The CANHEART health index: a tool for monitoring the cardiovascular health of the Canadian population
- 23 December 2013
- journal article
- Published by CMA Impact Inc. in CMAJ : Canadian Medical Association Journal
- Vol. 186 (3), 180-187
- https://doi.org/10.1503/cmaj.131358
Abstract
Background: To comprehensively examine the cardiovascular health of Canadians, we developed the Cardiovascular Health in Ambulatory Care Research Team (CANHEART) health index. We analyzed trends in health behaviours and factors to monitor the cardiovascular health of the Canadian population. Methods: We used data from the Canadian Community Health Survey (2003–2011 [excluding 2005]; response rates 70%–81%) to examine trends in the prevalence of 6 cardiovascular health factors and behaviours (smoking, physical activity, fruit and vegetable consumption, overweight/obesity, diabetes and hypertension) among Canadian adults aged 20 or older. We defined ideal criteria for each of the 6 health metrics. The number of ideal metrics was summed to create the CANHEART health index; values range from 0 (worst) to 6 (best or ideal). A separate CANHEART index was developed for youth age 12–19 years; this index included 4 health factors and behaviours (smoking, physical activity, fruit and vegetable consumption and overweight/obesity). We determined the prevalence of ideal cardiovascular health and the mean CANHEART health index score, stratified by age, sex and province. Results: During the study period, physical activity and fruit and vegetable consumption increased and smoking decreased among Canadian adults. The prevalence of overweight/obesity, hypertension and diabetes increased. In 2009–2010, 9.4% of Canadian adults were in ideal cardiovascular health, 53.3% were in intermediate health (4–5 healthy factors or behaviours), and 37.3% were in poor cardiovascular health (0–3 healthy factors or behaviours). Twice as many women as men were in ideal cardiovascular health (12.8% vs. 6.1%). Among youth, the prevalence of smoking decreased and the prevalence of overweight/obesity increased. In 2009–2010, 16.6% of Canadian youth were in ideal cardiovascular health, 33.7% were in intermediate health (3 healthy factors or behaviours), and 49.7% were in poor cardiovascular health (0–2 healthy factors or behaviours). Interpretation: Fewer than 1 in 10 Canadian adults and 1 in 5 Canadian youth were in ideal cardiovascular health from 2003 to 2011. Intensive health promotion activities are needed to meet the Heart and Stroke Foundation of Canada’s goal of improving the cardiovascular health of Canadians by 10% by 2020 as measured by the CANHEART health index.Keywords
This publication has 19 references indexed in Scilit:
- Ideal Cardiovascular Health Is Inversely Associated With Incident CancerCirculation, 2013
- Ascertainment of chronic diseases using population health data: a comparison of health administrative data and patient self-reportBMC Public Health, 2013
- Diagnosed hypertension in Canada: incidence, prevalence and associated mortalityCMAJ : Canadian Medical Association Journal, 2011
- Community Prevalence of Ideal Cardiovascular Health, by the American Heart Association Definition, and Relationship With Cardiovascular Disease IncidenceJournal of the American College of Cardiology, 2011
- Defining and Setting National Goals for Cardiovascular Health Promotion and Disease ReductionCirculation, 2010
- National trends in rates of death and hospital admissions related to acute myocardial infarction, heart failure and stroke, 1994-2004CMAJ : Canadian Medical Association Journal, 2009
- Prevalence and incidence of hypertension from 1995 to 2005: a population-based studyCMAJ : Canadian Medical Association Journal, 2008
- Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control studyThe Lancet, 2004
- Personal and environmental factors associated with physical inactivity among different racial-ethnic groups of U.S. middle-aged and older-aged women.Health Psychology, 2000
- Personal and environmental factors associated with physical inactivity among different racial–ethnic groups of U.S. middle-aged and older-aged women.Health Psychology, 2000