Evidence map›Paper›PMID 34256716›Full record

ArticleBMC cardiovascular disorders2021

Prevalence and differences of ideal cardiovascular health in urban and rural adolescents in the Region of Tyrol: results from the EVA Tyrol study.

C Hochmayr, J P Ndayisaba, N Gande, A Staudt, B Bernar, K Stock, R Geiger, M Knoflach, U Kiechl-Kohlendorfer, Early Vascular Ageing (EVA) Study Group

Abstract readComparative StudyControlled Clinical TrialMulticenter Study
In one paragraph

Article in BMC cardiovascular disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

C HochmayrDepartment of Pediatrics II (Neonatology), Medical University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria.
J P NdayisabaDepartment of Neurology, Medical University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria.
N GandeDepartment of Pediatrics II (Neonatology), Medical University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria.
A StaudtDepartment of Pediatrics II (Neonatology), Medical University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria.
B BernarDepartment of Pediatrics I, Medical University of Innsbruck, Innsbruck, Austria.
K StockDepartment of Pediatrics III (Cardiology), Medical University of Innsbruck, Innsbruck, Austria.
R GeigerDepartment of Pediatrics III (Cardiology), Medical University of Innsbruck, Innsbruck, Austria.
M KnoflachDepartment of Neurology, Medical University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria. michael.knoflach@i-med.ac.at.
U Kiechl-KohlendorferDepartment of Pediatrics II (Neonatology), Medical University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria. ursula.kohlendorfer@i-med.ac.at.
Early Vascular Ageing (EVA) Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEarly adoption of a healthy lifestyle has positive effects on cardiovascular health (CVH) in adulthood. In this study, we aimed to assess CVH metrics in a cohort of healthy teenagers with focus on differences between rural and urban areas.

methodsThe Early Vascular Aging (EVA) Tyrol study is a population-based non-randomized controlled trial, which prospectively enrolled 14- to 19-year-old adolescents in North Tyrol, Austria and South Tyrol, Italy between 2015 and 2018. Data from the baseline and control group (prior to health intervention) are included in the current analysis. CVH determinants (smoking, body mass index, physical activity, dietary patterns, systolic and diastolic blood pressure, total cholesterol and fasting blood glucose) were assessed and analyzed for urban and rural subgroups separately by univariate testing. Significant variables were added in a generalized linear model adjusted for living in urban or rural area with age and sex as covariates. Ideal CVH is defined according to the guidelines of the American Heart Association.

results2031 healthy adolescents were enrolled in the present study (56.2% female, mean age 16.5 years). 792 adolescents (39.0%) were from urban and 1239 (61.0%) from rural areas. In 1.3% of adolescents living in urban vs. 1.7% living in rural areas all CVH determinants were in an ideal range. Compared to the rural group, urban adolescents reported significantly longer periods of moderate to vigorous-intensive activity (median 50.0 min/day (interquartile range 30-80) vs. median 40.0 min/day (interquartile range 25-60), p < 0.01). This observation remained significant in a generalized linear model (p < 0.01). There were no significant differences between the study groups regarding all other CVH metrics.

conclusionThe low prevalence of ideal CVH for adolescents living in urban as well as rural areas highlights the need for early health intervention. Geographic differences must be taken into account when defining targeted subgroups for health intervention programs.

Indexed as

Life StyleRural HealthUrban HealthAdolescentAge FactorsAustriaCardiovascular DiseasesDietDyslipidemiasExerciseFemaleGlucose Metabolism DisordersHealth StatusHeart Disease Risk FactorsHumansHypertensionAdolescentsCardiovascular healthEpidemiologyPublic healthRisk factorsUrban rural

Identifiers

PMID34256716
PMCPMC8276470

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.