Trends In CVD & Stroke Mortality

Trends in CVD and Stroke Mortality
  • Heart diseases and stroke, the number 1 and 4 leading causes of death in the United States, kill over 810,000 people every year.
  • Even though death rates have been decreasing, disparities in the rate of decline among subpopulations and resulting disabilities from heart diseases and stroke are still issues to be addressed.
  • Achieving ideal cardiovascular health is shown to not only reduce risk of heart diseases and stroke, but also risk of death.

Low-Risk Lifestyle Behaviors and All-Cause Mortality: Findings from the National Health and Nutrition Examination Survey III Mortality Study
Ford ES, Zhao G, Tsai J, Li C. Am J Public Health. 2011 Oct;101(10):1922-9.
  • In this study low and high levels of risk for four lifestyle behaviors, smoking, healthy diet, physical activity, and alcohol use, are compared to all-cause and cardiovascular disease mortality.
  • Those with all four low-risk behaviors had a 63% reduced risk of all-cause death and a 65% reduced risk of death from cardiovascular diseases.
The Decline in Stroke Mortality: Exploration of Future Trends in 7 Western European Countries
Kunst AE, Amiri M, Janssen F. Stroke. 2011 Aug;42(8):2126-30.
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  • Projections of future trends in stroke mortality are made to 2030.
  • Findings show that stroke will remain a leading cause of death in older populations.
  • Prevention of disability rather than death may become a higher priority in years to come.
Ethnic and Geographic Variation in Stroke Mortality Trends
Gillum RF, Kwagyan J, Obisesan TO. Stroke. 2011 Nov;42(11):3294-6.
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  • An examination of ethnic and geographic variation in US stroke deaths in the 21st century.
  • From 1999 to 2007, rates of stroke death declined, but variations in decline were seen based on race and geographic location.
  • Rates of decline were similar across regions for females and white males; however, black males in the South Central states did not experience the same rate of decline as black males in other parts of the country.
Ideal Cardiovascular Health and Mortality from All Causes and Diseases of the Circulatory System Among Adults in the United States
Ford ES, Greenlund KJ, Hong Y. Circulation. 2012 Feb 28;125(8):987-95.
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  • A study of how well the AHA’s Life's Simple 7 metrics for ideal cardiovascular health predict all-cause and heart-related death.
  • Results showed a significant, inverse relationship between the number of ideal cardiovascular health metrics and death from all causes and circulatory diseases.
Trends in Cardiovascular Health Metrics and Associations with All-Cause and CVD Mortality Among US Adults
Yang Q, Cogswell ME, Flanders WD, Hong Y, Zhang Z, Loustalot F, Gillespie C, Merritt R, Hu FB.
JAMA. 2012 Mar 28;307(12):1273-83.
  • This study examined trends in cardiovascular health over three time periods from 1988 to 2010 and the resulting relationship with mortality.
  • Over time, prevalence of smoking has declined; rates of high total cholesterol and high blood pressure have remained unchanged; and prevalence of having a healthy diet, normal BMI, and normal fasting glucose levels has declined.
  • Findings show that those with greater numbers of ideal level metrics had greater protection from all-cause and cardiovascular-related death.
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Posted by Stacy AHA Science on May 24, 2012 10:15 AM America/Chicago