ArticleJournal of the American College of Cardiology2022
Trends and Disparities in Cardiometabolic Health Among U.S. Adults, 1999-2018.
Article in Journal of the American College of Cardiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 105 papers, 1 of them a synthesis that pooled it.
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Who cites it
105 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Oleoylethanolamide supplementation on cardiometabolic health: a systematic review and meta-analysis of randomized controlled trials.Frontiers in nutrition · 2025Pooled it
- Gut-derived bacterial extracellular vesicles: the microbial dark matter contributing to host inflammation and cardiometabolic disease.Gut microbes · 2026Review
- Mechanisms of obesogenic adipocyte signaling in mouse 3T3-L1 cells in response to plasma from C57BL/6 mice exposed to traffic-generated emissions and high-fat diet.Toxicology reports · 2026Article
- Background and design of the empowering cardiovascular health in grandfamilies (ECHG) study: A mixed methods study research protocol.International journal of nursing studies advances · 2026Article
- Interpreting Lower HDL Cholesterol in Plant-Based Diets: Mechanisms and Clinical Implications.Advances in nutrition (Bethesda, Md.) · 2026Review
- Association of Cutting Back on Basic Needs and Healthcare Access Challenges with Self-rated Health Among US Older Adults.Journal of general internal medicine · 2026Article
- Preconception cardiometabolic health and adverse pregnancy outcomes in hispanic and latina women: Expanding the prevention window.American journal of preventive cardiology · 2026Article
- Association of SGLT2 inhibitors with suicidality, all-cause mortality, and hospitalization in bipolar disorder: A cohort study of 1.23 million adults.Journal of affective disorders · 2026Article
- Nutrition and Culinary Education in Food Is Medicine Interventions: A Scoping Review.Journal of the Academy of Nutrition and Dietetics · 2026Article
- Association of frailty and metabolism with multi-state model in fatty liver disease, diabetes mellitus and all-cause mortality.Diabetology & metabolic syndrome · 2026Article
- Trends in Vascular Risk Factor Control Among US Adults With Prior Stroke: 1999 to 2023.Journal of the American Heart Association · 2026Article
- Structured higher protein meal replacement plans for weight loss and metabolic health: A qualitative narrative evidence review of Medifast interventions.Obesity pillars · 2026Review
- Greater Intake of Pulses Is Associated with Lower Prevalence of Cardiometabolic Diseases among Adults in the United States: NHANES, 1999 to 2018.Current developments in nutrition · 2026Article
- Mobile Health Unit Outreach to Socially Disadvantaged Urban Communities Detects Uncontrolled Cardiometabolic Risk Factors.Journal of the American Heart Association · 2026Article
- Racial and ethnic differences in controlling risk factors for cardiovascular disease among adults with obesity, 1999-2023.International journal of obesity (2005) · 2026Article
- Cardiometabolic health and all-cause and cause-specific mortality in the general US adult population.Nutrition & metabolism · 2026Article
- Improved Cardiometabolic Health with Uterine-Preserving Fibroid Treatment Compared to Hysterectomy.Journal of clinical medicine · 2026Article
- Review
- Volunteering and Metabolic Syndrome and Diabetes in Black Adolescents From Low-Income Families.JAMA network open · 2026Article
- Development and validation of an artificial intelligence model based on liver CSE-MRI fat maps for predicting dyslipidemia.PLOS digital health · 2026Article
45 more citing papers are in PubMed but not listed here.
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5 authors.
Funding
Abstract
backgroundFew studies have assessed U.S. cardiometabolic health trends-optimal levels of multiple risk factors and absence of clinical cardiovascular disease (CVD)-or its impact on health disparities.
objectivesThe purpose of this study was to investigate U.S. trends in optimal cardiometabolic health from 1999 to 2018.
methodsWe assessed proportions of adults with optimal cardiometabolic health, based on adiposity, blood glucose, blood lipids, blood pressure, and clinical CVD; and optimal, intermediate, and poor levels of each component among 55,081 U.S. adults in the National Health and Nutrition Examination Survey.
resultsIn 2017-2018, only 6.8% (95% CI: 5.4%-8.1%) of U.S. adults had optimal cardiometabolic health, declining from 1999-2000 (P trend = 0.02). Among components of cardiometabolic health, the largest declines were for adiposity (optimal levels: 33.8%-24.0%; poor levels: 47.7%-61.9%) and glucose (optimal levels: 59.4%-36.9%; poor levels: 8.6%-13.7%) (P trend <0.001 for each). Optimal levels of blood lipids increased from 29.9%-37.0%, whereas poor decreased from 28.3%-14.7% (P trend <0.001). Trends over time for blood pressure and CVD were smaller. Disparities by age, sex, education, and race/ethnicity were evident in all years, and generally worsened over time. By 2017-2018, prevalence of optimal cardiometabolic health was lower among Americans with lower (5.0% [95% CI: 2.8%-7.2%]) vs higher education (10.3% [95% CI: 7.6%-13.0%]); and among Mexican American (3.2% [95% CI: 1.4%-4.9%]) vs non-Hispanic White (8.4% [95% CI: 6.3%-10.4%]) adults.
conclusionsBetween 1999 and 2000 and 2017 and 2018, U.S. cardiometabolic health has been poor and worsening, with only 6.8% of adults having optimal cardiometabolic health, and disparities by age, sex, education, and race/ethnicity. These novel findings inform the need for nationwide clinical and public health interventions to improve cardiometabolic health and health equity.
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