医学
糖尿病
行为危险因素监测系统
肥胖
逻辑回归
风险因素
体质指数
人口学
疾病
内科学
心肌梗塞
人口
冲程(发动机)
老年学
内分泌学
环境卫生
社会学
工程类
机械工程
作者
Ben Grobman,Ruth‐Alma Turkson‐Ocran,Fredrick Larbi Kwapong,Stephen P Juraschek
出处
期刊:Hypertension
[Ovid Technologies (Wolters Kluwer)]
日期:2023-09-01
卷期号:80 (Suppl_1)
标识
DOI:10.1161/hyp.80.suppl_1.p148
摘要
Background: Hypertension is strongly associated with cardiovascular disease (CVD). Nevertheless, its relative importance compared with other established CVD risk factors among U.S. adults is unclear. Objective: To determine the prevalence of CVD risk factors and compare their association with CVD in a large U.S. population. Methods: The 2017 and 2019 Behavioral Risk Factor Surveillance System queried a representative sample of U.S. adults about hypertension (HTN), diabetes, and high cholesterol based on health professional diagnosis, obesity (BMI ≥30 from self-reported weight and height), smoking, and physical inactivity. We used logistic regression to examine the association between risk factors and CVD (nonfatal stroke and/or nonfatal myocardial infarction). Coefficients were compared using Wald tests. Models were also examined across sex (male vs. female), race (Black vs. White), and age (≥ 65 and <65), using interaction terms. Results: The weighted sample was 21.0% age ≥65 years, 51.3% female, 70.0% Non-Hispanic White, and 11.6% Non-Hispanic Black. While all risk factors were associated with CVD, HTN was most strongly associated with CVD in the fully adjusted model (OR = 2.26; P -values comparing to other coefficients were all <0.001). There was no evidence of effect modification across sex and race (all P -interaction values >0.05), the association between hypertension and CVD was stronger for age <65 years ( P <0.001). Nevertheless, hypertension was still the strongest risk factor among both age groups. Conclusion: In this large U.S. sample, hypertension was the most prevalent and strongest CVD risk factor and should be a primary focus of policy focused on CVD prevention.
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