The association of ideal cardiovascular health with self-reported health, diabetes, and adiposity in African American males

摘要

African American (AA) men have the highest age-adjusted all-cause mortality rate in the United States of America (US) and a high burden of cardiovascular risk factors. The African American Male Wellness Walk (AAMWW) seeks to reduce such health disparities among AA males. The association of a combination of ideal cardiovascular health (ICH) metrics (blood pressure, glucose, cholesterol, body mass index (BMI), physical activity, and smoking) with self-reported health, diabetes, and body fat percentage was examined among 729 AA male participants from the 2017 and 2018 AAMWWs. Six metrics of ICH were categorized into a three-tiered ICH score 0–2, 3–4, 5–6. Linear and logistic regression modeling was performed with adjustment for age and insurance. Seven percent of men attained 5–6 ICH metrics at baseline. Participants with 5–6 ICH metrics versus 0–2 had 256% higher odds of excellent self-reported health compared to good, fair or poor (p?