Luc Djoussé1, Andrew B Petrone2, Chad Blackshear3, Michael Griswold3, Jane L Harman4, Cheryl R Clark5, Sameera Talegawkar6, DeMarc A Hickson3, J Michael Gaziano7, Patricia M Dubbert8, Adolfo Correa3, Katherine L Tucker9, Herman A Taylor10. 1. Brigham and Women's Hospital, Boston, MA, United States; Boston VA Healthcare System, United States; Harvard Medical School, Boston, MA, United States. Electronic address: ldjousse@rics.bwh.harvard.edu. 2. Brigham and Women's Hospital, Boston, MA, United States. 3. University of Mississippi Medical Center, Jackson, MS, United States. 4. National Heart, Lung, and Blood Institute, Bethesda, MD, United States. 5. Brigham and Women's Hospital, Boston, MA, United States; Harvard Medical School, Boston, MA, United States. 6. Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States. 7. Brigham and Women's Hospital, Boston, MA, United States; Boston VA Healthcare System, United States; Harvard Medical School, Boston, MA, United States. 8. South Central VA MIRECC and Little Rock GRECC, Little Rock, AR, United States. 9. University of Massachusetts Lowell, Lowell, MA, United States. 10. University of Mississippi Medical Center, Jackson, MS, United States; Jackson State University, Jackson, MS, United States; Tougaloo College, Jackson, MS, United States.
Abstract
OBJECTIVES: The aim of this study is to assess the prevalence and changes over time of ideal Life's Simple Seven (LSS) in African-Americans. METHODS: Prospective cohort of 5301 African-Americans from the Jackson Heart Study (JHS) from 2000 to 2013. Each of the LSS metrics was categorized as poor, intermediate, or ideal. RESULTS: Among men, the prevalence of having 0, 1, 2, 3, 4, 5, 6, and 7 ideal LSS was 3.3%, 23.0%, 33.5%, 24.7%, 11.6%, 3.6%, 0.3%, and 0%, respectively. Corresponding values for women were 1.7%, 26.3%, 33.1%, 22.8%, 11.9%, 3.7%, 0.6%, and 0%. Prevalence of ideal diet was 0.9%. The proportions of those meeting LSS ideal recommendations for cholesterol and fasting glucose declined from the first through third JHS visits across all age groups, whereas prevalence of ideal BMI declined only in participants <40 years at a given visit. Prevalence of ideal blood pressure did not change over time and being ideal on physical activity improved from the first [18.3% (95% CI: 17.3% to 19.3%)] to third visit [24.8% (95% CI: 23.3% to 26.3%)]. CONCLUSIONS: Our data show a low prevalence of ideal LSS (especially diet, physical activity, and obesity) in the JHS and a slight improvement in adherence to physical activity recommendations over time.
OBJECTIVES: The aim of this study is to assess the prevalence and changes over time of ideal Life's Simple Seven (LSS) in African-Americans. METHODS: Prospective cohort of 5301 African-Americans from the Jackson Heart Study (JHS) from 2000 to 2013. Each of the LSS metrics was categorized as poor, intermediate, or ideal. RESULTS: Among men, the prevalence of having 0, 1, 2, 3, 4, 5, 6, and 7 ideal LSS was 3.3%, 23.0%, 33.5%, 24.7%, 11.6%, 3.6%, 0.3%, and 0%, respectively. Corresponding values for women were 1.7%, 26.3%, 33.1%, 22.8%, 11.9%, 3.7%, 0.6%, and 0%. Prevalence of ideal diet was 0.9%. The proportions of those meeting LSS ideal recommendations for cholesterol and fasting glucose declined from the first through third JHS visits across all age groups, whereas prevalence of ideal BMI declined only in participants <40 years at a given visit. Prevalence of ideal blood pressure did not change over time and being ideal on physical activity improved from the first [18.3% (95% CI: 17.3% to 19.3%)] to third visit [24.8% (95% CI: 23.3% to 26.3%)]. CONCLUSIONS: Our data show a low prevalence of ideal LSS (especially diet, physical activity, and obesity) in the JHS and a slight improvement in adherence to physical activity recommendations over time.
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