{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T08:51:05Z","timestamp":1768985465663,"version":"3.49.0"},"reference-count":32,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"23","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2023,12,5]]},"abstract":"<jats:sec sec-type=\"background\" xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Although individuals with cancer experience high rates of cardiovascular morbidity, there are limited data on the potential differences in cardiovascular health (CVH) metrics between individuals with and without cancer.<\/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              The National Health and Nutrition Examination Survey between 2015 and 2020 was queried to evaluate the prevalence of health metrics that comprise the American Heart Association Life's Essential 8 construct of cardiovascular health among adult individuals with and without cancer in the United States. Health metric scores were also evaluated according to important patient demographics including age, sex, race and ethnicity, and socioeconomic status. Among 4370 participants representing &gt;180\u2009million US adults, 9.4% had a history of cancer. Individuals with cancer had lower overall cardiovascular health scores (67.1 versus 69.1,\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001) compared with individuals without cancer. Among individual components of the cardiovascular health score, those with cancer had better health scores on key behaviors including physical activity, diet, and sleep compared with those without cancer, although variation was noted based on age. Higher scores on these modifiable health behaviors among those with cancer compared with those without cancer were noted in older individuals, in White individuals compared with other races and ethnicities, and in individuals with higher socioeconomic status.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">We highlight important variations in simple cardiovascular health metrics among individuals with cancer compared with individuals without cancer and demonstrate differences among health metrics based on age, race and ethnicity, and socioeconomic status. These findings may explain ongoing racial, ethnic, and socioeconomic status disparities in the cancer population and provide a framework for optimizing cardiovascular health among individuals with cancer.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.123.030942","type":"journal-article","created":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T11:43:51Z","timestamp":1701431031000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Cardiovascular Health Metrics Differ Between Individuals With and Without Cancer"],"prefix":"10.1161","volume":"12","author":[{"given":"Ofer","family":"Kobo","sequence":"first","affiliation":[{"name":"Department of Cardiology Hillel Yaffe Medical Center Hadera Israel"},{"name":"Keele Cardiovascular Research Group, Centre for Prognosis Research Keele University Stoke\u2010on\u2010Trent United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0571-3109","authenticated-orcid":false,"given":"Dmitry","family":"Abramov","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Loma Linda University Health Loma Linda CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7742-6195","authenticated-orcid":false,"given":"Manuela","family":"Fiuza","sequence":"additional","affiliation":[{"name":"Cardio\u2010Oncology Unit, Servi\u00e7o de Cardiologia Centro Hospitalar Universit\u00e1rio Lisboa Norte\u2014EPE, Centro Cardiovascular da Universidade de Lisboa, Faculdade de Medicina da Universidade de Lisboa Lisboa Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0640-0430","authenticated-orcid":false,"given":"Nicholas W. S.","family":"Chew","sequence":"additional","affiliation":[{"name":"Department of Cardiology National University Heart Centre, National University Health System Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8297-1569","authenticated-orcid":false,"given":"Cheng Han","family":"Ng","sequence":"additional","affiliation":[{"name":"Ministry of Health Holdings Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4707-992X","authenticated-orcid":false,"given":"Purvi","family":"Parwani","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Loma Linda University Health Loma Linda CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8363-0363","authenticated-orcid":false,"given":"Miguel Nobre","family":"Menezes","sequence":"additional","affiliation":[{"name":"Structural and Coronary Heart Disease Unit, Cardio\u2010Oncology Unit CHULN Hospital de Santa Maria, Cardiovascular Center of the University of Lisbon(CCUL@RISE), Universidade de Lisboa Lisbon Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6497-1098","authenticated-orcid":false,"given":"Paaladinesh","family":"Thavendiranathan","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Ted Rogers Program in Cardiotoxicity Prevention, Peter Munk Cardiac Centre, Toronto General Hospital University Health Network (UHN), University of Toronto Toronto ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9241-8890","authenticated-orcid":false,"given":"Mamas A.","family":"Mamas","sequence":"additional","affiliation":[{"name":"Keele Cardiovascular Research Group, Centre for Prognosis Research Keele University Stoke\u2010on\u2010Trent United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/ehjqcco\/qcac080"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.109.192703"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001078"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2020.0140"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.116.004894"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.112.001183"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.115.020406"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehz766"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1093\/ehjqcco\/qcac045"},{"key":"e_1_3_1_11_2","first-page":"1","article-title":"National health and nutrition examination survey: analytic guidelines, 1999\u20132010","volume":"2","author":"Johnson CL","year":"2013","unstructured":"Johnson CL, Paulose\u2010Ram R, Ogden CL, Carroll MD, Kruszon\u2010Moran D, Dohrmann SM, Curtin LR. 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