{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T09:50:44Z","timestamp":1780048244550,"version":"3.53.1"},"reference-count":44,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2019,6,18]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Cardiovascular conditions are common in US Army and civilian populations. The recently developed concept of ideal cardiovascular health provides a new approach to evaluating population cardiovascular status.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              We defined a cohort of 263\u00a0430 active duty Army personnel, aged 17 to 64\u00a0years, who completed a 2012 physical examination and a corresponding subset of the noninstitutionalized, civilian US population, who participated in the National Health and Nutrition Examination Survey (\n              <jats:styled-content style=\"fixed-case\">NHANES<\/jats:styled-content>\n              ) 2011 to 2012 cycle. We compared 4 cardiovascular health metrics (current smoking, body mass index, blood pressure, and diabetic status) between Army and civilian groups overall, and separately by sex, race\/ethnicity, and age. The Army population was younger, was less often women or Hispanic, and had less post\u2013high school education than the\n              <jats:styled-content style=\"fixed-case\">NHANES<\/jats:styled-content>\n              population. Smoking rates were \u224820% in the Army and\n              <jats:styled-content style=\"fixed-case\">NHANES<\/jats:styled-content>\n              groups, but &lt;15% among Army women and Hispanics. Overall, one third of the Army and\n              <jats:styled-content style=\"fixed-case\">NHANES<\/jats:styled-content>\n              groups and\n              <jats:styled-content style=\"fixed-case\">NHANES<\/jats:styled-content>\n              women, but nearly half of Army women, demonstrated ideal body mass index. Ideal blood pressure was strikingly less prevalent in the Army than\n              <jats:styled-content style=\"fixed-case\">NHANES<\/jats:styled-content>\n              participants (30% versus 55%). Diabetes mellitus was rare in both groups.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">Ideal cardiovascular health was less prevalent in the Army than NHANES group, despite exclusion of the least healthy recruits. Prevalence of ideal body mass index and blood pressure was low in both the Army and NHANES groups, even at early adult ages. This finding reveals the need for policy changes to promote, preserve, and improve ideal cardiovascular health in both the Army and the US population as a whole.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.118.009056","type":"journal-article","created":{"date-parts":[[2019,6,5]],"date-time":"2019-06-05T09:04:14Z","timestamp":1559725454000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":27,"title":["Comparison of Cardiovascular Health Between US Army and Civilians"],"prefix":"10.1161","volume":"8","author":[{"given":"Alice","family":"Shrestha","sequence":"first","affiliation":[{"name":"Department of Psychology University of Pennsylvania Philadelphia PA"},{"name":"Research Facilitation Laboratory Army Analytics Group Monterey CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiffany E.","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Pennsylvania Philadelphia PA"},{"name":"Research Facilitation Laboratory Army Analytics Group Monterey CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Loryana L.","family":"Vie","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Pennsylvania Philadelphia PA"},{"name":"Research Facilitation Laboratory Army Analytics Group Monterey CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darwin R.","family":"Labarthe","sequence":"additional","affiliation":[{"name":"Feinberg School of Medicine Northwestern University Chicago IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence M.","family":"Scheier","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Pennsylvania Philadelphia PA"},{"name":"Research Facilitation Laboratory Army Analytics Group Monterey CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul B.","family":"Lester","sequence":"additional","affiliation":[{"name":"Research Facilitation Laboratory Army Analytics Group Monterey CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin E. 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