Trends and Disparities in Cardiometabolic Health Among U.S. Adults, 1999-2018

Alcohol consumption and metabolic syndrome: Clinical and epidemiological impact on liver disease

“…29 Among US adults, the prevalence of MetS has increased from 36.2% in 1999-2000 to 47.3% in 2017-2018. 30 Over this 20-year period, cardiometabolic health has also significantly worsened, primarily related to worsening levels of adiposity and glucose, as well as increasing blood pressure. In addition, recent evidence shows that worldwide, about 3% of children and 5% of adolescents have MetS.…”

Trends and influence factors in the prevalence, intervention, and control of metabolic syndrome among US adults, 1999–2018

“…Trend analysis showed that the prevalence of MetS decreased from 25.5 to 22.9% during 1999–2010, and subsequently increased from 32.5 to 36.9% through 2011–2016 in the US adult [ 14 , 15 ]. During 1999–2018, US cardiometabolic health, defined by optimal levels of blood glucose, blood lipids, blood pressure, and adiposity, has been poor and worsening, with only 6.8% of adults having optimal cardiometabolic health [ 16 ], which may reflect an unoptimistic status of MetS.…”

Diabetes update: What's new, what's interesting

“…A study using NHANES data obtained from 55 081 US adults from 1999 to 2018 showed an increase in the proportion aged ≥65 from 15.85% to 20.4%, along with increases in obesity and diabetes; the prevalence of metabolic syndrome increased significantly from 36.2% to 47.3% (Figure 1 ). 6 An analysis based on Global Burden of Disease 1990–2019 data showed near tripling of the number of deaths attributable to type 2 diabetes, from 0.61 to 1.47 million per year, along with an increase in disability‐associated life years from 25.48 to 66.30 million; the greatest increase has been in low‐middle income countries, with high body mass index (BMI) accounting for >40%, household and ambient air pollution accounting for >10%, low physical activity 7%–8%, and dietary factors approximately 6% of these increases, the latter particularly an issue in high‐income countries. 7 …”

“…2 The long follow-up lessens but does not eliminate this concern, and it would be of interest to use techniques such as probabilistic bias analysis, 3 or simply comparing characteristics of persons in the 10th percentile of steps per day with those in the overall group, to further address this issue.Another study using the NHANES data set compared measured and predicted HbA1c (based on fasting and 2-h post oral glucose) in 10 361 adults and 2201 youth to determine clinically significant mismatches; 15% of individuals age ≥65 and 7% of those aged 18-64 had measured HbA1c at least 0.5% over the predicted level, with this particularly an issue for non-Hispanic Black persons, for whom 20% of those aged ≥18 had such a discrepancy, 4 confirming earlier studies 5 and reminding us that HbA1c is only an indirect measure of glycemia.A study using NHANES data obtained from 55 081 US adults from 1999 to 2018 showed an increase in the proportion aged ≥65 from 15.85% to 20.4%, along with increases in obesity and diabetes; the prevalence of metabolic syndrome increased significantly from 36.2% to 47.3% (Figure 1). 6 An analysis based on Global Burden of Disease 1990-2019 data showed near tripling of the number of deaths attributable to type 2 diabetes, from 0.61 to…”

“…A study using NHANES data obtained from 55 081 US adults from 1999 to 2018 showed an increase in the proportion aged ≥65 from 15.85% to 20.4%, along with increases in obesity and diabetes; the prevalence of metabolic syndrome increased significantly from 36.2% to 47.3% (Figure 1). 6 An analysis based on Global Burden of Disease 1990-2019 data showed near tripling of the number of deaths attributable to type 2 diabetes, from 0.61 to…”