Folsom et al evaluated the impact of 7 factors on cardiovascular health. The authors are from the University of Minnesota, Nagoya University, University of Texas Houston, University of Vermont and University of North Carolina, participating in the Atherosclerosis Risk in the Communities study.
Parameters:
(1) smoking
(2) body mass index (BMI) in kg per square meter
(3) physical activity
(4) healthy diet score (>= 4.5 servings fruits or vegetables per day; >= 3.5 oz servings fish per week; >= 3 1 oz servings whole grains per day; sodium <1,500 mg per day; <= 36 oz sugar-sweetened beverages per week)
(5) serum total cholesterol in mg/dL
(6) blood pressure
(7) fasting serum glucose in mg/dL
Parameter
Finding
Designation
smoking
never or quit > 12 months
ideal
former <= 12 months
intermediate
current
poor
BMI
< 25
ideal
25-29.99
intermediate
>= 30
poor
physical activity
>= 150 min/week moderate or moderate+vigorous; >= 75 min/week vigorous
ideal
1-149 min/week moderate or moderate+vigorous; 1-74 min.week vigorous
intermediate
none
poor
healthy diet score
4-5 components
ideal
2-3 components
intermediate
0-1 components
poor
serum total cholesterol
< 200 mg/dL without medication
ideal
200-239 mg/dL without or < 200 with medication
intermediate
>= 240 mg/dL
poor
blood pressure
< 120 systolic, < 80 diastolic without medication
ideal
120-139 systolic or 80-89 diastolic without treatment; < 120 systolic, <80 diastolic
intermediate
systolic >= 140 or diastolic >= 90 mm Hg
poor
fasting serum glucose
< 100 mg/dL without medication
ideal
100-125 without; < 100 with medication
intermediate
>= 126 mg/dL
poor
The goal is to have all 7 parameters ideal.
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