Trends in 10-Year Cardiovascular Disease Risk Among Adults in The United States From 1999–2016

Abstract Objective: People have high 10-year cardiovascular disease (CVD) risk should take measures to prevent CVD. Thus, to know which subgroups of the population have high CVD risk is important. This study found out trends and risk factor of CVD risk in the US population.Methods: The population aged 30 years and older who were not diagnosed with CVD came from the National Health and Nutrition Examination Surveys (NHANES) in this study, n=35196. Logistic regression models were used to analyze the trends of CVD risk and estimate association between risk factor and CVD risk.Results: The estimated rate of CVD risk > 10% changed from 1999 to 2016 (from 42.2% to 47.7% for males, from 24.7% to 23.9% for females). The estimated rate increased in males over time (P for trend =0.001), while it was stable in females. Males who did not participate in vigorous recreational activity, the estimated rate of CVD risk> 10% significantly increased (P for trend 10%, 20% and 30% increased with BMI level in males in the multivariable-adjusted model; the odds ratios and 95% confidence intervals (OR [95% CI] ) of obesity was 1.63 [1.41, 1.88] for CVD risk >10%, 1.69[1.45, 1.48] for CVD risk >20%, and 1.56[1.30, 1.87)] for CVD risk >30%. Conclusions: The rate of CVD risk >10% had an increasing trend in American males adults, who did not participate in vigorous recreational activity. In addition, lower annual household income, higher weight status and do not participate in vigorous recreational activity increased the CVD risk.