Abstract
In 2010, the American Heart Association established the concept of ideal cardiovascular
health. Nationally representative data estimated that <1% of Americans meet the seven
health metrics required for achieving ideal cardiovascular health, with the main challenge
residing in meeting the criteria for an ideal Healthy Diet Score. In a cohort of young
adults (N=196), we aimed to investigate the prevalence of ideal cardiovascular health
and ideal Healthy Diet Score and its association to weight gain over a 4-year follow-up
period. Anthropometric measures, blood pressure, and blood samples were taken according
to standardized procedures. Dietary intake was measured by a 3-day food diary and
verified by a registered dietitian. We observed that only 0.5% of our sample met the
criteria for ideal cardiovascular health and only 4.1% met the criteria for an ideal
Healthy Diet Score. The components of the Healthy Diet Score with the lowest observance
were consumption of fruits and vegetables (9.7%) and whole grains (14.8%). Meeting
zero or one out of five of the Healthy Diet Score components was associated with increased
risk of weight gain over 4 years compared with meeting at least two components (P=0.03). With the exception of dietary criteria, prevalence was high for achieving
ideal levels of the remaining six cardiovascular health metrics. In conclusion, in
this sample of young adults, a very low prevalence of ideal overall cardiovascular
health was observed, mainly driven by poor dietary habits, and a poor Healthy Diet
Score was associated with increased weight gain.
Keywords
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Biography
G. Forget is an assistant professor, Université Laval, Division d'Endocrinologie, Centre Hospitalier Universitaire de Quebec, Quebec, Canada; at the time of the study, she was a fellow in endocrinology, Department of Medicine, Division of Endocrinology, Université de Sherbrooke, Quebec, Canada.
Biography
M. Doyon is a research assistant, Centre de Recherche Clinique Étienne-Lebel du Centre Hospitalier Universitaire de Sherbrooke, Quebec, Canada.
Biography
M. Labonté is a research assistant, Centre de Recherche Clinique Étienne-Lebel du Centre Hospitalier Universitaire de Sherbrooke, Quebec, Canada.
Biography
C. Brown is a research assistant, Centre de Recherche Clinique Étienne-Lebel du Centre Hospitalier Universitaire de Sherbrooke, Quebec, Canada.
Biography
G. Lacerte is an MSc candidate, Department of Medicine, Division of Endocrinology, Université de Sherbrooke, Quebec, Canada.
Biography
A. C. Carpentier is a professor, Department of Medicine, Division of Endocrinology, Université de Sherbrooke, Quebec, Canada, and clinical researcher, Centre de Recherche Clinique Étienne-Lebel du Centre Hospitalier Universitaire de Sherbooke, Quebec, Canada.
Biography
M.-F. Langlois is a professor, Department of Medicine, Division of Endocrinology, Université de Sherbrooke, Quebec, Canada, and clinical researcher, Centre de Recherche Clinique Étienne-Lebel du Centre Hospitalier Universitaire de Sherbooke, Quebec, Canada.
Biography
M.-F. Hivert is an assistant professor, Department of Medicine, Division of Endocrinology, Université de Sherbrooke, Quebec, Canada; a clinical researcher, Centre de Recherche Clinique Étienne-Lebel du Centre Hospitalier Universitaire de Sherbooke, Quebec, Canada; and a visiting scientist, Department of General Medicine, Massachusetts General Hospital, Boston.
Article info
Publication history
Published online: August 27, 2013
Accepted:
June 16,
2013
Footnotes
STATEMENT OF POTENTIAL CONFLICT OF INTEREST No potential conflict of interest was reported by the authors.
FUNDING/SUPPORT This work was supported by Canadian Diabetes Association operating grant no. OG-3-08-2607-ML and by a Danone Institute research grant. The Centre de Recherche Clinique Étienne-Le Bel is a Fonds de la recherche en santé du Québec (FRSQ)-funded research center. Some authors are recipients of career awards from the FRSQ (national researcher) of the Canadian Institutes of Health Research-GlaxoSmithKline Chair in Diabetes and are supported by a career award from the FRSQ (Research Scholar Award, senior level), career awards from the FRSQ (Research Scholar Award, junior 1 level), and from the Canadian Diabetes Association (clinical scientist).
Identification
Copyright
© 2013 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.
