TY - JOUR
T1 - Nondietary cardiovascular health metrics with patient experience and loss of productivity among us adults without cardiovascular disease
T2 - The medical expenditure panel survey 2006 to 2015
AU - Tibuakuu, Martin
AU - Okunrintemi, Victor
AU - Savji, Nazir
AU - Stone, Neil J.
AU - Virani, Salim S.
AU - Blankstein, Ron
AU - Thamman, Ritu
AU - Blumenthal, Roger S.
AU - Michos, Erin D.
N1 - Funding Information:
Dr Virani has research support from Department of Veterans Affairs, World Heart Federation, Tahir, and Jooma Family. Dr Michos has research supported by the Blumenthal Scholars Fund for Preventive Cardiology at Johns Hopkins University.
Publisher Copyright:
© 2020 The Authors.
PY - 2020/10/6
Y1 - 2020/10/6
N2 - BACKGROUND: The American Heart Association 2020 Impact Goals aimed to promote population health through emphasis on cardiovascular health (CVH). We examined the association between nondietary CVH metrics and patient-reported outcomes among a nationally representative sample of US adults without cardiovascular disease. METHODS AND RESULTS: We included adults aged ≥18 years who participated in the Medical Expenditure Panel Survey between 2006 and 2015. CVH metrics were scored 1 point for each of the following: not smoking, being physically active, normal body mass index, no hypertension, no diabetes mellitus, and no dyslipidemia, or 0 points if otherwise. Diet was not assessed in Medical Expenditure Panel Survey. Patient-reported outcomes were obtained by telephone survey and included questions pertaining to patient experience and health-related quality of life. Regression models were used to compare patient-reported outcomes based on CVH, adjusting for sociodemographic factors and comorbidities. There were 177 421 Medical Expenditure Panel Survey participants (mean age, 45 [17] years) representing ~187 million US adults without cardiovascular disease. About 12% (~21 million US adults) had poor CVH. Compared with individuals with optimal CVH, those with poor CVH had higher odds of reporting poor patient-provider communication (odds ratio, 1.14; 95% CI, 1.05–1.24), poor healthcare satisfaction (odds ratio, 1.15; 95% CI, 1.08–1.22), poor perception of health (odds ratio, 5.89; 95% CI, 5.35–6.49), at least 2 disability days off work (odds ratio, 1.39; 95% CI, 1.30–1.48), and lower health-related quality of life scores. CONCLUSIONS: Among US adults without cardiovascular disease, meeting a lower number of ideal CVH metrics is associated with poor patient-reported healthcare experience, poor perception of health, and lower health-related quality of life. Preventive measures aimed at optimizing ideal CVH metrics may improve patient-reported outcomes among this population.
AB - BACKGROUND: The American Heart Association 2020 Impact Goals aimed to promote population health through emphasis on cardiovascular health (CVH). We examined the association between nondietary CVH metrics and patient-reported outcomes among a nationally representative sample of US adults without cardiovascular disease. METHODS AND RESULTS: We included adults aged ≥18 years who participated in the Medical Expenditure Panel Survey between 2006 and 2015. CVH metrics were scored 1 point for each of the following: not smoking, being physically active, normal body mass index, no hypertension, no diabetes mellitus, and no dyslipidemia, or 0 points if otherwise. Diet was not assessed in Medical Expenditure Panel Survey. Patient-reported outcomes were obtained by telephone survey and included questions pertaining to patient experience and health-related quality of life. Regression models were used to compare patient-reported outcomes based on CVH, adjusting for sociodemographic factors and comorbidities. There were 177 421 Medical Expenditure Panel Survey participants (mean age, 45 [17] years) representing ~187 million US adults without cardiovascular disease. About 12% (~21 million US adults) had poor CVH. Compared with individuals with optimal CVH, those with poor CVH had higher odds of reporting poor patient-provider communication (odds ratio, 1.14; 95% CI, 1.05–1.24), poor healthcare satisfaction (odds ratio, 1.15; 95% CI, 1.08–1.22), poor perception of health (odds ratio, 5.89; 95% CI, 5.35–6.49), at least 2 disability days off work (odds ratio, 1.39; 95% CI, 1.30–1.48), and lower health-related quality of life scores. CONCLUSIONS: Among US adults without cardiovascular disease, meeting a lower number of ideal CVH metrics is associated with poor patient-reported healthcare experience, poor perception of health, and lower health-related quality of life. Preventive measures aimed at optimizing ideal CVH metrics may improve patient-reported outcomes among this population.
KW - Cardiovascular health
KW - Health-related quality of life
KW - Healthcare satisfaction
KW - Life Simple 7
KW - Patient-reported outcomes
UR - http://www.scopus.com/inward/record.url?scp=85092681109&partnerID=8YFLogxK
U2 - 10.1161/JAHA.120.016744
DO - 10.1161/JAHA.120.016744
M3 - Article
C2 - 32998625
AN - SCOPUS:85092681109
SN - 2047-9980
VL - 9
JO - Journal of the American Heart Association
JF - Journal of the American Heart Association
IS - 19
M1 - e016744
ER -
