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Thirty-year trends in cardiovascular risk factor levels among US adults with diabetes: National Health and Nutrition Examination Surveys, 1971-2000.
Am J Epidemiol. 2004 Sep 15; 160(6):531-9.AJ

Abstract

Among US adults with diabetes, using data from the National Health and Nutrition Examination Survey for 1971-1974, 1976-1980, 1988-1994, and 1999-2000, the authors describe 30-year trends in total cholesterol, blood pressure, and smoking levels. Using Bayesian models, the authors calculated mean changes per year and 95% credible intervals for age-adjusted mean total cholesterol and blood pressure levels and the prevalence of high total cholesterol (> or =5.17 mmol/liter), high blood pressure (systolic blood pressure: > or =140 mmHg and/or diastolic blood pressure: > or =90 mmHg), and smoking. Between 1971-1974 and 1999-2000, mean total cholesterol declined from 5.95 mmol/liter to 5.48 mmol/liter (-0.02 (95% credible interval: -0.03, -0.01) mmol/liter per year). The proportion with high cholesterol decreased from 72% to 55%. Mean blood pressure declined from 146/86 mmHg to 134/72 mmHg (systolic blood pressure: -0.5 (95% credible interval: -1.1, 0.5) mmHg per year; diastolic blood pressure: -0.6 (95% credible interval: -1.0, -0.03) mmHg per year). The proportion with high blood pressure decreased from 64% to 37%, and smoking prevalence decreased from 32% to 17%. Although these trends are encouraging, still one of two people with diabetes has high cholesterol, one of three has high blood pressure, and one of six is a smoker.

Authors+Show Affiliations

Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA. gai5@cdc.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15353413

Citation

Imperatore, Giuseppina, et al. "Thirty-year Trends in Cardiovascular Risk Factor Levels Among US Adults With Diabetes: National Health and Nutrition Examination Surveys, 1971-2000." American Journal of Epidemiology, vol. 160, no. 6, 2004, pp. 531-9.
Imperatore G, Cadwell BL, Geiss L, et al. Thirty-year trends in cardiovascular risk factor levels among US adults with diabetes: National Health and Nutrition Examination Surveys, 1971-2000. Am J Epidemiol. 2004;160(6):531-9.
Imperatore, G., Cadwell, B. L., Geiss, L., Saadinne, J. B., Williams, D. E., Ford, E. S., Thompson, T. J., Narayan, K. M., & Gregg, E. W. (2004). Thirty-year trends in cardiovascular risk factor levels among US adults with diabetes: National Health and Nutrition Examination Surveys, 1971-2000. American Journal of Epidemiology, 160(6), 531-9.
Imperatore G, et al. Thirty-year Trends in Cardiovascular Risk Factor Levels Among US Adults With Diabetes: National Health and Nutrition Examination Surveys, 1971-2000. Am J Epidemiol. 2004 Sep 15;160(6):531-9. PubMed PMID: 15353413.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Thirty-year trends in cardiovascular risk factor levels among US adults with diabetes: National Health and Nutrition Examination Surveys, 1971-2000. AU - Imperatore,Giuseppina, AU - Cadwell,Betsy L, AU - Geiss,Linda, AU - Saadinne,Jinan B, AU - Williams,Desmond E, AU - Ford,Earl S, AU - Thompson,Theodore J, AU - Narayan,K M Venkat, AU - Gregg,Edward W, PY - 2004/9/9/pubmed PY - 2004/10/8/medline PY - 2004/9/9/entrez SP - 531 EP - 9 JF - American journal of epidemiology JO - Am J Epidemiol VL - 160 IS - 6 N2 - Among US adults with diabetes, using data from the National Health and Nutrition Examination Survey for 1971-1974, 1976-1980, 1988-1994, and 1999-2000, the authors describe 30-year trends in total cholesterol, blood pressure, and smoking levels. Using Bayesian models, the authors calculated mean changes per year and 95% credible intervals for age-adjusted mean total cholesterol and blood pressure levels and the prevalence of high total cholesterol (> or =5.17 mmol/liter), high blood pressure (systolic blood pressure: > or =140 mmHg and/or diastolic blood pressure: > or =90 mmHg), and smoking. Between 1971-1974 and 1999-2000, mean total cholesterol declined from 5.95 mmol/liter to 5.48 mmol/liter (-0.02 (95% credible interval: -0.03, -0.01) mmol/liter per year). The proportion with high cholesterol decreased from 72% to 55%. Mean blood pressure declined from 146/86 mmHg to 134/72 mmHg (systolic blood pressure: -0.5 (95% credible interval: -1.1, 0.5) mmHg per year; diastolic blood pressure: -0.6 (95% credible interval: -1.0, -0.03) mmHg per year). The proportion with high blood pressure decreased from 64% to 37%, and smoking prevalence decreased from 32% to 17%. Although these trends are encouraging, still one of two people with diabetes has high cholesterol, one of three has high blood pressure, and one of six is a smoker. SN - 0002-9262 UR - https://www.unboundmedicine.com/medline/citation/15353413/Thirty_year_trends_in_cardiovascular_risk_factor_levels_among_US_adults_with_diabetes:_National_Health_and_Nutrition_Examination_Surveys_1971_2000_ L2 - https://academic.oup.com/aje/article-lookup/doi/10.1093/aje/kwh232 DB - PRIME DP - Unbound Medicine ER -