Nearly half of US adults have cardiovascular disease, study says

Nearly half of all adults in the United States have some type of cardiovascular disease, according to the American Heart Association, defining the condition...

Posted: Jan 31, 2019 8:31 AM

Nearly half of all adults in the United States have some type of cardiovascular disease, according to the American Heart Association, defining the condition as coronary heart disease, heart failure, stroke or high blood pressure.

And after decades of declines, deaths from cardiovascular disease are on the rise again, with 840,678 deaths recorded in 2016, up from 836,546 in 2015, according to the association's annual report Heart and Stroke Statistics, published Thursday in the medical journal Circulation.

"Cardiovascular disease produces immense health and economic burdens in the United States and globally," the authors wrote.

The 48% prevalence of cardiovascular disease -- nearly 121.5 million adults -- is a significant uptick over the rate cited last year, although this was mainly driven by the way high blood pressure is defined. Hypertension guidelines were updated so that people whose blood pressure is 130/80 or above are now considered "hypertensive"; previously, the definition was 140/90.

Excluding high blood pressure, prevalence of cardiovascular disease among US adults is 9% overall, a decline from 11.5% in 2015.

Dr. David Zhao, chief of cardiology medicine and executive director of the Heart and Vascular Center at Wake Forest Baptist Health in Winston-Salem, North Carolina, described the new report as a "painful reminder" that heart disease is still the No. 1 cause of death and disease in the nation.

"Overall, we have made a lot of progress," said Zhao, who was not involved in the report. Still, "we have not yet made substantial advancement in obesity, diabetes, and unhealthy behavior," which includes smoking, not exercising, poor diet and being overweight. About 8 of every 10 cases of cardiovascular disease can be prevented by controlling high blood pressure, diabetes and high cholesterol and maintaining a healthy lifestyle, according to the heart association.

The scorecard also shows some terrific gains. Self-reported inactivity among adults has been declining since 1998, with the trend escalating in recent years. Passivity plummeted from 40.1% to 26.9% between 2007 and 2016, the report shows.

Over the past five decades, smoking rates have also declined: About 51% of males and 34% of females smoked in 1965, compared with just 16.7% of males and 13.6% of females in 2015.

The new report includes a new recommendation that adults get at least seven hours of sleep per night to promote optimal health. One recent study found that too much or too little -- more than eight hours or less than seven hours per night -- was linked with a greater risk of death from all causes.

"We really have to work harder to reduce all the risk factors in order to reduce rates of cardiovascular disease," Zhao said, highlighting obesity. Nearly 4 out of 10 US adults and nearly 1 out of 5 youths is obese, while 7.7% of adults and 5.6% of youth are severely so, the report finds.

Additionally, not all groups have made equal strides in quitting or never smoking cigarettes.

"Substantially higher tobacco use prevalence rates are observed in American Indian/Alaska Natives and lesbian, gay, bisexual, and transgender populations, as well as among individuals with low socioeconomic status, those with mental illness, individuals with HIV who are receiving medical care, and those who are active-duty military," the report notes. "Over the past 6 years, there has been a sharp increase in e-cigarette use among adolescents."

Overall, Zhao believes that "lots of work still needs to be done."

We may be seeing downward trajectory in some risk factors and cardiovascular disease itself, "but we're not there yet," he said. "That's something all of us need to start to think about: What can we do together to really improve our health, our healthy behavior, and reduce our weight?"

Terre Haute
Few Clouds
78° wxIcon
Hi: 84° Lo: 59°
Feels Like: 80°
Robinson
Clear
78° wxIcon
Hi: 82° Lo: 57°
Feels Like: 79°
Indianapolis
Broken Clouds
79° wxIcon
Hi: 82° Lo: 60°
Feels Like: 80°
Rockville
Scattered Clouds
75° wxIcon
Hi: 82° Lo: 59°
Feels Like: 75°
Casey
Clear
79° wxIcon
Hi: 82° Lo: 60°
Feels Like: 80°
Brazil
Few Clouds
78° wxIcon
Hi: 83° Lo: 59°
Feels Like: 80°
Marshall
Few Clouds
78° wxIcon
Hi: 82° Lo: 58°
Feels Like: 80°
Sunny and warm!
WTHI Planner
WTHI Temps
WTHI Radar

Latest Video

Image

Food vendors at Summer Fest take extra precautions to keep you safe

Image

Execution day, protesting information

Image

Execution day, a live look hours before the execution

Image

Monday: Mostly sunny with average temperatures. High: 86°

Image

Federal Executions Resuming

Image

TH Women's City Golf Championship

Image

Sunday Morning Forecast Update

Image

Saturday Morning Forecast Update

Image

Ryan Lieberman

Image

Zoe Stewart

WTHI Events

 

Illinois Coronavirus Cases

(Widget updates once daily at 7 p.m. CT)

Confirmed Cases: 155048

Reported Deaths: 7388
CountyConfirmedDeaths
Cook955574725
Lake10378428
DuPage9719486
Kane8107281
Will7278326
Winnebago3169106
St. Clair2304144
McHenry2266102
Kankakee143166
Madison119870
Rock Island119430
Unassigned1185201
Kendall106323
Champaign104017
Peoria66630
DeKalb64220
Boone63721
Sangamon53133
Jackson35619
McLean32215
Randolph3157
Ogle3144
Stephenson2856
LaSalle25917
Macon25322
Clinton24616
Union21219
Whiteside21215
Grundy1945
Coles19117
Iroquois1755
Tazewell1758
Knox1700
Adams1691
Williamson1614
Monroe15913
Warren1490
Cass1409
Morgan1344
Henry1161
Jefferson11417
McDonough10815
Lee1072
Vermilion892
Pulaski840
Marion770
Montgomery741
Macoupin693
Douglas610
Perry611
Jo Daviess551
Livingston552
Christian514
Woodford482
Jasper477
Franklin460
Jersey431
Ford421
Clark410
Bureau372
Menard320
Effingham311
Cumberland290
Mercer290
Johnson260
Alexander250
Washington250
Fayette243
Mason240
Moultrie240
Wabash230
Bond222
Carroll212
Hancock211
Logan210
Piatt210
Crawford200
Shelby201
Edgar190
Wayne191
De Witt180
Saline170
Fulton160
Massac160
Schuyler130
Lawrence120
Marshall120
Brown100
White100
Greene90
Richland90
Henderson80
Hamilton70
Pike70
Gallatin60
Stark60
Clay50
Edwards50
Calhoun10
Hardin10
Pope10
Putnam10
Scott10
Out of IL00

Indiana Coronavirus Cases

(Widget updates once daily at 8 p.m. ET)

Confirmed Cases: 51612

Reported Deaths: 2760
CountyConfirmedDeaths
Marion12074693
Lake5650249
Elkhart361860
Allen2952134
St. Joseph214869
Hamilton1708101
Cass16459
Hendricks1466100
Johnson1345118
Porter84038
Tippecanoe7799
Vanderburgh7686
Clark71144
Madison67864
LaPorte62328
Howard60758
Bartholomew60145
Kosciusko5824
Marshall5579
Noble52028
Boone49144
LaGrange48610
Jackson4783
Delaware47552
Hancock46836
Shelby45925
Floyd41444
Monroe34828
Morgan34531
Grant32226
Dubois3096
Montgomery29820
Henry29618
Clinton2903
White27610
Dearborn26523
Warrick26129
Vigo2588
Decatur25632
Lawrence25225
Harrison21822
Greene19632
Miami1942
Jennings17912
Putnam1738
DeKalb1694
Scott1659
Wayne1586
Daviess15117
Perry14910
Steuben1382
Orange13723
Jasper1362
Ripley1347
Franklin1288
Gibson1242
Wabash1163
Carroll1142
Starke1083
Whitley1076
Fayette1067
Newton10110
Huntington942
Jefferson872
Wells821
Randolph804
Fulton731
Jay720
Knox710
Washington681
Pulaski661
Clay645
Rush623
Posey610
Spencer571
Owen521
Benton510
Sullivan501
Adams491
Brown431
Blackford402
Fountain362
Crawford330
Switzerland320
Tipton321
Parke270
Martin260
Ohio230
Vermillion200
Warren151
Union140
Pike120
Unassigned0193