Only 7% of US adults in good cardiometabolic health | Health & Fitness

TUESDAY, July 5, 2022 (HealthDay News) — Fewer than 7% of U.S. adults are in good cardiometabolic shape, and new research warns the trend is only getting worse.

cardiometabolic health is a general term that includes blood pressure, blood sugar, blood cholesterol, weight, and/or the presence of heart disease.

“While we know that cardiometabolic health among Americans is a significant problem, we were surprised by the magnitude of the crisis,” said study author Meghan O’Hearn, a doctoral candidate in the Friedman School of Nutrition Science and Policy at Tufts University in Boston. . “The lack of good health and wellness across the board is truly devastating and has only gotten worse.”

The researchers found the steepest declines in the percentage of Americans with healthy weights and blood sugar (glucose) levels.

In 1999, 1 in 3 adults maintained a normal weight, compared to 1 in 4 in 2018. Six in 10 adults did not have prediabetes either diabetes in 1999, compared to fewer than 4 in 10 in 2018, the study showed. People with prediabetes have higher than normal blood sugar levels, but do not yet have full-blown diabetes.

Americans are also less active these days and more sedentary, another likely contributor to the trends, O’Hearn said.

For the study, the researchers looked at measures of cardiometabolic health among 55,000 adults who participated in a national health and nutrition survey between 1999 and 2018.

They found significant differences by sex, age, race, ethnicity, and education in the presence of good cardiometabolic health factors.

Adults with less education were half as likely to be in optimal health compared to adults with more education. In addition, the percentage of adults with good cardiometabolic health decreased among Hispanics, non-Hispanic blacks, and adults of other races, while it showed only a modest increase among whites.

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“Social determinants of health, such as food and nutrition security, social and community context, economic stability, and structural racism can put people of different educational levels, races, and ethnicities at higher risk for health problems,” O’Hearn said.

changing these trends It won’t be easy, he said, but it is possible. It would mean improving the US domestic economy. food aid programs and providing agricultural subsidies and incentives, he said.

“Increased patient and consumer education on how to achieve a healthy diet could also help, as could working with the food and health care industries on innovative solutions,” O’Hearn said.

The need is urgent, he added.

“If we don’t address this serious and worsening cardiometabolic health crisis, we will see a higher burden of disease, higher health care spending, and greater disparities in the US population,” he said.

The study will be published in the July 12 issue of the Journal of the American College of Cardiology.

Marion Nestle, a retired New York University professor of nutrition, food studies and public health, reviewed the findings.

“The news here is how bad the trend is,” he said.

“Both obesity and type 2 diabetes are risk factors for cardiovascular disease,” added Nestlé. “This paper provides further evidence for the need to take obesity prevention seriously.”

More information

The American Heart Association offers advice on how to lose weight and keep it off.

SOURCES: Meghan O’Hearn, MS, doctoral candidate, Friedman School of Nutrition Science and Policy, Tufts University, Boston; Marion Nestle, PhD, MPH, professor emerita, nutrition, food studies, and public health, New York University, New York City; Journal of the American College of CardiologyJuly 12, 2022

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