Abstract

Objectives: The study aimed to explore the association between Ideal cardiovascular health (ICH) and health-related quality of life (HRQoL) using the European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L) among rural population. Methods: This study included 20,683 participants aged 18–79 years from “the Henan Rural Cohort study”. Generalized linear and Tobit regression models were employed to explore the associations of ICH with EQ-5D-5L utility scores and visual analogue scale (VAS) scores, respectively. Results: The mean EQ-5D-5L utility scores and VAS scores were 0.962 ± 0.095 and 79.52 ± 14.02, respectively. Comparing with poor CVH participants (EQ-5D-5L utility scores and VAS scores: 0.954 ± 0.111 and 78.44 ± 14.29), people with intermediate and ideal CVH had higher EQ-5D-5L utility scores (0.969 ± 0.079 and 0.959 ± 0.099) and VAS scores (80.43 ± 13.65 and 79.28 ± 14.14). ICH scores were positively correlated with EQ-5D-5L utility scores (0.007 (0.004, 0.009)) and VAS scores (0.295 (0.143, 0.446)), respectively. Conclusions: Higher ICH scores is positive associated with better HRQoL in rural population, which suggests that improvement of cardiovascular health may help to enhance HRQoL among rural population.

Highlights

  • Cardiovascular disease (CVD) is the leading cause of premature mortality and disability in world [1, 2]

  • In different ideal cardiovascular health (ICH) groups, the EQ-5D utility scores and visual analogue scale (VAS) scores of participants with intermediate and ideal CVH were higher than those poor CVH, indicating that participants with ideal CVH had higher Health-related quality of life (HRQoL)

  • To the best of our knowledge, this is the first study to examine the effect of HRQoL on ideal cardiovascular health (ICH) use the European Quality of Life Five Dimension Five Level Scale (EQ5D-5L) among rural adults

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Summary

Introduction

Cardiovascular disease (CVD) is the leading cause of premature mortality and disability in world [1, 2]. Cardiovascular Health and Health-Related Quality with a higher number of ideal cardiovascular health metrics have lower risks of hypertension [4], type 2 diabetes mellitus [5], CVD events [6, 7], and all-cause mortality [4]. Health-related quality of life (HRQoL) refers to the individual’s health status under the influence of illness and injury, medical intervention, aging and social environment change, as well as the subjective satisfaction associated with its economic, cultural background and value orientation. It is a multidimensional concept which was main contented by health status and subjective satisfaction [8]. The European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L) is one of the simplest and most commonly used self-reported instruments to evaluate HRQoL due to its simple, low response requirements, and generally high acceptance [9]

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