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