Secular Trends in Cardiovascular Health in US Adults (from NHANES 2007 to 2018)

• Published in: The American journal of cardiology 2021-11, Vol.159, p.121-128
• Main Authors: Zhu, Zhengbao, Bundy, Joshua D., Mills, Katherine T., Bazzano, Lydia A., Kelly, Tanika N., Zhang, Yonghong, Chen, Jing, He, Jiang
• Format: Article
• Language: English
• Subjects: Adults; Age; Age groups; Blood pressure; Body mass; Body mass index; Body size; Cardiovascular diseases; Cholesterol; Confidence intervals; Deceleration; Diabetes; Diet; Ethnicity; Fasting; Fruits; Glucose; Health behavior; Laboratory testing; Mortality; Nutrition; Physical activity; Plasma; Population; Smoking; Trends; Young adults
• ISSN: 0002-9149; 1879-1913
• 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