ; Cardiovascular ; Cardiovascular Agents - therapeutic use ; Cardiovascular disease ; Cholesterol ; Coronary Disease - drug therapy ; Coronary Disease - epidemiology ; Cross-Sectional Studies ; Diabetes ; Female ; Follow-Up Studies ; Guideline Adherence ; Humans ; Life Style ; Male ; Middle Aged ; Morbidity - trends ; Nutrition Surveys - methods ; Patient Compliance - statistics & numerical data ; Retrospective Studies ; Risk Factors ; Socioeconomic factors ; United States - epidemiology ; Womens health ; Young Adult
Is Part Of: The American journal of cardiology, 2013-10, Vol.112 (8), p.1126-1132
Description: Persons with known coronary heart disease (CHD) are at a greater risk of subsequent events. The current guidelines for secondary prevention have focused on lifestyle modifications, risk factor control, and drug therapy. However, current data lack information on the United States population and its adherence to these guidelines. Using data from the National Health and Nutrition Examination Survey from 2007 to 2010, we identified those with CHD and assessed the adequacy of their adherence to the current guidelines for secondary prevention. Of 759 subjects with CHD (weighted to 12.7 million), the use of recommended therapies was 55%, 45%, and 62% for β blockers, angiotensin-converting enzyme inhibitors/angiotensin receptor blockers, and lipid-lowering agents, respectively (24% for all), with adherence lower in women than in men and in blacks and Hispanics than in whites. The nonsmoking status and control of blood pressure, low-density lipoprotein cholesterol, and, for those with diabetes, glycated hemoglobin was 73%, 67%, 59%, 60%, respectively (14% for all). Also, 17%, 70%, and 7% were at the recommended levels for physical activity, alcohol consumption, and sodium intake, respectively. Moreover, only 20% and 29% were at the recommended body mass index and waist circumference targets, respectively. Those with metabolic syndrome and diabetes were more likely to have ≥2 risk factors uncontrolled, despite being more likely to be receiving recommended therapies. A significant gap still exists between the secondary prevention guidelines and their adherence and control of CHD risk factors among United States adults. In conclusion, greater efforts are needed to ensure adherence to all aspects of secondary prevention guidelines to optimize the prognosis in subjects with CHD.
Publisher: United States: Elsevier Inc
Language: English
Identifier: ISSN: 0002-9149
EISSN: 1879-1913
DOI: 10.1016/j.amjcard.2013.05.064
PMID: 23827404
CODEN: AJCDAG
Source: MEDLINE
ProQuest Central

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Cardiovascular Risk Factor Control and Adherence to Recommended Lifestyle and Medical Therapies in Persons With Coronary Heart Disease (from the National Health and Nutrition Examination Survey 2007–2010)

Elsevier Inc. ;2013 Elsevier Inc. ;Copyright © 2013 Elsevier Inc. All rights reserved. ;Copyright Elsevier Limited Oct 15, 2013 ;ISSN: 0002-9149 ;EISSN: 1879-1913 ;DOI: 10.1016/j.amjcard.2013.05.064 ;PMID: 23827404 ;CODEN: AJCDAG

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