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Parent-Offspring Associations of Ideal Cardiovascular Health Metrics: Findings From the 2014 to 2021 Korea National Health and Nutrition Examination Survey

Authors
 Manh Thang Hoang  ;  Sun Jae Jung  ;  Hokyou Lee  ;  Hyeon Chang Kim 
Citation
 JOURNAL OF THE AMERICAN HEART ASSOCIATION, Vol.13(2) : e030995, 2024-01 
Journal Title
JOURNAL OF THE AMERICAN HEART ASSOCIATION
Issue Date
2024-01
MeSH
Adult ; Cardiovascular Diseases* / diagnosis ; Cardiovascular Diseases* / epidemiology ; Cross-Sectional Studies ; Female ; Health Status ; Humans ; Male ; Nutrition Surveys ; Parents ; Quality Indicators, Health Care* ; Republic of Korea / epidemiology ; Risk Factors ; Young Adult
Keywords
Korea National Health and nutrition examination survey ; cardiovascular health ; parent–offspring association
Abstract
BACKGROUND: Studies have reported the strength of cardiovascular health (CVH) metrics in parent-offspring relationships. This study aimed to describe the sex-specific associations between CVH in parents and adult offspring. METHODS AND RESULTS: This study was conducted on the Korea National Health and Nutrition Examination Survey data set, which analyzed trios of mother-father-child, with the child's age from 20 to 39 years. To use the nature of sampling design, survey weighting was applied to all our analyses. Ideal CVH was defined as a cluster of at least 5 ideal individual CVH metrics. We examined the association between parents and their adult offspring regarding clustering CVH and individual CVH metrics through odds ratios and 95% CIs using multiple logistic regression with standard errors adjusted for within-family clustering. The study included 1267 married couples comprising 748 sons and 819 daughters. After adjusting for household income and offspring's sex, age, education, and alcohol consumption, an offspring with either parent attaining a nonideal CVH was 3.52 times more likely to have nonideal CVH. Fathers' nonideal CVH was significantly positively associated with the daughters' nonideal CVH. Maternal nonideal CVH was significantly positively associated with the son's nonideal CVH. When analyzing individual CVH metrics, ideal status in fathers or mothers reduced the likelihood of their offspring having a nonideal status. CONCLUSIONS: This cross-sectional study showed positive and differential associations of CVH and its components between parents' and offsprings' nonideal status. Our hypothesis-generating results suggest the relevance of using CVH as a composite indicator in family-centered approaches and heart-health interventions.
Files in This Item:
T202402698.pdf Download
DOI
10.1161/JAHA.123.030995
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hyeon Chang(김현창) ORCID logo https://orcid.org/0000-0001-7867-1240
Lee, Hokyou(이호규) ORCID logo https://orcid.org/0000-0002-5034-8422
Jung, Sun Jae(정선재) ORCID logo https://orcid.org/0000-0002-5194-7339
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/199198
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