SlideShare a Scribd company logo
Young at heart: Cardiovascular health stations to empower
healthy lifestyle behaviours for a lifetime of benefit
CIA Dr Linda Gallo
CIB Prof Chris Askew
CIC Dr Hattie Wright
Other team members: Dr Meegan Walker, Dr Joseph Scott, Dr Celine Jona,
Dr Alexandra Metse, Dr Daniel Wadsworth
Cardiovascular health in young adults
• ↑ incident cardiovascular disease in young
adults versus ↓ trends in older adults
• In university students specifically, 20-40% are
overweight or obese, 20-40% do not meet
physical activity guidelines, >90% do not meet
fruit & vegetable guidelines, ~20% have insulin
resistance, high vulnerability to psychological
distress
• Young adults under-represented in risk
reduction strategies
Andersson et al. 2018 Nat Rev Cardiol; Gooding et al. 2020 J Am Heart Assoc; Sun et al. 2023 BMC Medicine;
Gallo et al. 2021 Nutrients; Whatnall et al. 2020 J Am Coll Health; Sharp et al. 2018 Int J Adv Couns
Yang et al. 2020 Am J Med
Males Females
0
40
80
120
160
Blood
pressure
(mmHg)
SBP
DBP
SBP above-normal
DBP above-normal
Fig 1. Seated brachial blood pressures (SBP, DBP). Each data point is average of at least 3 readings using
automated blood pressure machine (females n=185, males n=135). >30% males and >9% females have
above-normal blood pressures. Unpublished data from 2022-2023 University of Queensland students.
Cardiovascular risk factors in Australian
university students
Above-normal brachial blood
pressures (>130/85 mmHg) in
young adulthood ↑ risk of future
CV events (meta-analysis RR 1.35)
Luo et al. 2020 BMJ
79.7 mmHg
86.8 mmHg
63.7 mmHg
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
- 23% meet fibre intake
25% meet potassium intake
19% exceed saturated fat
63% meet su!cient PA levels
41% meet fibre intake
40% meet potassium intake
12% exceed saturated fat
79% meet su!cient PA levels
Females
119.7 mmHg
83.1 mmHg
89.2 mmHg
66.9 mmHg
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
- 24% meet fibre intake
31% meet magnesium intake
17% exceed saturated fat
85% meet su!cient PA levels
36% meet fibre intake
45% meet magnesium intake
9% exceed saturated fat
90% meet su!cient PA levels
116.4 mmHg
Males
0 20 32 44
0
60
80
100
120
Mean
arterial
pressure
(mmHg)
Females, r=0.50, p<0.0001, n=173
Males, r=0.24, p<0.01, n=123
0 10 20 30 40 50
0
60
80
100
120
Mean
arterial
pressure
(mmHg)
Female
Male
Females, r=0.42, p<0.0001, n=140
Males, r=0.25, p<0.01, n=102
A B
C D
Fig 2. (A-B) Percentage of university students meeting nutrient (24-hr diet recall; ASA24) and physical
activity (PA; Active Australia Survey) guidelines in highest and lowest tertiles for mean arterial pressure
(females n=185, males n=135). Unpublished data from 2022-2023 University of Queensland students.
Cardiovascular risk factors in Australian
university students
Mean PWV
Males: 8.5 ± 0.71, n=22
Females: 7.4 ± 0.76, n=31
Mean seated BP
Males: 126/74 (SD 8/6), n=22
Females: 117/70 (SD 9/6), n=31
Males Females
0
4
6
8
10
Pulse
wave
velocity
(m/sec)
4.42
-
6.86
4.94
-
7.46
Fig 3. Carotid-femoral PWV using SphygmoCor XCEL. Each data point is average of at least 2 readings (males n=22, females
n=31). 100% males and 75% females have above-normal arterial stiffness. Unpublished data from 2023-2024 University of the
Sunshine Coast students. Dotted lines show cfPWV Australian reference values for 20-29 years of age (Lu et al. 2023 eBioMed).
Cardiovascular risk factors in Australian
university students
PWV reveals
vascular risk in a
greater
proportion of
participants than
traditional
brachial blood
pressure
”…it’s a powerful tool
to let people understand
where they’re at…”
Moderator question: “What did you think about receiving your personal
vascular data, as a potential motivator for making healthier choices?”
Barriers & facilitators: positive health behaviors in
Australian university students
“…a lot of people
don’t realise that
there’s a problem.”
“Yeah, I agree.”
“Yeah, definitely.”
“Yes, I agree. Agree.”
Focus group focusing on barriers and facilitators to making healthy lifestyle choices and end-user preferences for effective
interventions. Participants were University of the Sunshine Coast young adult students (n=6) who recently received their own
vascular data using SphygmoCor for formative data collection to inform this proposal. Session held on February 21st 2024.
Barriers & facilitators: positive health behaviors in
Australian university students
0% 5% 10% 15% 20% 25% 30% 35% 40% 45%
Strongly agree
Agree
Somewhat agree
Neutral
Somewhat disagree
Disagree
Strongly disagree I know what the recommended daily serves are for each food group
I know what the recommended levels of physical activity are
Young adult students that
know the recommendations
for food group serves &
physical activity levelsà
Less than half strongly
agreed or agreed
Proposal Aim & Methods
To examine the feasibility and efficacy of cardiovascular health stations to improve
modifiable risk factors in young adults
• Health stations open at two UniSC campuses for ~2 hours/d, 3 days/w (Feb-Nov 2025)
• All students invited to ‘drop-in’ for vascular health assessment: arterial stiffness (SphymoCor XCEL) &
other vascular biomarkers (CONNEQT Pulse) à results provided to visitors in real-time
• Opportunity to review dietary & physical activity guidelines, & talk with discipline-specific experts to
empower positive lifestyle choices
• Students aged 18-29 years (target=60) provide consent for data reporting including completion of
surveys: demographics & health, GHQ-12, physical activity (NHS 2020-21), diet recalls (ASA24 x3),
knowledge & perception of cardiovascular risk. Return after 6 weeks & all measures re-assessed, along
with an evaluation survey for intervention acceptability & identify effective elements
• Primary feasibility end-points: number of students assessed using SphygmoCor XCEL & CONNEQT Pulse,
number of returning students, number of visiting & eligible students that provide consent & attrition.
• Primary efficacy end points: fruit & vegetable intake, sufficient physical activity, mental wellbeing
scores, & knowledge & perception of cardiovascular risk
Young adults with a family history
of hypertension have high arterial
stiffness before developing
overt hypertension.
Ohio State Health & Discovery, Feb 2023
Andersson et al. 2016 Hypertension
Vascular assessment using SphygmoCor – Why this
approach over traditional brachial blood pressure?
Better engage end-user interest, identify early vascular risks & association to
behaviours à increase knowledge & acceptance of risks that exist in young
adulthood, & motivate positive behaviour changes
Proposal expected outcomes
Widescale adoption of permanent health
stations at universities & workplaces
using SphygmoCor technology
↑ vegetable & fruit serves per day
↑ proportion achieving sufficient physical activity
↑ proportion engaged in positive mental health behaviours
↑ knowledge & perception of arterial health related outcomes

More Related Content

Similar to Young at heart: Cardiovascular health stations to empower healthy lifestyle behaviours for a lifetime of benefit

Final draft group 3_jp_1130_pm
Final draft group 3_jp_1130_pmFinal draft group 3_jp_1130_pm
Final draft group 3_jp_1130_pm
Jean-Paul Djiatsa
 
Corporate Presentation, For Management Or Hr Dir
Corporate Presentation, For Management Or Hr DirCorporate Presentation, For Management Or Hr Dir
Corporate Presentation, For Management Or Hr Dir
Robo86
 
Health Science Internship
Health Science InternshipHealth Science Internship
Health Science Internship
amlamb
 
Transportation and Total Health - Arlington Mobility Lab Lunch and Learn
Transportation and Total Health - Arlington Mobility Lab Lunch and LearnTransportation and Total Health - Arlington Mobility Lab Lunch and Learn
Transportation and Total Health - Arlington Mobility Lab Lunch and Learn
Ted Eytan, MD, MS, MPH
 
Plant-based Eating: Enhancing Health Benefits, Minimizing Nutritional Risks
Plant-based Eating: Enhancing Health Benefits, Minimizing Nutritional RisksPlant-based Eating: Enhancing Health Benefits, Minimizing Nutritional Risks
Plant-based Eating: Enhancing Health Benefits, Minimizing Nutritional Risks
Robin Allen
 
metabolic syndrome
metabolic syndrome metabolic syndrome
metabolic syndrome
Dr. BMN college of Home Science
 
DrRic Taking the Hype out of Hypertension (slide share edition)
DrRic Taking the Hype out of Hypertension (slide share edition)DrRic Taking the Hype out of Hypertension (slide share edition)
DrRic Taking the Hype out of Hypertension (slide share edition)
DrRic Saguil
 
The Hypertension Guidelines JNC 8
The Hypertension Guidelines JNC 8 The Hypertension Guidelines JNC 8
The Hypertension Guidelines JNC 8
Utai Sukviwatsirikul
 
2019-Prevention-Guideline-Slides-gl-prevention.ppt
2019-Prevention-Guideline-Slides-gl-prevention.ppt2019-Prevention-Guideline-Slides-gl-prevention.ppt
2019-Prevention-Guideline-Slides-gl-prevention.ppt
HimaniPandya16
 
From Z Lines to Pt Selection
From Z Lines to Pt SelectionFrom Z Lines to Pt Selection
From Z Lines to Pt Selection
EsserHealth
 
Regression of Coronary Atherosclerosis through Healthy Lifestyle in Coronary ...
Regression of Coronary Atherosclerosis through Healthy Lifestyle in Coronary ...Regression of Coronary Atherosclerosis through Healthy Lifestyle in Coronary ...
Regression of Coronary Atherosclerosis through Healthy Lifestyle in Coronary ...
Medical Wing of Rajyoga Education & Research Foundation
 
My STSH Scholary Article about TREATMENT of PRE-DIABETES with SSDD
My STSH Scholary Article about TREATMENT of PRE-DIABETES with SSDDMy STSH Scholary Article about TREATMENT of PRE-DIABETES with SSDD
My STSH Scholary Article about TREATMENT of PRE-DIABETES with SSDD
Dr. Sutanu Patra
 
Clarian health health promotion inservice november 8, 2010
Clarian health  health promotion inservice  november 8, 2010Clarian health  health promotion inservice  november 8, 2010
Clarian health health promotion inservice november 8, 2010
Julie Gahimer
 
Comparative study to assess the Effect of Standing Position & Sitting Positio...
Comparative study to assess the Effect of Standing Position & Sitting Positio...Comparative study to assess the Effect of Standing Position & Sitting Positio...
Comparative study to assess the Effect of Standing Position & Sitting Positio...
Kailash Nagar
 
Health Benefits to Gastric Bypass
Health Benefits to Gastric BypassHealth Benefits to Gastric Bypass
Health Benefits to Gastric Bypass
NCWeightLoss
 
Aliments Anti-Cancer
Aliments Anti-CancerAliments Anti-Cancer
Aliments Anti-Cancer
Luís Rita
 
NCD Prevention in Cameroon
NCD Prevention in CameroonNCD Prevention in Cameroon
2022 Hypertension Lecture (Updated Guidelines).pdf
2022 Hypertension Lecture (Updated Guidelines).pdf2022 Hypertension Lecture (Updated Guidelines).pdf
2022 Hypertension Lecture (Updated Guidelines).pdf
Meccar Moniem Elino
 
Healthy aging
Healthy agingHealthy aging
Healthy aging
Marc Evans Abat
 
A study on knowledge and practice of post menopausal women
A study on knowledge and practice of post menopausal womenA study on knowledge and practice of post menopausal women
A study on knowledge and practice of post menopausal women
Alexander Decker
 

Similar to Young at heart: Cardiovascular health stations to empower healthy lifestyle behaviours for a lifetime of benefit (20)

Final draft group 3_jp_1130_pm
Final draft group 3_jp_1130_pmFinal draft group 3_jp_1130_pm
Final draft group 3_jp_1130_pm
 
Corporate Presentation, For Management Or Hr Dir
Corporate Presentation, For Management Or Hr DirCorporate Presentation, For Management Or Hr Dir
Corporate Presentation, For Management Or Hr Dir
 
Health Science Internship
Health Science InternshipHealth Science Internship
Health Science Internship
 
Transportation and Total Health - Arlington Mobility Lab Lunch and Learn
Transportation and Total Health - Arlington Mobility Lab Lunch and LearnTransportation and Total Health - Arlington Mobility Lab Lunch and Learn
Transportation and Total Health - Arlington Mobility Lab Lunch and Learn
 
Plant-based Eating: Enhancing Health Benefits, Minimizing Nutritional Risks
Plant-based Eating: Enhancing Health Benefits, Minimizing Nutritional RisksPlant-based Eating: Enhancing Health Benefits, Minimizing Nutritional Risks
Plant-based Eating: Enhancing Health Benefits, Minimizing Nutritional Risks
 
metabolic syndrome
metabolic syndrome metabolic syndrome
metabolic syndrome
 
DrRic Taking the Hype out of Hypertension (slide share edition)
DrRic Taking the Hype out of Hypertension (slide share edition)DrRic Taking the Hype out of Hypertension (slide share edition)
DrRic Taking the Hype out of Hypertension (slide share edition)
 
The Hypertension Guidelines JNC 8
The Hypertension Guidelines JNC 8 The Hypertension Guidelines JNC 8
The Hypertension Guidelines JNC 8
 
2019-Prevention-Guideline-Slides-gl-prevention.ppt
2019-Prevention-Guideline-Slides-gl-prevention.ppt2019-Prevention-Guideline-Slides-gl-prevention.ppt
2019-Prevention-Guideline-Slides-gl-prevention.ppt
 
From Z Lines to Pt Selection
From Z Lines to Pt SelectionFrom Z Lines to Pt Selection
From Z Lines to Pt Selection
 
Regression of Coronary Atherosclerosis through Healthy Lifestyle in Coronary ...
Regression of Coronary Atherosclerosis through Healthy Lifestyle in Coronary ...Regression of Coronary Atherosclerosis through Healthy Lifestyle in Coronary ...
Regression of Coronary Atherosclerosis through Healthy Lifestyle in Coronary ...
 
My STSH Scholary Article about TREATMENT of PRE-DIABETES with SSDD
My STSH Scholary Article about TREATMENT of PRE-DIABETES with SSDDMy STSH Scholary Article about TREATMENT of PRE-DIABETES with SSDD
My STSH Scholary Article about TREATMENT of PRE-DIABETES with SSDD
 
Clarian health health promotion inservice november 8, 2010
Clarian health  health promotion inservice  november 8, 2010Clarian health  health promotion inservice  november 8, 2010
Clarian health health promotion inservice november 8, 2010
 
Comparative study to assess the Effect of Standing Position & Sitting Positio...
Comparative study to assess the Effect of Standing Position & Sitting Positio...Comparative study to assess the Effect of Standing Position & Sitting Positio...
Comparative study to assess the Effect of Standing Position & Sitting Positio...
 
Health Benefits to Gastric Bypass
Health Benefits to Gastric BypassHealth Benefits to Gastric Bypass
Health Benefits to Gastric Bypass
 
Aliments Anti-Cancer
Aliments Anti-CancerAliments Anti-Cancer
Aliments Anti-Cancer
 
NCD Prevention in Cameroon
NCD Prevention in CameroonNCD Prevention in Cameroon
NCD Prevention in Cameroon
 
2022 Hypertension Lecture (Updated Guidelines).pdf
2022 Hypertension Lecture (Updated Guidelines).pdf2022 Hypertension Lecture (Updated Guidelines).pdf
2022 Hypertension Lecture (Updated Guidelines).pdf
 
Healthy aging
Healthy agingHealthy aging
Healthy aging
 
A study on knowledge and practice of post menopausal women
A study on knowledge and practice of post menopausal womenA study on knowledge and practice of post menopausal women
A study on knowledge and practice of post menopausal women
 

More from Catherine Liao

The hemodynamic and autonomic determinants of elevated blood pressure in obes...
The hemodynamic and autonomic determinants of elevated blood pressure in obes...The hemodynamic and autonomic determinants of elevated blood pressure in obes...
The hemodynamic and autonomic determinants of elevated blood pressure in obes...
Catherine Liao
 
The POPPY STUDY (Preconception to post-partum cardiovascular function in prim...
The POPPY STUDY (Preconception to post-partum cardiovascular function in prim...The POPPY STUDY (Preconception to post-partum cardiovascular function in prim...
The POPPY STUDY (Preconception to post-partum cardiovascular function in prim...
Catherine Liao
 
Non-Invasive assessment of arterial stiffness in advanced heart failure patie...
Non-Invasive assessment of arterial stiffness in advanced heart failure patie...Non-Invasive assessment of arterial stiffness in advanced heart failure patie...
Non-Invasive assessment of arterial stiffness in advanced heart failure patie...
Catherine Liao
 
Arterial health throughout cancer treatment and exercise rehabilitation in wo...
Arterial health throughout cancer treatment and exercise rehabilitation in wo...Arterial health throughout cancer treatment and exercise rehabilitation in wo...
Arterial health throughout cancer treatment and exercise rehabilitation in wo...
Catherine Liao
 
"Central Hypertension"‚ in China: Towards the nation-wide use of SphygmoCor t...
"Central Hypertension"‚ in China: Towards the nation-wide use of SphygmoCor t..."Central Hypertension"‚ in China: Towards the nation-wide use of SphygmoCor t...
"Central Hypertension"‚ in China: Towards the nation-wide use of SphygmoCor t...
Catherine Liao
 
Impact of cancers therapies on the loss in cardiac function, myocardial fffic...
Impact of cancers therapies on the loss in cardiac function, myocardial fffic...Impact of cancers therapies on the loss in cardiac function, myocardial fffic...
Impact of cancers therapies on the loss in cardiac function, myocardial fffic...
Catherine Liao
 
Is preeclampsia and spontaneous preterm delivery associate with vascular and ...
Is preeclampsia and spontaneous preterm delivery associate with vascular and ...Is preeclampsia and spontaneous preterm delivery associate with vascular and ...
Is preeclampsia and spontaneous preterm delivery associate with vascular and ...
Catherine Liao
 
Effects of vaping e-cigarettes on arterial health
Effects of vaping e-cigarettes on arterial healthEffects of vaping e-cigarettes on arterial health
Effects of vaping e-cigarettes on arterial health
Catherine Liao
 
Relationship between vascular system disfunction, neurofluid flow and Alzheim...
Relationship between vascular system disfunction, neurofluid flow and Alzheim...Relationship between vascular system disfunction, neurofluid flow and Alzheim...
Relationship between vascular system disfunction, neurofluid flow and Alzheim...
Catherine Liao
 
Compare home pulse pressure components collected directly from home
Compare home pulse pressure components collected directly from homeCompare home pulse pressure components collected directly from home
Compare home pulse pressure components collected directly from home
Catherine Liao
 
Scientificity and feasibility study of non-invasive central arterial pressure...
Scientificity and feasibility study of non-invasive central arterial pressure...Scientificity and feasibility study of non-invasive central arterial pressure...
Scientificity and feasibility study of non-invasive central arterial pressure...
Catherine Liao
 

More from Catherine Liao (11)

The hemodynamic and autonomic determinants of elevated blood pressure in obes...
The hemodynamic and autonomic determinants of elevated blood pressure in obes...The hemodynamic and autonomic determinants of elevated blood pressure in obes...
The hemodynamic and autonomic determinants of elevated blood pressure in obes...
 
The POPPY STUDY (Preconception to post-partum cardiovascular function in prim...
The POPPY STUDY (Preconception to post-partum cardiovascular function in prim...The POPPY STUDY (Preconception to post-partum cardiovascular function in prim...
The POPPY STUDY (Preconception to post-partum cardiovascular function in prim...
 
Non-Invasive assessment of arterial stiffness in advanced heart failure patie...
Non-Invasive assessment of arterial stiffness in advanced heart failure patie...Non-Invasive assessment of arterial stiffness in advanced heart failure patie...
Non-Invasive assessment of arterial stiffness in advanced heart failure patie...
 
Arterial health throughout cancer treatment and exercise rehabilitation in wo...
Arterial health throughout cancer treatment and exercise rehabilitation in wo...Arterial health throughout cancer treatment and exercise rehabilitation in wo...
Arterial health throughout cancer treatment and exercise rehabilitation in wo...
 
"Central Hypertension"‚ in China: Towards the nation-wide use of SphygmoCor t...
"Central Hypertension"‚ in China: Towards the nation-wide use of SphygmoCor t..."Central Hypertension"‚ in China: Towards the nation-wide use of SphygmoCor t...
"Central Hypertension"‚ in China: Towards the nation-wide use of SphygmoCor t...
 
Impact of cancers therapies on the loss in cardiac function, myocardial fffic...
Impact of cancers therapies on the loss in cardiac function, myocardial fffic...Impact of cancers therapies on the loss in cardiac function, myocardial fffic...
Impact of cancers therapies on the loss in cardiac function, myocardial fffic...
 
Is preeclampsia and spontaneous preterm delivery associate with vascular and ...
Is preeclampsia and spontaneous preterm delivery associate with vascular and ...Is preeclampsia and spontaneous preterm delivery associate with vascular and ...
Is preeclampsia and spontaneous preterm delivery associate with vascular and ...
 
Effects of vaping e-cigarettes on arterial health
Effects of vaping e-cigarettes on arterial healthEffects of vaping e-cigarettes on arterial health
Effects of vaping e-cigarettes on arterial health
 
Relationship between vascular system disfunction, neurofluid flow and Alzheim...
Relationship between vascular system disfunction, neurofluid flow and Alzheim...Relationship between vascular system disfunction, neurofluid flow and Alzheim...
Relationship between vascular system disfunction, neurofluid flow and Alzheim...
 
Compare home pulse pressure components collected directly from home
Compare home pulse pressure components collected directly from homeCompare home pulse pressure components collected directly from home
Compare home pulse pressure components collected directly from home
 
Scientificity and feasibility study of non-invasive central arterial pressure...
Scientificity and feasibility study of non-invasive central arterial pressure...Scientificity and feasibility study of non-invasive central arterial pressure...
Scientificity and feasibility study of non-invasive central arterial pressure...
 

Recently uploaded

Alzheimer’s Disease Case Conference: Gearing Up for the Expanding Role of Neu...
Alzheimer’s Disease Case Conference: Gearing Up for the Expanding Role of Neu...Alzheimer’s Disease Case Conference: Gearing Up for the Expanding Role of Neu...
Alzheimer’s Disease Case Conference: Gearing Up for the Expanding Role of Neu...
PVI, PeerView Institute for Medical Education
 
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptxPost-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
FFragrant
 
Pollen and Fungal allergy: aeroallergy.pdf
Pollen and Fungal allergy: aeroallergy.pdfPollen and Fungal allergy: aeroallergy.pdf
Pollen and Fungal allergy: aeroallergy.pdf
Chulalongkorn Allergy and Clinical Immunology Research Group
 
LOW BIRTH WEIGHT. PRETERM BABIES OR SMALL FOR DATES BABIES
LOW BIRTH WEIGHT. PRETERM BABIES OR SMALL FOR DATES BABIESLOW BIRTH WEIGHT. PRETERM BABIES OR SMALL FOR DATES BABIES
LOW BIRTH WEIGHT. PRETERM BABIES OR SMALL FOR DATES BABIES
ShraddhaTamshettiwar
 
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdfTest bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
rightmanforbloodline
 
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
rishi2789
 
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
Holistified Wellness
 
vonoprazan A novel drug for GERD presentation
vonoprazan A novel drug for GERD presentationvonoprazan A novel drug for GERD presentation
vonoprazan A novel drug for GERD presentation
Dr.pavithra Anandan
 
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
FFragrant
 
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdfNAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
Rahul Sen
 
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
Medical Quiz ( Online Quiz for API Meet 2024 ).pdfMedical Quiz ( Online Quiz for API Meet 2024 ).pdf
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
Jim Jacob Roy
 
Cervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptxCervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptx
LEFLOT Jean-Louis
 
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấuK CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
HongBiThi1
 
Ageing, the Elderly, Gerontology and Public Health
Ageing, the Elderly, Gerontology and Public HealthAgeing, the Elderly, Gerontology and Public Health
Ageing, the Elderly, Gerontology and Public Health
phuakl
 
SENSORY NEEDS B.SC. NURSING SEMESTER II.
SENSORY NEEDS B.SC. NURSING SEMESTER II.SENSORY NEEDS B.SC. NURSING SEMESTER II.
SENSORY NEEDS B.SC. NURSING SEMESTER II.
KULDEEP VYAS
 
Top Travel Vaccinations in Manchester
Top Travel Vaccinations in ManchesterTop Travel Vaccinations in Manchester
Top Travel Vaccinations in Manchester
NX Healthcare
 
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdfCHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
rishi2789
 
How to Control Your Asthma Tips by gokuldas hospital.
How to Control Your Asthma Tips by gokuldas hospital.How to Control Your Asthma Tips by gokuldas hospital.
How to Control Your Asthma Tips by gokuldas hospital.
Gokuldas Hospital
 
The Nervous and Chemical Regulation of Respiration
The Nervous and Chemical Regulation of RespirationThe Nervous and Chemical Regulation of Respiration
The Nervous and Chemical Regulation of Respiration
MedicoseAcademics
 
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan PatroJune 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
Kanhu Charan
 

Recently uploaded (20)

Alzheimer’s Disease Case Conference: Gearing Up for the Expanding Role of Neu...
Alzheimer’s Disease Case Conference: Gearing Up for the Expanding Role of Neu...Alzheimer’s Disease Case Conference: Gearing Up for the Expanding Role of Neu...
Alzheimer’s Disease Case Conference: Gearing Up for the Expanding Role of Neu...
 
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptxPost-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
 
Pollen and Fungal allergy: aeroallergy.pdf
Pollen and Fungal allergy: aeroallergy.pdfPollen and Fungal allergy: aeroallergy.pdf
Pollen and Fungal allergy: aeroallergy.pdf
 
LOW BIRTH WEIGHT. PRETERM BABIES OR SMALL FOR DATES BABIES
LOW BIRTH WEIGHT. PRETERM BABIES OR SMALL FOR DATES BABIESLOW BIRTH WEIGHT. PRETERM BABIES OR SMALL FOR DATES BABIES
LOW BIRTH WEIGHT. PRETERM BABIES OR SMALL FOR DATES BABIES
 
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdfTest bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
 
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
 
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
 
vonoprazan A novel drug for GERD presentation
vonoprazan A novel drug for GERD presentationvonoprazan A novel drug for GERD presentation
vonoprazan A novel drug for GERD presentation
 
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
 
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdfNAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
 
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
Medical Quiz ( Online Quiz for API Meet 2024 ).pdfMedical Quiz ( Online Quiz for API Meet 2024 ).pdf
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
 
Cervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptxCervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptx
 
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấuK CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
 
Ageing, the Elderly, Gerontology and Public Health
Ageing, the Elderly, Gerontology and Public HealthAgeing, the Elderly, Gerontology and Public Health
Ageing, the Elderly, Gerontology and Public Health
 
SENSORY NEEDS B.SC. NURSING SEMESTER II.
SENSORY NEEDS B.SC. NURSING SEMESTER II.SENSORY NEEDS B.SC. NURSING SEMESTER II.
SENSORY NEEDS B.SC. NURSING SEMESTER II.
 
Top Travel Vaccinations in Manchester
Top Travel Vaccinations in ManchesterTop Travel Vaccinations in Manchester
Top Travel Vaccinations in Manchester
 
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdfCHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
 
How to Control Your Asthma Tips by gokuldas hospital.
How to Control Your Asthma Tips by gokuldas hospital.How to Control Your Asthma Tips by gokuldas hospital.
How to Control Your Asthma Tips by gokuldas hospital.
 
The Nervous and Chemical Regulation of Respiration
The Nervous and Chemical Regulation of RespirationThe Nervous and Chemical Regulation of Respiration
The Nervous and Chemical Regulation of Respiration
 
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan PatroJune 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
 

Young at heart: Cardiovascular health stations to empower healthy lifestyle behaviours for a lifetime of benefit

  • 1. Young at heart: Cardiovascular health stations to empower healthy lifestyle behaviours for a lifetime of benefit CIA Dr Linda Gallo CIB Prof Chris Askew CIC Dr Hattie Wright Other team members: Dr Meegan Walker, Dr Joseph Scott, Dr Celine Jona, Dr Alexandra Metse, Dr Daniel Wadsworth
  • 2. Cardiovascular health in young adults • ↑ incident cardiovascular disease in young adults versus ↓ trends in older adults • In university students specifically, 20-40% are overweight or obese, 20-40% do not meet physical activity guidelines, >90% do not meet fruit & vegetable guidelines, ~20% have insulin resistance, high vulnerability to psychological distress • Young adults under-represented in risk reduction strategies Andersson et al. 2018 Nat Rev Cardiol; Gooding et al. 2020 J Am Heart Assoc; Sun et al. 2023 BMC Medicine; Gallo et al. 2021 Nutrients; Whatnall et al. 2020 J Am Coll Health; Sharp et al. 2018 Int J Adv Couns Yang et al. 2020 Am J Med
  • 3. Males Females 0 40 80 120 160 Blood pressure (mmHg) SBP DBP SBP above-normal DBP above-normal Fig 1. Seated brachial blood pressures (SBP, DBP). Each data point is average of at least 3 readings using automated blood pressure machine (females n=185, males n=135). >30% males and >9% females have above-normal blood pressures. Unpublished data from 2022-2023 University of Queensland students. Cardiovascular risk factors in Australian university students Above-normal brachial blood pressures (>130/85 mmHg) in young adulthood ↑ risk of future CV events (meta-analysis RR 1.35) Luo et al. 2020 BMJ
  • 4. 79.7 mmHg 86.8 mmHg 63.7 mmHg - - - - - - - - - - - - - - - - - - - - - - - - - - - 23% meet fibre intake 25% meet potassium intake 19% exceed saturated fat 63% meet su!cient PA levels 41% meet fibre intake 40% meet potassium intake 12% exceed saturated fat 79% meet su!cient PA levels Females 119.7 mmHg 83.1 mmHg 89.2 mmHg 66.9 mmHg - - - - - - - - - - - - - - - - - - - - - - - - - - - 24% meet fibre intake 31% meet magnesium intake 17% exceed saturated fat 85% meet su!cient PA levels 36% meet fibre intake 45% meet magnesium intake 9% exceed saturated fat 90% meet su!cient PA levels 116.4 mmHg Males 0 20 32 44 0 60 80 100 120 Mean arterial pressure (mmHg) Females, r=0.50, p<0.0001, n=173 Males, r=0.24, p<0.01, n=123 0 10 20 30 40 50 0 60 80 100 120 Mean arterial pressure (mmHg) Female Male Females, r=0.42, p<0.0001, n=140 Males, r=0.25, p<0.01, n=102 A B C D Fig 2. (A-B) Percentage of university students meeting nutrient (24-hr diet recall; ASA24) and physical activity (PA; Active Australia Survey) guidelines in highest and lowest tertiles for mean arterial pressure (females n=185, males n=135). Unpublished data from 2022-2023 University of Queensland students. Cardiovascular risk factors in Australian university students
  • 5. Mean PWV Males: 8.5 ± 0.71, n=22 Females: 7.4 ± 0.76, n=31 Mean seated BP Males: 126/74 (SD 8/6), n=22 Females: 117/70 (SD 9/6), n=31 Males Females 0 4 6 8 10 Pulse wave velocity (m/sec) 4.42 - 6.86 4.94 - 7.46 Fig 3. Carotid-femoral PWV using SphygmoCor XCEL. Each data point is average of at least 2 readings (males n=22, females n=31). 100% males and 75% females have above-normal arterial stiffness. Unpublished data from 2023-2024 University of the Sunshine Coast students. Dotted lines show cfPWV Australian reference values for 20-29 years of age (Lu et al. 2023 eBioMed). Cardiovascular risk factors in Australian university students PWV reveals vascular risk in a greater proportion of participants than traditional brachial blood pressure
  • 6. ”…it’s a powerful tool to let people understand where they’re at…” Moderator question: “What did you think about receiving your personal vascular data, as a potential motivator for making healthier choices?” Barriers & facilitators: positive health behaviors in Australian university students “…a lot of people don’t realise that there’s a problem.” “Yeah, I agree.” “Yeah, definitely.” “Yes, I agree. Agree.” Focus group focusing on barriers and facilitators to making healthy lifestyle choices and end-user preferences for effective interventions. Participants were University of the Sunshine Coast young adult students (n=6) who recently received their own vascular data using SphygmoCor for formative data collection to inform this proposal. Session held on February 21st 2024.
  • 7. Barriers & facilitators: positive health behaviors in Australian university students 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% Strongly agree Agree Somewhat agree Neutral Somewhat disagree Disagree Strongly disagree I know what the recommended daily serves are for each food group I know what the recommended levels of physical activity are Young adult students that know the recommendations for food group serves & physical activity levelsà Less than half strongly agreed or agreed
  • 8. Proposal Aim & Methods To examine the feasibility and efficacy of cardiovascular health stations to improve modifiable risk factors in young adults • Health stations open at two UniSC campuses for ~2 hours/d, 3 days/w (Feb-Nov 2025) • All students invited to ‘drop-in’ for vascular health assessment: arterial stiffness (SphymoCor XCEL) & other vascular biomarkers (CONNEQT Pulse) à results provided to visitors in real-time • Opportunity to review dietary & physical activity guidelines, & talk with discipline-specific experts to empower positive lifestyle choices • Students aged 18-29 years (target=60) provide consent for data reporting including completion of surveys: demographics & health, GHQ-12, physical activity (NHS 2020-21), diet recalls (ASA24 x3), knowledge & perception of cardiovascular risk. Return after 6 weeks & all measures re-assessed, along with an evaluation survey for intervention acceptability & identify effective elements • Primary feasibility end-points: number of students assessed using SphygmoCor XCEL & CONNEQT Pulse, number of returning students, number of visiting & eligible students that provide consent & attrition. • Primary efficacy end points: fruit & vegetable intake, sufficient physical activity, mental wellbeing scores, & knowledge & perception of cardiovascular risk
  • 9. Young adults with a family history of hypertension have high arterial stiffness before developing overt hypertension. Ohio State Health & Discovery, Feb 2023 Andersson et al. 2016 Hypertension Vascular assessment using SphygmoCor – Why this approach over traditional brachial blood pressure? Better engage end-user interest, identify early vascular risks & association to behaviours à increase knowledge & acceptance of risks that exist in young adulthood, & motivate positive behaviour changes
  • 10. Proposal expected outcomes Widescale adoption of permanent health stations at universities & workplaces using SphygmoCor technology ↑ vegetable & fruit serves per day ↑ proportion achieving sufficient physical activity ↑ proportion engaged in positive mental health behaviours ↑ knowledge & perception of arterial health related outcomes