IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i8p4726-d793500.html
   My bibliography  Save this article

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

Author

Listed:
  • Xunjie Cheng

    (Department of Geriatric Medicine, Center of Coronary Circulation, Xiangya Hospital, Central South University, Changsha 410008, China
    National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha 410008, China
    These authors contributed equally to this work.)

  • Tianqi Ma

    (Department of Geriatric Medicine, Center of Coronary Circulation, Xiangya Hospital, Central South University, Changsha 410008, China
    National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha 410008, China
    These authors contributed equally to this work.)

  • Feiyun Ouyang

    (Department of Social Medicine and Health Management, Central South University, Changsha 410078, China)

  • Guogang Zhang

    (Department of Cardiovascular Medicine, Xiangya Hospital, Central South University, Changsha 410008, China
    Department of Cardiovascular Medicine, The Third Xiangya Hospital, Central South University, Changsha 410013, China)

  • Yongping Bai

    (Department of Geriatric Medicine, Center of Coronary Circulation, Xiangya Hospital, Central South University, Changsha 410008, China
    National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha 410008, China)

Abstract

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.

Suggested Citation

  • Xunjie Cheng & Tianqi Ma & Feiyun Ouyang & Guogang Zhang & Yongping Bai, 2022. "Trends in the Prevalence of Cardiometabolic Multimorbidity in the United States, 1999–2018," IJERPH, MDPI, vol. 19(8), pages 1-12, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:8:p:4726-:d:793500
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/8/4726/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/8/4726/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Archana Singh-Manoux & Aurore Fayosse & Séverine Sabia & Adam Tabak & Martin Shipley & Aline Dugravot & Mika Kivimäki, 2018. "Clinical, socioeconomic, and behavioural factors at age 50 years and risk of cardiometabolic multimorbidity and mortality: A cohort study," PLOS Medicine, Public Library of Science, vol. 15(5), pages 1-16, May.
    2. Grzegorz K. Jakubiak & Natalia Pawlas & Grzegorz Cieślar & Agata Stanek, 2021. "Pathogenesis and Clinical Significance of In-Stent Restenosis in Patients with Diabetes," IJERPH, MDPI, vol. 18(22), pages 1-23, November.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Rolla Mira & Tim Newton & Wael Sabbah, 2022. "Inequalities in the progress of multiple chronic conditions: A systematic review of longitudinal studies," PLOS ONE, Public Library of Science, vol. 17(2), pages 1-17, February.
    2. Vicente Pallarés-Carratalá & Vivencio Barrios & David Fierro-González & Jose Polo-García & Sergio Cinza-Sanjurjo, 2023. "Cardiovascular Risk in Patients with Dyslipidemia and Their Degree of Control as Perceived by Primary Care Physicians in a Survey—TERESA-Opinion Study," IJERPH, MDPI, vol. 20(3), pages 1-11, January.
    3. Alexandru Achim & Agata Stanek & Călin Homorodean & Mihail Spinu & Horea Laurenţiu Onea & Leontin Lazăr & Mădălin Marc & Zoltán Ruzsa & Dan Mircea Olinic, 2022. "Approaches to Peripheral Artery Disease in Diabetes: Are There Any Differences?," IJERPH, MDPI, vol. 19(16), pages 1-11, August.
    4. Szymon Mućka & Martyna Miodońska & Grzegorz K. Jakubiak & Monika Starzak & Grzegorz Cieślar & Agata Stanek, 2022. "Endothelial Function Assessment by Flow-Mediated Dilation Method: A Valuable Tool in the Evaluation of the Cardiovascular System," IJERPH, MDPI, vol. 19(18), pages 1-16, September.
    5. Younghwa Baek & Kihyun Park & Kyoungsik Jung & Siwoo Lee, 2022. "Individual Differences in the Association of Lifestyle with Cardiometabolic Risk in Middle-Aged Koreans Based on Traditional Korean Medicine," IJERPH, MDPI, vol. 19(22), pages 1-12, November.
    6. Hlaing Hlaing-Hlaing & Xenia Dolja-Gore & Meredith Tavener & Erica L. James & Allison M. Hodge & Alexis J. Hure, 2021. "Diet Quality and Incident Non-Communicable Disease in the 1946–1951 Cohort of the Australian Longitudinal Study on Women’s Health," IJERPH, MDPI, vol. 18(21), pages 1-21, October.
    7. Kyoung-Hee Cho & Juyeong Kim & Young Choi & Tae-Hyun Kim, 2022. "The Effect of Neighborhood Deprivation on Mortality in Newly Diagnosed Diabetes Patients: A Countrywide Population-Based Korean Retrospective Cohort Study, 2002–2013," IJERPH, MDPI, vol. 19(7), pages 1-14, April.
    8. Marek Zak & Tomasz Sikorski & Magdalena Wasik & Daniel Courteix & Frederic Dutheil & Waldemar Brola, 2022. "Frailty Syndrome—Fall Risk and Rehabilitation Management Aided by Virtual Reality (VR) Technology Solutions: A Narrative Review of the Current Literature," IJERPH, MDPI, vol. 19(5), pages 1-12, March.
    9. Hsin-Ya Kuo & Chih-Sung Liang & Shih-Jen Tsai & Tzeng-Ji Chen & Che-Sheng Chu & Mu-Hong Chen, 2022. "Dose-Dependent Proton Pump Inhibitor Exposure and Risk of Type 2 Diabetes: A Nationwide Nested Case–Control Study," IJERPH, MDPI, vol. 19(14), pages 1-9, July.
    10. Piotr Rola & Jan Jakub Kulczycki & Adrian Włodarczak & Mateusz Barycki & Szymon Włodarczak & Marek Szudrowicz & Łukasz Furtan & Artur Jastrzębski & Maciej Pęcherzewski & Maciej Lesiak & Adrian Doroszk, 2022. "Intravascular Lithotripsy as a Novel Treatment Method for Calcified Unprotected Left Main Diseases—Comparison to Rotational Atherectomy—Short-Term Outcomes," IJERPH, MDPI, vol. 19(15), pages 1-12, July.
    11. Shihan Zhen & Qian Li & Jian Liao & Bin Zhu & Fengchao Liang, 2023. "Associations between Household Solid Fuel Use, Obesity, and Cardiometabolic Health in China: A Cohort Study from 2011 to 2018," IJERPH, MDPI, vol. 20(4), pages 1-12, February.
    12. Monika Starzak & Agata Stanek & Grzegorz K. Jakubiak & Armand Cholewka & Grzegorz Cieślar, 2022. "Arterial Stiffness Assessment by Pulse Wave Velocity in Patients with Metabolic Syndrome and Its Components: Is It a Useful Tool in Clinical Practice?," IJERPH, MDPI, vol. 19(16), pages 1-14, August.
    13. Chen-Chih Chu & Yong-Chen Chen & Ming-Hsun Lin & Wen-Tung Wu & Feng-Cheng Liu & Hsiang-Cheng Chen & Yu-Ching Chou & Chien-An Sun, 2022. "Association between Clinical Use of Colchicine and Risk of Type 2 Diabetes Mellitus among Gouty Patients: A Nationwide Cohort Study," IJERPH, MDPI, vol. 19(6), pages 1-9, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:8:p:4726-:d:793500. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.