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This guideline updates earlier guideline recommendations from the AHA in 2000 and 2004, 76] 77] and 78] to include more recent data on treatment and risk factor monitoring, including increased use of statins. The 2013 guidelines provide a detailed discussion of current treatment targets and guidelines and the rationale for these recommendations.
The resulting prevalence of positive responses on the 4 risk factor questions in the population aged 18 to 70 years was 43.0% in 2005 through 2008. For example, in 2008, 54.6% of respondents had 3 or more health risk factors, and 33.0% had 4 or more risk factors. In this context, these are the proportions, without regard to the optimal levels of each health factor. According to a regression analysis of NHANES 20052006 data, men in poor health and women in ideal health were less likely to have 4 or more health risk factors. However, these analyses were not used to further estimate the impact of reducing risk factors on overall health, since there is no optimal level for each risk factor and the net prevalence is determined by the responses to each question, not the prevalence of optimal responses.
Results of the regression analysis of data from NHANES 20052006 showed that several risk factors were independently associated with any number of physically unhealthy days (ie, 0, 1, 2, 3, 4, 5, 6, or 8 or more) and any number of mentally unhealthy days (ie, 0, 1, 2, 3, 4, 5, or 6 or more). Men in poor health and women in ideal health were more likely to have more physically unhealthy days and more mentally unhealthy days than were men and women in ideal health. Respondents without health insurance were more likely to have any number of physically unhealthy days and any number of mentally unhealthy days, particularly 0 to 6 or more. Increasing age was associated with fewer physically and mentally unhealthy days.
This guideline updates earlier guideline recommendations from the AHA in 2000 and 2004, 76] 77] and 78] to include more recent data on treatment and risk factor monitoring, including increased use of statins. The 2013 guidelines provide a detailed discussion of current treatment targets and guidelines and the rationale for these recommendations. The resulting prevalence of positive responses on the 4 risk factor questions in the population aged 18 to 70 years was 43.0% in 2005 through 2008. For example, in 2008, 54.6% of respondents had 3 or more health risk factors, and 33.0% had 4 or more risk factors. In this context, these are the proportions, without regard to the optimal levels of each health factor. According to a regression analysis of NHANES 20052006 data, men in poor health and women in ideal health were less likely to have 4 or more health risk factors. However, these analyses were not used to further estimate the impact of reducing risk factors on overall health, since there is no optimal level for each risk factor and the net prevalence is determined by the responses to each question, not the prevalence of optimal responses. Results of the regression analysis of data from NHANES 20052006 showed that several risk factors were independently associated with any number of physically unhealthy days (ie, 0, 1, 2, 3, 4, 5, 6, or 8 or more) and any number of mentally unhealthy days (ie, 0, 1, 2, 3, 4, 5, or 6 or more). Men in poor health and women in ideal health were more likely to have more physically unhealthy days and more mentally unhealthy days than were men and women in ideal health. Respondents without health insurance were more likely to have any number of physically unhealthy days and any number of mentally unhealthy days, particularly 0 to 6 or more. Increasing age was associated with fewer physically and mentally unhealthy days. 5ec8ef588b
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