Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Department of Epidemiology, School of Public Health, Medical College of Soochow University, Suzhou, China.
Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Tulane University Translational Science Institute, New Orleans, Louisiana.
Am J Cardiol. 2021 Nov 15;159:121-128. doi: 10.1016/j.amjcard.2021.08.025.
Deceleration in the decline of cardiovascular disease mortality has been observed recently in the US. We aimed to examine the recent secular trends of cardiovascular health metrics in the US general population. A total of 32,832 adults aged ≥20 years from the National Health and Nutrition Examination Surveys 2007 to 2018 were included in this analysis. Cardiovascular health included 7 health metrics: smoking status, body mass index, physical activity, healthy diet score, total cholesterol, blood pressure, and fasting plasma glucose. Age-standardized mean of overall cardiovascular health score did not significantly change during 2007 to 2010, 2011 to 2014, and 2015 to 2018 in the US adult population (7.88, 8.03, and 7.91, respectively, P-trend = 0.85). The age-standardized proportions of ideal smoking status (P-trend = 0.003), ideal physical activity (P-trend = 0.03), and untreated total cholesterol <200 mg/dL (P-trend <0.001) were significantly increased but the proportions of body mass index <25.0 kg/m (P-trend <0.001), systolic/diastolic blood pressure <120/80 mmHg (P-trend = 0.02), and fasting plasma glucose <100 mg/dL (P-trend <0.001) were significantly decreased during the same period of time in the US adults. In conclusion, from 2007 to 2018, overall cardiovascular health did not change in the US general adult population. Of note, body mass index, blood pressure, and fasting plasma glucose significantly worsened during the same period.
近年来，美国心血管疾病死亡率的下降速度有所放缓。我们旨在研究美国普通人群中心血管健康指标的近期变化趋势。本分析共纳入了来自美国国家健康和营养调查（NHANES）2007 年至 2018 年的 32832 名年龄≥20 岁的成年人。心血管健康包括 7 项健康指标：吸烟状况、体重指数、身体活动、健康饮食评分、总胆固醇、血压和空腹血糖。在 2007 年至 2010 年、2011 年至 2014 年和 2015 年至 2018 年期间，美国成年人的整体心血管健康评分的年龄标准化平均值没有显著变化（分别为 7.88、8.03 和 7.91，P-trend=0.85）。理想吸烟状况（P-trend=0.003）、理想身体活动（P-trend=0.03）和未经治疗的总胆固醇<200mg/dL（P-trend<0.001）的比例显著增加，但体重指数<25.0kg/m（P-trend<0.001）、收缩压/舒张压<120/80mmHg（P-trend=0.02）和空腹血糖<100mg/dL（P-trend<0.001）的比例在同期显著下降。总之，从 2007 年到 2018 年，美国普通成年人群的整体心血管健康状况没有变化。值得注意的是，在此期间体重指数、血压和空腹血糖显著恶化。
