中国全科医学2026，Vol.29Issue(5)：597-605,9.DOI:10.12114/j.issn.1007-9572.2025.0172
基于"生命八要素"评分的社区居民心血管健康分布及影响因素研究
Distribution and Influencing Factors of Cardiovascular Health among Community Residents Based on the"Life's Essential 8"Score
摘要
Abstract
Background Cardiovascular disease remains the leading cause of morbidity and mortality globally.Cardiovascular health scores are closely associated with cardiovascular disease.Conducting cardiovascular health assessments for individuals can significantly contribute to the improvement of cardiovascular health across the entire life span.Objective To investigate the cardiovascular health status,distribution characteristics,and associated factors among community residents in Nanjing,and provide evidence for the prevention and control of cardiovascular disease.Methods From September 2022 to August 2024,a total of 45 901 community-dwelling residents aged 35-79 years in Nanjing were selected using a multistage,stratified,cluster random sampling method.All participants completed questionnaires,physical examinations,and laboratory tests.Cardiovascular health was quantitatively assessed using the"Life's Essential 8"scoring system,which included four health behaviors(diet,physical activity,smoking,and sleep)and four health factors(BMI,blood lipids,blood glucose,and blood pressure).Scores<50 were defined as low cardiovascular health,50-80 as moderate cardiovascular health,and>80 as high cardiovascular health.Results The mean overall cardiovascular health score of the participants was(66.9±12.8).Scores were higher in women,married individuals,urban residents,and those not at high risk of cardiovascular disease than men,unmarried individuals,rural residents,and those at high risk of cardiovascular disease(P<0.05).Scores declined with increasing age and improved with higher educational attainment(P<0.05).The mean scores for diet,physical activity,smoking,sleep,body mass index,blood lipids,blood glucose,and blood pressure were(37.7±31.0),(79.8±38.8),(71.6±40.3),(84.7±24.0),(58.8±31.4),(67.4±29.5),(79.9±25.4),and(45.8±33.9),respectively.Of all participants,7 524(16.4%)had high cardiovascular health,34 071(74.2%)had moderate cardiovascular health,and 4 306(9.4%)had low cardiovascular health.Multivariable Logistic regression analysis showed that,compared with those with low cardiovascular health,women,individuals aged 55-64 and 65-79 years,those with junior or senior high school or college and above,individuals in other occupations,and those not at high risk of cardiovascular disease were more likely to have moderate cardiovascular health,whereas service workers,white-collar employees,and rural residents were less likely(P<0.05).Women,individuals with junior or senior high school or college and above,those in other occupations,and those not at high risk of cardiovascular disease were more likely to have high cardiovascular health,while individuals aged 45-54 and 55-64 years and rural residents were less likely(P<0.05).Conclusion Cardiovascular health among community residents in Nanjing was at a moderate level.Men,older individuals,those with lower education levels,rural residents,and those at high risk of cardiovascular diseases should be prioritized for targeted interventions.Comprehensive improvement in cardiovascular health can be achieved by strengthening interventions on key risk factors such as diet,smoking,and blood pressure.关键词
心血管疾病/心血管健康/生命八要素/健康行为/影响因素分析Key words
Cardiovascular disease/Cardiovascular health/Life's essential 8/Health behaviors/Root cause analysis分类
医药卫生引用本文复制引用
夏莹,吴新日,张彩琴,洪忻..基于"生命八要素"评分的社区居民心血管健康分布及影响因素研究[J].中国全科医学,2026,29(5):597-605,9.基金项目
南京市卫生科技发展专项资金项目(ZKX21054) （ZKX21054）
