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Cross-sectional analysis of deprivation and ideal cardiovascular health in the Paris Prospective Study 3.
Empana, J P; Perier, M C; Singh-Manoux, A; Gaye, B; Thomas, F; Prugger, C; Plichart, M; Wiernik, E; Guibout, C; Lemogne, C; Pannier, B; Boutouyrie, P; Jouven, X.
Afiliación
  • Empana JP; Department of Epidemiology, INSERM, UMR-S970, Paris Cardiovascular Research Center, Paris, France.
  • Perier MC; Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France.
  • Singh-Manoux A; Department of Epidemiology, INSERM, UMR-S970, Paris Cardiovascular Research Center, Paris, France.
  • Gaye B; Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France.
  • Thomas F; INSERM, U1018, Epidemiology of Ageing and Age Related Diseases, Villejuif, France.
  • Prugger C; Université Paris-Saclay, Univ. Paris-Sud, UVSQ, France.
  • Plichart M; Department of Epidemiology, INSERM, UMR-S970, Paris Cardiovascular Research Center, Paris, France.
  • Wiernik E; Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France.
  • Guibout C; Preventive and Clinical Investigation Center, Paris, France.
  • Lemogne C; Institute of Public Health, Charité University Medicine Berlin, Berlin, Germany.
  • Pannier B; Department of Epidemiology, INSERM, UMR-S970, Paris Cardiovascular Research Center, Paris, France.
  • Boutouyrie P; Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France.
  • Jouven X; Department of Geriatry, APHP, Hopital Broca, Paris, France.
Heart ; 102(23): 1890-1897, 2016 12 01.
Article en En | MEDLINE | ID: mdl-27354274
AIMS: We hypothesised that deprivation might represent a barrier to attain an ideal cardiovascular health (CVH) as defined by the American Heart Association (AHA). METHODS AND RESULTS: The baseline data of 8916 participants of the Paris Prospective Study 3, an observational cohort on novel markers for future cardiovascular disease, were used. The AHA 7-item tool includes four health behaviours (smoking, body weight, physical activity and optimal diet) and three biological measures (blood cholesterol, blood glucose and blood pressure). A validated 11-item score of individual material and psychosocial deprivation, the Evaluation de la Précarité et des Inégalités dans les Centres d'Examens de Santé-Evaluation of Deprivation and Inequalities in Health Examination centres (EPICES) score was used. The mean age was 59.5 years (standard deviation 6.2), 61.2% were men and 9.98% had an ideal CVH. In sex-specific multivariable polytomous logistic regression, the odds ratio (OR) for ideal behavioural CVH progressively decreased with quartile of increasing deprivation, from 0.54 (95% CI 0.41 to 0.72) to 0.49 (0.37 to 0.65) in women and from 0.61 (0.50 to 0.76) to 0.57 (0.46 to 0.71) in men. Associations with ideal biological CVH were confined to the most deprived women (OR=0.60; 95% CI 0.37 to 0.99), whereas in men, greater deprivation was related to higher OR of intermediate biological CVH (OR=1.28; 95% CI 1.05 to 1.57 for the third quartile vs the first quartile). CONCLUSIONS: Higher material and psychosocial deprivation may represent a barrier to reach an ideal CVH. TRIAL REGISTRATION NUMBER: NCT00741728.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pobreza / Carencia Psicosocial / Enfermedades Cardiovasculares / Estado de Salud / Salud Urbana / Estilo de Vida Saludable Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Patient_preference Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Heart Asunto de la revista: CARDIOLOGIA Año: 2016 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pobreza / Carencia Psicosocial / Enfermedades Cardiovasculares / Estado de Salud / Salud Urbana / Estilo de Vida Saludable Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Patient_preference Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Heart Asunto de la revista: CARDIOLOGIA Año: 2016 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido