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首页> 外文期刊>Journal of women’s health >Disparities in the Prevalence of Excess Heart Age Among Women with a Recent Live Birth
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Disparities in the Prevalence of Excess Heart Age Among Women with a Recent Live Birth

机译：最近妇女患者患有过度心脏年龄的患病率的差异

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Background: Understanding and addressing cardiovascular disease (CVD) risk has implications for maternal and child health outcomes. Heart age, the modeled age of an individual's cardiovascular system based on risk level, and excess heart age, the difference between a person's heart age and chronological age, are alternative simplified ways to communicate CVD risk. Among women with a recent live birth, we predicted heart age, calculated prevalence of excess heart age (>= 5 years), and examined factors associated with excess heart age. Materials and Methods: Data were analyzed in 2017 from 2009 to 2014 Pregnancy Risk Assessment Monitoring System (PRAMS). To calculate heart age we used maternal age, prepregnancy body mass index, systolic blood pressure, smoking status, and diabetic status. Weighted prevalence and prevalence ratios compared the likelihood of excess heart age across racial/ethnic groups by selected factors. Results: Prevalence of excess heart age was higher in non-Hispanic black women (11.8%) than non-Hispanic white women (7.3%, prevalence ratio [PR], 95% confidence interval [CI]: 1.62, 1.49-1.76) and Hispanic women (4.9%, PR, 95% CI: 2.39, 2.10-2.72). Prevalence of excess heart age was highest among women who were without health insurance, obese or overweight, engaged in physical activity less than thrice per week, or were smokers in the prepregnancy period. Among women with less than high school education, non-Hispanic black women had a higher prevalence of excess heart age than Hispanic women (PR, 95% CI: 4.01, 3.15-5.10). Conclusions: Excess heart age may be an important tool for decreasing disparities and encouraging CVD risk reduction among certain groups of women.
机译：背景：了解和寻址心血管疾病（CVD）风险对妇幼保健症的影响有影响。心脏时代，基于风险水平的个体心血管系统的模型年龄，心脏年龄过度，人心中时代和年龄年龄之间的差异，是传达CVD风险的替代简化方法。在患有最近的活产的女性中，我们预测心脏年龄，计算过度心脏年龄（> = 5年）的患病率，并检查了与心血过期相关的因素。材料和方法：2017年从2009年到2014年怀孕风险评估监测系统（婴儿车）分析了数据。为了计算心脏年龄，我们使用母龄，预妊娠体重指数，收缩压，吸烟状态和糖尿病状态。加权患病率和患病率比率比较选定因素对种族/民族的多余心脏年龄的可能性。结果：非西班牙裔女性（11.8％）高于非西班牙裔白人女性（11.8％，患有7.3％，患病率比[PR]，95％置信区间[CI]：1.62,1.49-1.76）和患病率西班牙裔女性（4.9％，PR，95％CI：2.39,2.10-2.72）。在没有健康保险，肥胖或超重的女性中，在没有健康保险，肥胖或超重的情况下，从事每周少于三次，或者在预妊娠期间的吸烟者的患者，患有过度心脏年龄的患病率最高。在较高中教育的女性中，非西班牙裔女性的心脏年龄过度患病率比西班牙裔女性更高（PR，95％CI：4.01,3.15-5.10）。结论：多余的心脏年龄可能是降低差异的重要工具，并鼓励某些妇女群体中的CVD风险降低。

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