Evidence map›Paper›PMID 33775420›Full record

ArticleMayo Clinic proceedings2021

Geographic Variation in Cardiovascular Health Among American Adults.

Vibhu Parcha, Rajat Kalra, Sarabjeet S Suri, Gargya Malla, Thomas J Wang, Garima Arora, Pankaj Arora

Abstract read
In one paragraph

Article in Mayo Clinic proceedings, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

59 citing papers in PubMed.

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  12. Inpatient mortality following hip fracture in the United States: an updated analysis of over one million cases.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Vibhu ParchaDivision of Cardiovascular Disease, University of Alabama at Birmingham.
Rajat KalraCardiovascular Division, University of Minnesota, Minneapolis.
Sarabjeet S SuriDivision of Cardiovascular Disease, University of Alabama at Birmingham.
Gargya MallaDepartment of Epidemiology, University of Alabama at Birmingham.
Thomas J WangDepartment of Internal Medicine, University of Texas Southwestern, Dallas.
Garima AroraDivision of Cardiovascular Disease, University of Alabama at Birmingham.
Pankaj AroraDivision of Cardiovascular Disease, University of Alabama at Birmingham; Section of Cardiology, Birmingham Veterans Affairs Medical Center, AL. Electronic address: parora@uabmc.edu.

Funding

RESEARCH TRAINING COREP60MD000502 · NIMHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SCARINCI, ISABEL C · 2003 to 2016
$16.2M
Project 2: Leveraging Ongoing Home Visitation Programs to Address Obesity Disparities among Underserved, Low-Income Mothers and ChildrenU54MD000502 · NIMHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI FOUAD, MONA N., GARVEY, W TIMOTHY · 2017 to 2022
$11.8M
Race, Natriuretic Peptides and Physiological PerturbationsK23HL146887 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ARORA, PANKAJ · 2019 to 2023
$969k
NHLBI NIH HHS K23 HL146887NIMHD NIH HHS P60 MD000502NIMHD NIH HHS U54 MD000502
6 · The paper itself

Abstract

objectiveTo evaluate the contemporary geographic trends in cardiovascular health in the United States and its relationship with geographic distribution of cardiovascular mortality.

methodsBy use of a retrospective cross-sectional design, the 2011-2017 Behavioral Risk Factor Surveillance System (BRFSS) was queried to determine the age-adjusted prevalence of cardiovascular health index (CVHI) metrics (sum of ideal blood pressure, blood glucose concentration, lipid levels, body mass index, smoking, physical activity, and diet). Cardiovascular health was estimated as both continuous (0 to 7 points) and categorical (ideal, intermediate, poor) variables from the BRFSS. Age-adjusted cardiovascular mortality for 2017 was obtained from the Centers for Disease Control and Prevention WONDER database.

resultsAmong 1,362,529 American adult participants of the BRFSS 2011-2017 and all American residents in 2017, the CVHI score increased from 3.89±0.004 in 2011 to 3.96±0.005 in 2017 (P

conclusionDespite a modest improvement in CVHI, only 1 in 6 Americans has ideal cardiovascular health with significant geographic differences. These differences correlate with the geographic distribution of cardiovascular mortality. An urgent unmet need exists to mitigate the geographic disparities in cardiovascular morbidity and mortality.

Indexed as

Cardiovascular DiseasesCardiovascular SystemHealth StatusSmokingBehavioral Risk Factor Surveillance SystemBlood GlucoseBlood PressureBody Mass IndexCross-Sectional StudiesDietExerciseFemaleGeographyHumansMaleMiddle AgedBlood Glucose

Identifiers

PMID33775420
PMCPMC8260439

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.