Understanding and Improving Cardiovascular Health: An Update on the American Heart Association's Concept of Cardiovascular Health

Prog Cardiovasc Dis. 2015 Jul-Aug;58(1):41-9. doi: 10.1016/j.pcad.2015.05.003. Epub 2015 May 7.

Abstract

The American Heart Association's 2020 Strategic Impact Goal is "By 2020, to improve the cardiovascular health of all Americans by 20% while reducing deaths from cardiovascular diseases and stroke by 20%." To monitor progress towards this goal, a new construct "ideal cardiovascular health" (iCVH) was defined that includes the simultaneous presence of optimal levels of seven health behaviors (physical activity, smoking, dietary intake, and body mass index) and factors (total cholesterol, blood pressure and fasting blood glucose). In this review, we present a summary of major concepts related to the concept of iCVH and an update of the literature in this area since publication of the 2020 Strategic Impact Goal, including trends in iCVH prevalence, new determinants and outcomes related to iCVH, strategies for maintaining or improving iCVH, policy implications of the iCVH model, and the remaining challenges to reaching the 2020 Strategic Impact Goal.

Keywords: Adults; Cardiovascular health; Children; Prevention; Risk factors.

Publication types

  • Review

MeSH terms

  • American Heart Association*
  • Biomarkers / blood
  • Blood Glucose / analysis
  • Blood Pressure
  • Body Mass Index
  • Cardiovascular Diseases / diagnosis
  • Cardiovascular Diseases / etiology
  • Cardiovascular Diseases / mortality
  • Cardiovascular Diseases / prevention & control*
  • Cholesterol / blood
  • Diet / adverse effects
  • Exercise
  • Health Behavior
  • Health Promotion
  • Health Status Indicators*
  • Health Status*
  • Humans
  • Prevalence
  • Primary Prevention / methods*
  • Prognosis
  • Risk Assessment
  • Risk Factors
  • Risk Reduction Behavior*
  • Smoking / adverse effects
  • Smoking Prevention
  • United States

Substances

  • Biomarkers
  • Blood Glucose
  • Cholesterol