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Cardiovascular Health Awareness and Promotion in Women: AHA’s Life’s Simple 7™ and Go Red for Women™

  • Amber R. Cordola Hsu
  • Nathan D. WongEmail author
Women and Heart Disease (E. Jackson, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Women and Heart Disease

Abstract

Purpose of Review

This review will discuss the incidence of and trends in cardiovascular disease (CVD), including coronary heart disease (CHD), stroke, and associated risk factors among women by ethnic groups, and the recent AHA efforts to increase awareness among women.

Recent Findings

CVD mortality among women in the USA accounts for approximately half (49.7%) of total CVD deaths. CHD, as the predominant form of CVD, is the leading cause of death for women in the USA. The general indicators of risk associated with CHD in women include high blood cholesterol and triglyceride levels, high blood pressure, diabetes and prediabetes, excessive alcohol use, overweight and obesity, smoking, lack of physical activity, unhealthy diet, and stress. The findings highlight and reconfirm that disparities in CVD risk factors and health outcomes exist among women of color and those of low educational attainment and socioeconomic status. The American Heart Association’s Life’s Simple 7™ promotes seven recently defined cardiovascular health metrics and the Go Red for Women™ campaign has promoted improving awareness of CVD in women globally.

Summary

Awareness of the significance of and preventive measures for CVD are still lacking among minority or disadvantaged women. Further efforts are needed to address disparities in risk factors and CVD in women with improved adherence to risk factor modifications and other guideline-based interventions to improve CVD outcomes in women.

Keywords

Women Cardiovascular health Heart disease American Heart Association Life’s Simple 7 Go Red for Women 

Notes

Compliance with Ethical Standards

Conflict of Interest

Mrs. Cordola Hsu and Dr. Wong have no conflicts of interests.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by the author.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. 1.
    Center for Disease Control and Prevention (CDC). Heart disease. 2016. http://www.cdc.gov/heartdisease/facts.htm.
  2. 2.
    American Heart Association (AHA). Women & cardiovascular diseases statistical fact sheet 2016 update. 2016. http://www.heart.org/idc/groups/heart-public/@wcm/@sop/@smd/documents/downloadable/ucm_483971.pdf.
  3. 3.
    American Heart Association (AHA). Men & cardiovascular diseases statistical fact sheet 2016 update. 2016. http://www.heart.org/idc/groups/heart-public/@wcm/@sop/@smd/documents/downloadable/ucm_483969.pdf.
  4. 4.
    • Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, et al. Heart disease and stroke statistics—2016 update: a report from the American Heart American Heart Association. Circulation. 2016;133:e38–360. Provides the latest statistics on cardiovascular disease and its components, risk factors, and outcomes by gender and ethnicity in the USA.CrossRefPubMedGoogle Scholar
  5. 5.
    Johnston SC, Fayad PB, Gorelick PB, Hanley DF, Shwayder P, van Husen D, et al. Prevalence and knowledge of transient ischemic attack among US adults. Neurology. 2003;60:1429–34.CrossRefPubMedGoogle Scholar
  6. 6.
    Hankey GJ. Impact of treatment of people with transient ischemic attack on stroke incidence and public health. Cerebrovasc Dis. 1996;6(suppl):26–33.CrossRefGoogle Scholar
  7. 7.
    Center for Disease Control and Prevention (CDC). Smoking. 2016. http://www.cdc.gov/tobacco/data_statistics/fact_sheets/index.htm.
  8. 8.
    Center for Disease Control and Prevention (CDC). Physical activity. 2016. http://www.cdc.gov/physicalactivity/basics/pa-health/index.htm.
  9. 9.
    National Center for Health Statistics. Exercise or physical activity. 2016. https://www.cdc.gov/nchs/fastats/exercise.htm.
  10. 10.
    Center for Disease Control and Prevention (CDC). Obesity. 2016. http://www.cdc.gov/obesity/data/adult.html.
  11. 11.
    Center for Disease Control and Prevention (CDC). Cholesterol. 2016. http://www.cdc.gov/cholesterol/facts.htm.
  12. 12.
    Rich-Edwards JW, Manson JE, Hennekens CH, Buring JE. The primary prevention of coronary heart disease in women. N Engl J Med. 1995;332:1758–66.CrossRefPubMedGoogle Scholar
  13. 13.
    Kane JP, Malloy MJ, Ports TA, Phillips NR, Diehl JC, Havel RJ. Regression of coronary atherosclerosis during treatment of familial hypercholesterolemia with combined drug regimens. JAMA. 2002;264:3007–12.CrossRefGoogle Scholar
  14. 14.
    Levy RI, Brensike JF, Epstein SE, et al. The influence of changes in lipid values induced by cholestyramine and diet on progression of coronary artery disease: results of the NHLBI Type II Coronary Intervention Study. Circulation. 1984;69:325–37.CrossRefPubMedGoogle Scholar
  15. 15.
    Stampfer MJ, Hu FB, Manson JE, et al. Primary prevention of coronary heart disease in women through diet and lifestyle. N Engl J Med. 2000;343:16–22.CrossRefPubMedGoogle Scholar
  16. 16.
    Yusuf S, Hawken S, Ounpuu S, Dans T, Avezum A, Lanas F, et al. INTERHEART Study Investigators. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case–control study. Lancet (Lond Engl). 2004;364(9438):937–52.CrossRefGoogle Scholar
  17. 17.
  18. 18.
    Center for Disease Control and Prevention (CDC). Diabetes. 2016. http://www.cdc.gov/diabetes/data/national.html.
  19. 19.
    Mosca L, Ferris A, Fabunmi R, Robertson RM. Tracking women’s awareness of heart disease: an American Heart Association national study. Circulation. 2004;109(5):573–79.CrossRefPubMedGoogle Scholar
  20. 20.
    Christian AH, Rosamond W, White AR, Mosca L. Nine-year trends and racial and ethnic disparities in women’s awareness of heart disease and stroke: an American Heart Association national study. J Womens Health. 2007;16(1):68–81.CrossRefGoogle Scholar
  21. 21.
    Andrews JO, Graham-Garcia J, Raines TL. Heart disease mortality in women: racial, ethnic, and geographic disparities. J Cardiovasc Nurs. 2001;15(3):83–7.CrossRefPubMedGoogle Scholar
  22. 22.
    Watson KE, Sahni S. Heart disease in women. 2016. [Presentation].Google Scholar
  23. 23.
    Finkelstein EA, Khavjou OA, Mobley LR, Haney DM, Will JC. Racial/ethnic disparities in coronary heart disease risk factors among WISEWOMAN enrollees. J Womens Health. 2004;13(5):503–18.CrossRefGoogle Scholar
  24. 24.
    Whitlock EP, Williams SB. The primary prevention of heart disease in women through health behavior change promotion in primary care. Womens Health Issues. 2003;13(4):122–41.CrossRefPubMedGoogle Scholar
  25. 25.
    National Institutes of Health. Coronary Heart Disease. 2016. http://www.nhlbi.nih.gov/health/health-topics/topics/cad/.
  26. 26.
    • Lloyd-Jones DM, Hong Y, Labarthe D, Mozaffarian D, Appel LJ, Van Horn L, et al. Defining and setting national goals for cardiovascular health promotion and disease reduction: the American Heart Association’s strategic impact goal through 2020 and beyond. Circulation. 2010;121(4):586–613. This is the key reference that defines the concept and components of cardiovascular health for Americans and sets the stage for the refocusing of efforts towards cardiovascular health.CrossRefPubMedGoogle Scholar
  27. 27.
    Hozawa A, Folsom AR, Sharrett AR, Chambless LE. Absolute and attributable risks of cardiovascular disease incidence in relation to optimal and borderline risk factors: comparison of African American with white subjects: Atherosclerosis Risk in Communities Study. Arch Intern Med. 2007;167:573–79.CrossRefPubMedGoogle Scholar
  28. 28.
    •• Folsom AR, Yatsuya H, Nettleton JA, Lutsey PL, Cushman M, Rosamond WD. Community prevalence of ideal cardiovascular health, by the American Heart Association definition, and relationship with cardiovascular disease incidence. J Am Coll Cardiol. 2011;57(16):1697–9. This article demonstrates the direct relation between the number of ideal health and behavioral factors and the incidence of cardiovascular disease in the Atherosclerosis Risk in Communities Study.CrossRefGoogle Scholar
  29. 29.
    Terry DF, Pencina MJ, Vasan RS, Murabito JM, Wolf PA, Hayes MK, et al. Cardiovascular risk factors predictive for survival and morbidity-free survival in the oldest-old Framingham Heart Study participants. J Am Geriatr Soc. 2005;53:1944–50.CrossRefPubMedGoogle Scholar
  30. 30.
    Akesson A, Weismayer C, Newby PK, Wolk A. Combined effect of low-risk dietary and lifestyle behaviors in primary prevention of myocardial infarction in women. Arch Intern Med. 2007;167:2122–27.CrossRefPubMedGoogle Scholar
  31. 31.
    American Heart Association (AHA). My life check—Life’s Simple 7. 2016. http://www.heart.org/HEARTORG/Conditions/My-Life-Check---Lifes-Simple-7_UCM_471453_Article.jsp.
  32. 32.
    Go Red for Women. That’s how Macy’s goes red for women (Macy’s sponsorship). 2016. https://www.goredforwomen.org/sponsors/macys/.
  33. 33.
  34. 34.
    World Heart Federation. This is not a red dress, it’s a red alert. 2016. http://www.world-heart-federation.org/what-we-do/awareness/women-and-cvd/go-red-for-women/the-campaign/.
  35. 35.
    National Heart, Lung, and Blood Institute (NHLBI). The Heart Truth campaign Overview. 2004. https://web.archive.org/web/20080509103427/http://www.nhlbi.nih.gov/health/hearttruth/press/nhlbi_04_campaign.htm.

Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.School of Community and Global HealthClaremont Graduate UniversityClaremontUSA
  2. 2.Division of CardiologyUniversity of California-IrvineIrvineUSA

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