{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T06:03:55Z","timestamp":1791007435063,"version":"4.1.0"},"reference-count":37,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circulation"],"published-print":{"date-parts":[[2012,2,28]]},"abstract":"<jats:sec>\n            <jats:title>Background\u2014<\/jats:title>\n            <jats:p>Recently, the American Heart Association developed a set of 7 ideal health metrics that will be used to measure progress toward their 2020 goals for cardiovascular health. The objective of the present study was to examine how well these metrics predicted mortality from all causes and diseases of the circulatory system in a national sample of adults in the United States.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods and Results\u2014<\/jats:title>\n            <jats:p>We used data from 7622 adults \u226520 years of age who participated in the National Health and Nutrition Examination Survey from 1999 to 2002 and whose mortality through 2006 was determined via linkage to the National Death Index. For the dietary and glycemic metrics, we used alternative measures. During a median follow-up of 5.8 years, 532 deaths (186 deaths resulting from diseases of the circulatory system) occurred. About 1.5% of participants met none of the 7 ideal cardiovascular health metrics, and 1.1% of participants met all 7 metrics. The number of ideal metrics was significantly and inversely related to mortality from all causes and diseases of the circulatory system. Compared with participants who met none of the ideal metrics, those meeting \u22655 metrics had a reduction of 78% (adjusted hazard ratio, 0.22; 95% confidence interval, 0.10\u20130.50) in the risk for all-cause mortality and 88% (adjusted hazard ratio, 0.12; 95% confidence interval, 0.03\u20130.57) in the risk for mortality from diseases of the circulatory system.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion\u2014<\/jats:title>\n            <jats:p>The number of ideal cardiovascular health metrics is a strong predictor of mortality from all causes and diseases of the circulatory system.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/circulationaha.111.049122","type":"journal-article","created":{"date-parts":[[2012,1,31]],"date-time":"2012-01-31T08:03:09Z","timestamp":1327996989000},"page":"987-995","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":329,"title":["Ideal Cardiovascular Health and Mortality From All Causes and Diseases of the Circulatory System Among Adults in the United States"],"prefix":"10.1161","volume":"125","author":[{"given":"Earl S.","family":"Ford","sequence":"first","affiliation":[{"name":"From the Divisions of Adult and Community Health (E.S.F., K.J.G.) and Heart Disease and Stroke Prevention (Y.H.), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kurt J.","family":"Greenlund","sequence":"additional","affiliation":[{"name":"From the Divisions of Adult and Community Health (E.S.F., K.J.G.) and Heart Disease and Stroke Prevention (Y.H.), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuling","family":"Hong","sequence":"additional","affiliation":[{"name":"From the Divisions of Adult and Community Health (E.S.F., K.J.G.) and Heart Disease and Stroke Prevention (Y.H.), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_3_2_2","unstructured":"Murphy SL Xu J Kochanek KD . Deaths: Preliminary Data for 2010. http:\/\/www.cdc.gov\/nchs\/data\/nvsr\/nvsr60\/nvsr60_04.pdf. Accessed February 7 2012."},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.109.192703"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1179\/030801878791925921"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.21.2012"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200007063430103"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.163.20.2460"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.167.19.2122"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.167.6.573"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2006.09.020"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.108.835728"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2010.11.041"},{"key":"e_1_3_3_13_2","unstructured":"Centers for Disease Control and Prevention. National Health and Nutrition Examination Survey. http:\/\/www.cdc.gov\/nchs\/about\/major\/nhanes\/datalink.htm. Accessed January 7 2008."},{"key":"e_1_3_3_14_2","unstructured":"Centers for Disease Control and Prevention. NHEFS linked mortality file. http:\/\/www.cdc.gov\/nchs\/data_access\/data_linkage\/mortality\/nhefs_linkage.htm. Accessed January 7 2011."},{"key":"e_1_3_3_15_2","unstructured":"US Department of Health and Human Services. 2008 Physical activity guidelines for Americans. http:\/\/www.health.gov\/paguidelines\/guidelines\/default.aspx. Accessed January 3 2012."},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8223(95)00300-2"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jada.2008.08.016"},{"key":"e_1_3_3_18_2","unstructured":"National Institutes of Health National Heart Lung and Blood Institute. Morbidity & Mortality: 2009 Chartbook on Cardiovascular Lung and Blood Diseases. http:\/\/www.nhlbi.nih.gov\/resources\/docs\/2009_ChartBook.pdf. Accessed April 27 2011."},{"key":"e_1_3_3_19_2","unstructured":"Centers for Disease Control and Prevention. Trends in current cigarette smoking among high school students and adults United States 1965\u20132007. http:\/\/www.cdc.gov\/tobacco\/data_statistics\/tables\/trends\/cig_smoking\/index.htm. Accessed January 3 2012."},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.294.14.1773"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.HYP.26.1.60"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa053935"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-031210-101211"},{"key":"e_1_3_3_24_2","unstructured":"American Heart Association. The guideline advantage. http:\/\/www.guidelineadvantage.org\/TGA\/. Accessed April 27 2011."},{"key":"e_1_3_3_25_2","unstructured":"Centers for Disease Control and Prevention. Communities putting prevention to work. http:\/\/www.cdc.gov\/CommunitiesPuttingPreventiontoWork\/. Accessed May 27 2011."},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.108.189702"},{"key":"e_1_3_3_27_2","first-page":"1","article-title":"Recommended community strategies and measurements to prevent obesity in the United States","volume":"58","author":"Khan LK","year":"2009","unstructured":"Khan LK, Sobush K, Keener D, Goodman K, Lowry A, Kakietek J, Zaro S . Recommended community strategies and measurements to prevent obesity in the United States. MMWR Recomm Rep. 2009;58:1\u201326.","journal-title":"MMWR Recomm Rep"},{"key":"e_1_3_3_28_2","volume-title":"A Population-Based Policy and Systems Change Approach to Prevent and Control Hypertension","author":"Institute of Medicine","year":"2010","unstructured":"Institute of Medicine. A Population-Based Policy and Systems Change Approach to Prevent and Control Hypertension. Washington DC: National Academies Press; 2010."},{"key":"e_1_3_3_29_2","unstructured":"Centers for Disease Control and Prevention. The Guide to Community Preventive Services. http:\/\/www.thecommunityguide.org\/index.html. Accessed May 3 2011."},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2007.03.011"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.109.870691"},{"key":"e_1_3_3_32_2","volume-title":"Strategies to Reduce Sodium Intake in the United States","author":"Institute of Medicine","year":"2010","unstructured":"Institute of Medicine. Strategies to Reduce Sodium Intake in the United States. Washington DC: National Academies Press; 2010."},{"key":"e_1_3_3_33_2","first-page":"A33","article-title":"Facilitators and barriers to implementing a local policy to reduce sodium consumption in the County of Los Angeles government, California, 2009","volume":"8","author":"Gase LN","year":"2011","unstructured":"Gase LN, Kuo T, Dunet DO, Simon PA . Facilitators and barriers to implementing a local policy to reduce sodium consumption in the County of Los Angeles government, California, 2009. Prev Chronic Dis. 2011;8:A33.","journal-title":"Prev Chronic Dis"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.293.15.1861"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(96)00067-4"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60105-0"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.284.3.311"},{"key":"e_1_3_3_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2008.11.033"}],"container-title":["Circulation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/CIRCULATIONAHA.111.049122","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T05:41:59Z","timestamp":1715578919000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/CIRCULATIONAHA.111.049122"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,2,28]]},"references-count":37,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2012,2,28]]}},"alternative-id":["10.1161\/CIRCULATIONAHA.111.049122"],"URL":"https:\/\/doi.org\/10.1161\/circulationaha.111.049122","relation":{},"ISSN":["0009-7322","1524-4539"],"issn-type":[{"value":"0009-7322","type":"print"},{"value":"1524-4539","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,2,28]]},"assertion":[{"value":"2011-06-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2011-12-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2012-01-30","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}