Table 1 The modified American Heart Association 2020 impact goals of ideal, intermediate, and poor CVH.

From: Association of ideal cardiovascular health with carotid intima-media thickness (cIMT) in a young adult population

Metrics

Ideal

Intermediate

Poor

Fasting plasma glucose

< 100 mg/dL without medication

100–125 mg/dL or treated to ideal levels

≥ 126 mg/dL

Blood pressure

< 120/ < 80 mm Hg without medication

SBP 120–139 mm Hg or DBP 80–89 mm Hg or treated to ideal levels

SBP ≥ 140 or

DBP ≥ 90 mm Hg

Current smoking

Never or quit ≥ 12 months

Former ≤ 12 months

Yes

Body mass index

< 25 kg/m2

25–29.9 kg/m2

≥ 30 kg/m2

Total cholesterol

< 200 mg/dL without medication

200–239 mg/dL or treated to ideal levels

≥ 240 mg/dL

Physical activity

≥ 1500 METs min/week

600–1500 METs min/week

< 600 METs min/week

Healthy diet score*

4–5 components

2–3 components

0–1 components

  1. CVH cardiovascular health, METs metabolic equivalent tasks, SBP systolic blood pressure, DBP diastolic blood pressure.
  2. *Fruits and vegetables ≥ 4.5 cups/day; fish ≥ 2 3.5-oz servings/week (preferably oily fish); fiber-rich whole grains ≥ 3 1-oz-equivalent servings/day; sodium < 1500 mg/day; sugar-sweetened beverages ≤ 450 kcal (36 oz)/week. Dietary recommendations are scaled according to a 2000-kcal/d diet.
  3. (Circulation 2010, 121:586–613).