Trends in the Prevalence of Cardiometabolic Multimorbidity in the United States, 1999-2018

被引：62

作者：

Cheng, Xunjie ^{[1
,2
]}

Ma, Tianqi ^{[1
,2
]}

Ouyang, Feiyun ^{[3
]}

Zhang, Guogang ^{[4
,5
]}

Bai, Yongping ^{[1
,2
]}

机构：

[1] Cent South Univ, Xiangya Hosp, Ctr Coronary Circulat, Dept Geriatr Med, Changsha 410008, Peoples R China

[2] Cent South Univ, Xiangya Hosp, Natl Clin Res Ctr Geriatr Disorders, Changsha 410008, Peoples R China

[3] Cent South Univ, Dept Social Med & Hlth Management, Changsha 410078, Peoples R China

[4] Cent South Univ, Xiangya Hosp, Dept Cardiovasc Med, Changsha 410008, Peoples R China

[5] Cent South Univ, Xiangya Hosp 3, Dept Cardiovasc Med, Changsha 410013, Peoples R China

来源：

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH | 2022年 / 19卷 / 08期

基金：

中国国家自然科学基金;

关键词：

cardiometabolic disease; multimorbidity; epidemiology; NHANES; BLOOD-PRESSURE; HYPERTENSION; ADULTS; RISK;

D O I：

10.3390/ijerph19084726

中图分类号：

X [环境科学、安全科学];

学科分类号：

08 ; 0830 ;

摘要：

Cardiometabolic multimorbidity (co-existence of >= 1 cardiometabolic diseases) is increasingly common, while its prevalence in the U.S. is unknown. We utilized data from 10 National Health and Nutrition Examination Survey (NHANES) two-year cycles in U.S. adults from 1999 to 2018. We reported the age-standardized prevalence of cardiometabolic multimorbidity in 2017-2018 and analyzed their trends during 1999-2018 with joinpoint regression models. Stratified analyses were performed according to gender, age, and race/ethnicity. In 2017-2018, the prevalence of cardiometabolic multimorbidity was 14.4% in the U.S., and it was higher among male, older, and non-Hispanic Black people. The three most common patterns were hypertension and diabetes (7.5%); hypertension, diabetes, and CHD (2.2%); and hypertension and CHD (1.8%). During 1999-2018, the prevalence of cardiometabolic multimorbidity in U.S. adults increased significantly, with an averaged two-year cycle percentage change (AAPC) of 3.6 (95% CI: 2.1 to 5.3). The increasing trend was significant for both genders, most age groups except for 60-79 years, and non-Hispanic White people. For common patterns, the trend was increasing for hypertension and diabetes and hypertension, diabetes, and CHD, while it was decreasing for hypertension and CHD. Our findings provide evidence that cardiometabolic multimorbidity has risen as an austere issue of public health in the U.S.

引用

页数：12