Ideal cardiovascular health and its association with sedentary behaviour and fitness in psychiatric patients. The PsychiActive project

Ideal cardiovascular health (CVH) was defined as meeting ideal levels of 4 health behaviours (smoking, body mass index, physical activity, and diet) and 3 biological factors (blood pressure, total cholesterol, and glucose) and is inversely related to cardiovascular disease and mortality. However, th...

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Veröffentlicht in:Nutrition, metabolism, and cardiovascular diseases metabolism, and cardiovascular diseases, 2018-09, Vol.28 (9), p.900-908
Hauptverfasser: Bueno-Antequera, J., Oviedo-Caro, M.Á., Munguía-Izquierdo, D.
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Sprache:eng
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Zusammenfassung:Ideal cardiovascular health (CVH) was defined as meeting ideal levels of 4 health behaviours (smoking, body mass index, physical activity, and diet) and 3 biological factors (blood pressure, total cholesterol, and glucose) and is inversely related to cardiovascular disease and mortality. However, the prevalence of ideal CVH in patients with severe mental illness and the possible independent associations of sedentary behaviour and fitness with CVH score are unexplored. This study included 142 (34 women) outpatients with severe mental illness (primarily schizophrenia, n = 92). CVH was evaluated according to the American Heart Association guidelines. Sedentary behaviour, cardiorespiratory fitness, and muscular strength were measured by an activity-monitor, the 6-min walk test, and handgrip dynamometry. Cardiorespiratory fitness and strength values were combined in a composite fitness score. The prevalence of ideal CVH was: non-smoking (47.9%), body mass index (16.9), physical activity (83.1%), diet (10.4%), blood pressure (40.4%), total cholesterol (62.9%), and plasma glucose (66.7%). Low levels of sedentary behaviour and high cardiorespiratory, strength, and composite fitness score were associated with meeting the ideal threshold in most CVH metrics and having higher global CVH score; however, only cardiorespiratory and composite fitness score remained significantly related to global CVH score independent of sedentary behaviour and multiple confounders. Patients with severe mental illness generally have low prevalence of ideal CVH metrics, especially diet and body mass index. Additionally, our findings suggest the need or considering cardiorespiratory fitness, regardless of sedentary behaviour, to promote ideal CVH in this population. •SMI patients have a low ideal CVH prevalence, especially for diet and body mass index.•Low sedentary behaviour and high CRF and MS were associated with the most ideal CVH metrics.•Low sedentary behaviour and high CRF and MS were associated with a higher global CVH score.•CRF remained related to the global CVH score regardless of sedentary behaviour and MS.•CRF should be considered for the promotion of CVH through the healthcare system.
ISSN:0939-4753
1590-3729
DOI:10.1016/j.numecd.2018.05.003