1263-P: Determinants of Cardiovascular Risk Factors in the Aging Costa Rican Population—Insights from an Ordered Logistic Regression Model in the Costa Rican Longevity and Healthy Aging Study

Introduction: The Costa Rican Longevity and Healthy Aging Study (CRELES), initiated in 2005, captures the health and lifestyle of elderly Costa Ricans with survival data up to 2019. We explored the association between sociodemographic and clinical variables and the number of controlled cardiovascular risk factors (CVRFs). Methodology: From CRELES, 1943 participants were categorized for meeting targets for none to 5 CVRFs, which included A1c, blood pressure, exercise, BMI, and smoking. We modeled the association between sociodemographic and clinical variables and the number of controlled CVRFs through ordered logistic regression. Results: Participants with 0, 1, 2, 3, 4, and 5 controlled CVRFs constituted 0.8%, 13.3%, 32.1%, 35.8%, 15.0%, and 3.0%, respectively. Males were less likely to have more controlled CVRFs (OR: 0.479, 95% CI: 0.359-0.638, p<0.001). Conversely, a never-smoker status (OR: 10.2, 95% CI: 7.5-14.0, p<0.001) and not having diabetes (OR: 3.1, 95% CI: 2.1-4.5, p<0.001), had a higher likelihood of having more controlled CVRFs (see Table 1). Conclusions: Female sex, increased education, living without diabetes, and non-smoking status were associated with a greater likelihood of having more controlled CVRFs.

Duke Scholars

Author Gabriel Torrealba-Acosta Neurology, Neurocritical Care