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. 2020 Feb 17;9(4):e015123. doi: 10.1161/JAHA.119.015123

Table 1.

CVH Metric Definitions for Pregnant and Nonpregnant Women

Metric Pregnant Women
Ideal Intermediate Poor
Dieta 4–5 Components 2–3 Components 0–1 Component
Diet components: (1) fruits and vegetables: ≥4.5 cups/d; (2) fisha: 2–3 3.5‐oz servings/wk; (3) whole grains (ie, ≥1.1 g fiber per 10 g carbohydrate): ≥3 1‐oz equivalent servings/d; (4) sodium: <1500 mg/d; (5) sugar‐sweetened beverages: ≤450 kcal/wk
Physical activity ≥150 min/wk moderate or ≥75 min/wk vigorous intensity or combination

1–149 min/wk moderate+vigorous

or 1–74 min/wk vigorous

None
Smoking Never or quit >12 mo ago Former ≤12 mo Current
BMIa Less than or equal to maximum possible if top‐normal prepregnancy BMI and maximal recommended gestational weight gain (see Methods) All others “nonideal”
Blood pressureb <120/<80 mm Hg untreated SBP 120–139 mm Hg or DBP 80–89 mm Hg or treated to goal SBP ≥140 mm Hg or DBP ≥90 mm Hg
Total cholesterol <200 mg/dL untreated 200–239 mg/dL or treated to goal ≥240 mg/dL
Fasting plasma glucosea

Month of pregnancy 1–5: <100 mg/dL untreated

Month of pregnancy 6–9: <92 mg/dL untreated

All others “nonideal”
Metric Nonpregnant Women
Ideal Intermediate Poor
Diet 4–5 Components 2–3 Components 0–1 Component
Diet components: (1) fruits and vegetables: ≥4.5 cups/d; (2) fish: ≥2 3.5‐oz servings/wk; (3) whole grains (ie, ≥1.1 g fiber per 10 g carbohydrate): ≥3 1‐oz equivalent servings/d; (4) sodium: <1500 mg/d; (5) sugar‐sweetened beverages: ≤450 kcal/wk
Physical activity ≥150 min/wk moderate or ≥75 min/wk vigorous intensity or combination

1–149 min/wk moderate+vigorous

or 1–74 min/wk vigorous

None
Smoking Never or quit >12 mo ago Former ≤12 mo Current
BMIa <25 kg/m2 All others “nonideal”
Blood pressureb <120/<80 mm Hg untreated SBP 120–139 mm Hg or DBP 80–89 mm Hg or treated to goal SBP ≥140 mm Hg or DBP ≥90 mm Hg
Total cholesterol <200 mg/dL untreated 200–239 mg/dL or treated to goal ≥240 mg/dL
Fasting plasma glucosea <100 mg/dL untreated All others “nonideal”

BMI indicates body mass index; CVH, cardiovascular health; DBP, diastolic blood pressure; SBP, systolic blood pressure.

a

Different from American Heart Association CVH metric definitions for nonpregnant adults. See text (Methods) for details.

b

Primary definition shown. In a sensitivity analysis, blood pressure was categorized as intermediate if SBP 120 to 129 mm Hg and DBP <80 mm Hg or treated to goal and as poor if SBP ≥130 mm Hg or DBP ≥80 mm Hg, per recent American Heart Association/American College of Cardiology blood pressure guidelines for nonpregnant adults.