Reducing Risk of Heart Reducing Risk of Heart Disease & Stroke - A Disease & Stroke - A Life Long Quest Life Long Quest Jeffrey P. Gold, M.D. University of Toledo Medical Center
Jan 15, 2016
Reducing Risk of Heart Disease & Stroke - A Life Long QuestJeffrey P. Gold, M.D.University of Toledo Medical Center
Reducing Risk of Heart Disease & Stroke - A Life Long Quest
Coronary Artery Disease
Coronary Artery Disease
Where will you be in 33 seconds?
Heart Disease & Stroke in 2007
A Few Facts & Figures
Heart Disease in 2007
15.8 Million Americans have CAD0.45 Million Americans die of CAD1234 Americans die of CAD every day
Lifetime Risk for American Male @ 40 - 40%Lifetime Risk for American Female @ 40 - 25%
Percentage breakdown of deaths from cardiovascular diseases (United States:2004) Source: NCHS and NHLBI.
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53
17
6
6
4
0.5
0.4
13
7%
52%
.4%
.5%
PieCVD
2003CVD total mortality2003 CVD total mortality
910,614PreliminaryPercentage Breakdown of Deaths From Cardiovascular Diseases
479,304CHD52.6Coronary Heart Disease53479,30453United States:2003 Preliminary
157,803Stroke17.3Stroke17157,80317
57,218HF6.3HF657,2186
52,604Hyp.5.8High Blood Pressure652,6046
37,647Dis. of Arteries4.1Diseases of the Arteries437,6474
4,178Cong.HD0.5Congenital Cardiovascular Defects0.54,1780.5
3,554RF/RHD0.4Rheumatic Fever/Rheumatic Heart Disease0.43,5540.4
118,306Other13.0Other13118,30613
910614100.0910614100.0
Note: Try to arrange in descending order.
1980 CVD total mortality1980CVD total mortality
959,368Percentage Breakdown of Deaths From Cardiovascular Diseases
529659CHD55.2Coronary Heart Disease54502,18954United States:1980
167,366Stroke17.4Stroke18163,53818
54,920CHF38.9Congestive Heart Failure652,8286
42,997Hyp.4.5High Blood Pressure546,7655
14,979Dis. of Arteries1.6Diseases of the Arteries439,4044
3,676RF/RHD0.4Rheumatic Fever/Rheumatic Heart Disease0.43,4890.4
4657Cong.HD0.5Congenital Cardiovascular Defects0.44,1090.4
141114Other15.5Other13118,78613
959368134.0100.8931,108100.0
1990 CVD total mortality1990CVD total mortality
959,368Percentage Breakdown of Deaths From Cardiovascular Diseases
529659CHD55.2Coronary Heart Disease54502,18954United States:1990
167,366Stroke17.4Stroke18163,53818
54,920CHF38.9Congestive Heart Failure652,8286
42,997Hyp.4.5High Blood Pressure546,7655
14,979Dis. of Arteries1.6Diseases of the Arteries439,4044
3,676RF/RHD0.4Rheumatic Fever/Rheumatic Heart Disease0.43,4890.4
4657Cong.HD0.5Congenital Cardiovascular Defects0.44,1090.4
141114Other15.5Other13118,78613
959368134.0100.8931,108100.0
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PieCVD
53%
LCDAIAF
LCDWHITEMF
LCDMF
LCD AM. INDIAN M/F, 2002
67505511Leading Causes of Death for American Indian/Alaska Native Males and Females
MALESFEMALES5665United States: 2002
Diseases of the Heart, and StrokeA24.4Diseases of the Heart, and StrokeA24.5
CancerB16.0CancerB19.3
AccidentsC14.9AccidentsC8.6
Diabetes MellitusD5.0DiabetesD7.2
Chronic Liver Disease and CirrhosisE4.7Chronic Lower Respiratory DiseaseF4.1
Leading Causes of Death for American Indian/Alaska Native Males and Femlaes
United States: 2002
Females
Males
MALES
Diseases of the Heart, and Stroke24.4FEMALES
Cancer16.0Diseases of the Heart, and Stroke24.5
Accidents14.9Cancer19.3
Diabetes Mellitus5.0Accidents8.6
Chronic Liver Disease and Cirrhosis4.7Diabetes Mellitus7.2
Chronic Lower Respiratory Disease4.1
Leading Causes of Death for American Indian/Alaska Native MalesLeading Causes of Death for American Indian/Alaska Native Females
United States: 2002United States: 2002
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LCDMF
MALES
Percent of Total Deaths
LCDBLKMF
`
FEMALES
Percent of Total Deaths
LCDAPI
Percent of Total Deaths
lcdkids
Percent of Total Deaths
LCDHISPMF
Leading Causes of Death for White Males and Females
LCD WHITE M/F, 2003United States: 2003
10251961077393
MALESFEMALES
CVD+cong.A36.7CVD+cong.A39.7
CancerB24.2CancerB21.5
AccidentsC5.6Chronic LRDD5.7
Chronic LRDD5.4Alzheimer'sF3.9
DiabetesE2.8AccidentsC3.0
Leading Causes of Death for White Males and Females
United States:2003
Females
Preliminary
PreliminaryMales
MALES
Total CVD36.7FEMALES
Cancer24.2Total CVD39.7
Accidents5.6Cancer21.5
Chronic Lower Respiratory Disease5.4Chronic Lower Respiratory Disease5.7
Diabetes Mellitus2.8Alzheimer's Disease3.9
Leading Causes of Death for White MalesAccidents3.0
United States: 2003
Leading Causes of Death for White Females
United States: 2003
Males
CVD - Cardiovascular disease and congenital heart disease. Preliminary data.Females
CVD - Cardiovascular disease and congenital heart disease. Preliminary data,
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LCDHISPMF
MALES
Percent of Total Deaths
FEMALES
Percent of Total Deaths
FEMALES
Percent of Total Deaths
Percent ofTotal Deaths
LCD MALES AND FEMALES, 2003Leading Causes of Death for All Males and Females
United States: 2003
MALESFEMALES
CVD+cong.A426,772CVD+cong.A483,842
CancerB286,741CancerB267,902
AccidentsC67,923Chronic LRDD65,672
Chronic LRDD60,456Alzheimer'sF45,058
DiabetesE35,217DiabetesE38,748
Leading Causes of Death for All Males and Females
United States: 2003
PreliminaryFemales
Males
Preliminary.
LCD, 2002
Total CVD433,825
Cancer288,768
Accidents69,257
Chronic Lower Respiratory Disease60,713
Diabetes Mellitus34,301
Leading Causes of Death
United States: 2002
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MALES
Deaths in Thousands
FEMALES
Deaths in Thousands
Deaths in Thousands
LCD BLACK M/F, 2003
146,835143,216Leading Causes of Death for Black Males and Females
MALESFEMALESUnited States: 2003
CVD+cong.A33.4CVD+cong.A39.9
CancerB21.9CancerB20.9
AccidentsC5.5DiabetesF5.2
Assault(Homicide)D4.7Nephritis, etc.G3.0
HIV(Aids)E3.5AccidentsC2.7
Leading Causes of Death for Black Males and Females
United States: 2003
PreliminaryFemales
Males
Preliminary
Charts for "Fact Sheets"
MALESFEMALES
Total CVD33.4Total CVD39.9`
Cancer21.9Cancer20.9
Accidents5.5Diabetes Mellitus5.2
Assault(Homicide)4.7Nephritis, Nephrotic Syndrome and Nephrosis3.0
HIV(Aids)3.5Accidents2.7
Leading Causes of Death for Black MalesLeading Causes of Death for Black Females
United States: 2003United States: 2003
CVD - Cardiovascular diseases including congenital cardiovascular defects. Preliminary data.CVD - Cardiovascular diseases including congenital cardiovascular defects. Preliminary data.
PreliminaryPreliminary
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MALES
Percent of Total Deaths
FEMALES
Percent of Total Deaths
Percent of Total Deaths
Percent of Total Deaths
Males20,483Females17849
Diseases of Heart and StrokeA34.8Diseases of Heart and StrokeA35.8
CancerB25.4CancerB26.9
AccidentsC5.7DiabetesE4.0
Chronic Lower Respiratory DiseaseD3.6AccidentsC3.9
DiabetesE3.2Influenza and PneumoniaF3.0
Leading Causes of Death for Asian/Pacific Islander Males and FemalesLeading Causes of Death for Asian/Pacific Islander Males and Females
United States: 2002United States: 2002
MalesFemales
Diseases of Heart and Stroke35.8
Diseases of the Heart, and Stroke34.8Cancer26.9
Cancer25.4Diabetes Mellitus4.0
Accidents5.7Accidents3.9
Chronic Lower Respiratory Disease3.6Influenza and Pneumonia3.0
Diabetes Mellitus3.2
Leading Causes of Death for Asian/Pacific Islander Females
Leading Causes of Death for Asian/Pacific Islander MalesUnited States: 2002
United States: 2002
Females
Percent of Total Deaths
Males
Percent of Total Deaths
Percent of Total Deaths
Percent of Total Deaths
LCD MALE AND FEMALE Children Age
Cardiovascular disease mortality trends for males and females (United States: 1979-2004). Source: NCHS and NHLBI.
Deaths from diseases of the heart (United States: 19002004.) Note: See Glossary for an explanation of Diseases of the Heart. Total CVD data are not available for much of the period covered by this chart. Source: NCHS and NHLBI.
Chart1
27.427
35.252
75.429
101.429
137.374
188.554
251.153
312.333
385.191
424.329
537.629
585.751
661.712
712.087
735.542
716.215
761.085
771.169
720.058
737.563
711
685
654
Deaths
Years
Deaths in Thousands
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HIS cvd prevalence data 1979-94CVD mortality 1979-94CVD Mortality Trends*, 1979-94
CVDCardiovascular Mortality*, United States: 1946 To Date
HIS Prev.CVD46596915
7996952850754249
8099997655824777
79-81474168198392960934907
824726682978942651000147
835033483992281701032638
84525618498420075994513
85527508598849180999976
86518918697854685988491
87525518797420090926079
88537198897978891926061
89504728994189592923416
90510429092607993957598
91533889192606194954720
925482592923416
935416893957598
945556194950203
* These data include congenital heart disease deaths.
National Health Interview Survey CVD Prevalence Estimates*, 1986-94* These data include congenital heart disease deaths.
* These data include RF/RHD, heart disease, hypertension and stroke. Hardening of the arteries,
vericose veins and hemorrhoids are not included.
Note: Data for 1979-81 represent an average and include congenital anomalies of the circulatory
system.
Diseases of the Heart
CrudeDiseases of the Heartcvd
RateDeaths (000)Deaths
1900137.4190027Crude Death Rates for Diseases of the Heart: U.S. 1900 to DateM CHDF CHD
5161.953579307.286244.079
10158.9107580310.774254.981
15163.91510181303.929251.229
20159.62013782300.820251.966
25184.82518983297.522254.970
30214.23025184289.461251.827
35245.43531285286.181250.624
40291.94038586274.184246.545
45321.54542487267.757244.381
50355.55053875488264.505245.087
55355.85558682589257.524240.497
603696066293590252.597236.574
65367.465712100091249.736235.702
7036270736103392246.913233.138
75336.27571699593250.362239.701
8033680761100094245.350236.108
853238577198895244.819236.468
90289.59072092696242.036234.088
94281.39573896197237.332228.769
96733
97727
98725
99725
00711
01700Diseases of the Heart (000)
02697YearsDeaths
03685190027
Deaths From Diseases of the Heart*35
United States: 190020041075
101
20137
189
30251
312
40385
424
50538
586
60662
712
70736
716
80761
771
90720
738
00711
685
Note: In the years 1900-45 the ICDA codes were 90-95; for 1950-60 the codes were04654
402-404, 410-443; for 1965 the codes were 402, 404, 410-443; for 1970-75 390-398, 402,
410-429 and for 1980 to date the codes were 390-398, 402, 404-429.
StrokeDeaths From StrokeDeaths From Stroke: United States 1979-96
Deaths(000)Deaths From Stroke: United States, 1900-95YearsDeaths
19002179169.488
52380170.225
104581163.504
155882157.71
208083155.598
259184154.327
3010485153.05
3510986149.643
4012087149.835
4512988150.517
5015789145.551
5517490144.088
6019491143.481
6520192143.769
7020793150.108
7519494153.306
8017095157.991
85153Note: These deaths are as reported. No adjustments have been made for ICDA revisions.96160.431
90144
95158
96160
StrokeAge-adjusted
Death Rates
1900
5
10
15
20Age-Adjusted Death Rates For Stroke: U.S. 1940-93
25
30
35
40105
4598.6
5088.8
5582.7
6079.9
6573.3
7067.7
7554.7
8041.4
8532.8
9029.1
9526.7
Alzheimer's
Total65+
790.8570.653Alzheimer's Deaths: U.S. 1979-93
801.3141.037
811.7571.473
822.6272.261
834.4344.039
846.255.846
858.2587.819
869.4268.984
8711.31110.877
8812.28111.842
8913.1112.734
9013.74413.391
9114.11213.768
9214.43514.088
9316.75416.422
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Years
Deaths
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Years
Deaths
Years
Thousands
Years
Per 100,000 Population
Deaths(000)
Years
Deaths in Thousands
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Years
Per 100,000 Population
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Total
65+
Years
Thousands
Years
Thousands
Deaths
Years
Deaths in Thousands
Hospital discharges for cardiovascular diseases. (United States: 1970-2004). Note: Hospital discharges include people discharged alive, dead and status unknown. Source: NCHS and NHLBI.
Chart1
3.34
3.543
3.86
4.11
4.304
4.418
4.585
4.758
4.766
4.907
5.14
5.336
5.488
5.654
5.593
5.47
5.563
5.572
5.296
5.197
5.161
5.338
5.597
5.633
5.779
5.83
6.107
6.097
6.272
6.344
6.294
6.226
6.373
6.434
6.363
Years
Discharges in Millions
CVD
CVD (390-459)Hdis.MalesFemalesHospital Discharges* for Cardiovascular Diseases as First listed Diagnosis
703.34United States: 1970-2004
3.543
3.86
4.11
4.304
754.418
4.585
4.758
4.766
4.907792.4712.436
805.14802.592.549
5.336812.6792.657
5.4882.7852.703
5.6542.8962.758
5.5932.8562.737
855.47852.7832.686
5.5632.8462.717
5.5722.8682.704
5.2962.7222.574
5.1972.672.527
905.161902.6682.493
5.3382.7282.611
5.5972.8662.73
5.6332.8852.747
5.7792.9062.873
955.83952.9732.857
6.1073.1013.006
6.0973.1163.03
6.272983.1393.133
6.344794.907
006.2943.1153.179805.14
6.2263.0583.168815.336
6.3733.2093.164825.488
6.4343,2393.196835.654
046.3633.2273.136845.593
855.47
865.563
875.572
885.296
895.197
905.161
915.338
925.597
935.633
945.779
955.83
966.107
976.097
NOTE: do not include congenital!986.272
996.344
006.294
See Above Chart
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CVD
Years
Discharges in Millions
stroke
Hospital Discharges Where Stroke Was the First Listed Diagnosis
United States: 1979-02
YearMalesFemalesTotal
79335411746
80371425796
368439807
388446834
407469876
420477897
85407499906
398491889
392503895
336448784
344447791
90355453808
371464835
376450826
387452839
407478885
95424501925
438518956
4615551017
4575531010
434527961
00428553981
391539931
432509942
455510965
04416490906
Hospital Discharges Where Stroke Was the First Listed Diagnosis
United States: 1979-2004
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stroke
Males
Females
Years
Discharges in Thousands
CHF
Hospital Discharges for CHF
CHF Discharges
-----------In thousands------
MalesFemalesTotal
708074155
7986165
98102200
107111218
121113234
75122131253
123143267
143152296
157173330
174203377
80176224401
182240423
195243439
208255464
228303531
85247310557
274308582
269336605
277357634
304339643
90315386701
360405764
373449822
394481875
390484874
95378494872
377493870
431526957
438540978
430532962
00418581999
444551995
441529970
4715661,037
04
Hospital Discharges*for Congestive Heart Failure by Sex
United States: 1970-2003
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CHF
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#REF!
Discharges in Millions
HF
Males
Females
Years
Discharges in Thousands
chd
Hospital Discharge Code=428 FL (1970-2003) Heart Failure
MaleFemale
197011,07111,238
9,5199,157
10,4909,276
9,42910,090
8,9249,555
7510,3259,056
7,4888,974
6,2617,660
5,3346,539
MaleFemale
79185214
80190240
195252
207257Hospital discharges for Heart Failure by Sex
221276United States: 1979-2004
237317
85259326
287328
282347
289375
312351
90325397
370417
384456
404491
395492
95384497
381496
436530
442547
434541
00422586
446554
443530
496597
04524575
chd
Male
Female
Years
Discharges in Thousands
Hospital Discharges Where CHD Was the First Listed Diagnosis
United States: 1979-2000
(000)(000)
YearMalesFemales
70779597
851628
935693
982725
1030756
751043789
1087843
1111852
1110844
10147241738
801049737
1095765
1160841
1229852
1044840
851205846
1250889
1268901
1220830
1174819
901151795
1146806
1247886
1205872
1219899
951269858
1325933
1249840
1263915
1317945
001274892
1199891
1249875
1175834
0411808011981
Hospital Discharges* for Coronary Heart Diasease by Sex
United States: 1970-2004
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Males
Females
Years
Discharges in Thousands
Trends in the age-adjusted prevalence of health conditions, U.S. adults ages 20-74 (NHANES: 1971-74 to 1999-2000). Source: Briefel and Johnson. Annu Rev Nutr. 2004;24:401-431. Printed with permission from the Annual Review of Nutrition.
Chart1
484029
474028
562420
652918
Overweight/Obesity
Hypertension
High Blood Cholesterol
Percent of Population
OVERWT
1960-621971-741976-801988-941999-2002
Men10.712.212.820.628.1
Women15.716.817.126.034.0
Age-Adjusted Prevalence of Obesity* in Americans Ages 20-74 by Sex and Survey
NHES and NHANES: 1960--62, 1971--74, 1976--80, 1988--94 and 1999-2002
Source:Health US, 2004.
Obesity is defined as BMI of 30 plus.
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OVERWT
1960-62
1971-74
1976-80
1988-94
1999-2002
Percent of Population
cholchild
Estimated Percentage of Children With Serum Cholesterol of 170 mg/dl or More, United States
WhiteBlack
Males 0-9 Years2940
Females 0-9 Years3350
Males 10-19 Years2534
Females 10-19 Years2941
Estimated Percentage of Children With Serum Cholesterol of 170 mg/dL
or More, United States
Trends in Mean Total Blood Cholesterol Among Adolescents Ages 12-17 by Sex and Race and Survey
NHES:1966-70; NHANES:1971-74 and 1988-94
1966-701971-741988-94
White Males163163155
Black Males171165166`
White Females170166163
Black Females172174168
`
cholchild
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White
Black
Percent of Population
diabetes
1966-70
1971-74
1988-94
Mean Total Blood Cholesterol
Strokerace
NH WhitesNH BlacksMexican Americans
Men6.210.310.4
Women4.712.611.3
Age-Adjusted Prevalence of Physician-Diagnosed Diabetes in Americans Age 20 and Older by Sex and Race/Ethnicity
NHANES: 1999-2002
WhitesBlacksMexican Americans
122.95.46.4
Prevalence of Non-Insulin-Dependent (Type 2) Diabetes in Women Ages 25-64
by Education and Race/Ethnicity
NHANES III: 1988-94
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Strokerace
NH Whites
NH Blacks
Mexican Americans
Percent of Population
Hdl&Ldl
Whites
Blacks
Mexican Americans
Years of Education
Percent of Population
smokhschool
Relative Risk of Deaths due to StrokeCompared to Non-Hispanic Whites, by Race/Ethnicity and Age Groups, U.S., 1997
Non-Hispanic BlacksAmerican Indians/ Alaska NativesAsian/Pacific IslandersHispanics
35-444.01.91.31.3
45-543.91.31.31.3
55-643.01.51.41.2
65-741.90.91.10.9
75-841.20.81.00.6
85+0.90.40.70.5
Risk for Stroke Mortality Among Racial/Ethnic Groups Compared With Non-Hispanic Whites,
by Age Groups
United States: 1997
smokhschool
35-44
45-54
55-64
65-74
75-84
85+
Race/Ethnicity
Relative Risk
Metsyndr.
Estiamted % of Americans Age 20 and Over with High-Risk LDL-Cholesterol of 130 mg/dL or More by Race and Sex
MenWomen
Total Population43.135.8
NH Whites43.836.9
NH Blacks36.034.5
Mexican Americans43.731.3
Age-Adjusted Prevalence of Americans Age 20 and Older With
LDL-Cholesterol of 130 mg/dL or Higher by Race/Ethnicity and Sex
United States:1999-2002
MenWomen
Total33.612.6
NH Whites34.512.4
NH Blacks22.711.3
Mexican Americans34.415.4
Estimated Age-Adjusted (2000) Prevalence of Adults Age 20 and Over With
HDL-Cholesterol Under 40 mg/dL by Race and Sex
United States: NHANES 1999-2002
Metsyndr.
Men
Women
Percent of Population
PhysicAct.
Men
Women
Percent of Population
smokmf
`NH WhitesNH BlacksHispanics
Males23.319.319.1
Females26.610.817.7
Prevalence of High School Students in Grades 9-12 Reporting Current Cigarette Use
Within the last 30 days by Race/Ethnicity and Sex
YRBS: 2003
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smokmf
Males
Females
Percent of Population
NHANESrf
CHD MortalityCVD MortalityTotal Mortality
No MetS or DM2.65.314.4
MetS w/o DM4.37.817.1
MetS w/DM4.88.621.1
DM only6.311.526.1
Prior CVD10.916.730.0
Prior CVD and DM17.028.144.1
Total Mortality Rates in US Adults Age 30-75, with Metabolic Syndrome, With and Without Diabetes and Pre-Existing CVD
NHANES1976-80 Follow-Up Study
NHANESrf
No MetS or DM
MetS w/o DM
MetS w/DM
DM only
Prior CVD
Prior CVD and DM
Deaths/1,000 Person Years
oweight hs
% of high school students who participated in vigorous or moderate physical physical activity in past 7 days
NH White MalesNH White FemalesNH Black MalesNH Black FemalesHispanic MalesHispanic FemalesBMI
Age-adjusted death rates for coronary heart disease, stroke, and lung and breast cancer for white and black females (United States: 2004). Source: NCHS and NHLBI.
Chart2
115.4148.6
47.464.9
41.639
23.731.9
White Females
Black Females
Per 100,000 Population
USCVTREND
CVDCVDCardiovascular Disease Mortality Trends for Males and FemalesCVD *CVD*CVDCVD
MalesFemalesUnited States: 1979-2004MalesFemalesMalesFemales
795004697949746679497466
805104908050648780506487
8150048449748185487495
8249548449248190445475
8349849449549195452503
8449149348749100439505adjusted
854914988548749504410460adjusted
86481498478495
87475499472496
88476504473501
89456486453483
9044847890445475
91447479444477
92444479441477
93457500454498
94452498449496
9545550595452503
96453506451504
97450503448501
98446504Actual MortalityAdjusted Mortality*443502
99446513adjusted by 9-10 comparability ratio. (0.9981)445.024511.929446513
00440506440.175505.661439.339504.70000440506
01432499432.245498.863431.424497.915432499
Source: Final mortality data, NCHS.433.827493.69002433.003492.752434494
Numbers are in thousands.427.891483.37203427.078482.454428483
CVD including congenital CV disease.410.365461.15204409.585460.27604410461
CVDCVDCVDCVD
White MalesWhite FemalesBlack MalesBlack Females* - Since comparability ratio is so close to 1.00
794454184846it is not necessary to adjust. As per TT 9/26/06.
80452435
81444430
82439430
83441438
84434437
85433440
864234405052
874174405052
884174435054White MalesWhite FemalesBlack MalesBlack Females
893984254953903914204851
903914204851913894204852
913894204852923874204752
923874204752933984384954
933984384954943944364854
943944364854953954425055
953954425055963944424855
963944424855973914404854
973914404854983864394955
983864394955993864474956
993864474956003814394857
03814394857
Cardiovascular Disease Mortality Trends by Sex and Race
United States: 1990-2000
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USCVTREND
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Males
Females
Years
Deaths in Thousands
drwomencvcan
Males
Females
Years
Deaths in Thousands
chdstrhypmor
White Males
White Females
Black Males
Black Females
Year
Deaths in Thousands
DR FOR WOMEN, CV AND CANCER 1996(1940)DR FOR WOMEN, CV AND CANCER 2004CVD AND CANCER 2001
WhitesBlacksWhite FemalesBlack FemalesTotalMalesFemales
Coronary Heart Disease58.980.0Coronary Heart Disease115.4148.6CVD329.6391.4281.7
Stroke22.939.2Stroke47.464.9Cancer196.0243.7164.7
Breast Cancer19.826.5Lung Cancer41.639.0
Lung Cancer28.027.6Breast Cancer23.731.9
Age-Adjusted Death Rates for Coronary Heart Disease, Stroke, BreastAge-Adjusted Death Rates for Coronary Heart Disease, Stroke and LungAge-Adjusted Death Rates for Cardiovascular Disease and Cancer
and Lung Cancer for White and Black Females(1940)and Breast Cancer for White and Black FemalesUnited States: 2001
United States: 1996 Final MortalityUnited States: 2004
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Whites
Blacks
Per 100,000 Population
White Females
Black Females
Per 100,000 Population
Total
Males
Females
Per 100,000 Population
# OF HEART ATTACK & STROKE DEATHS, U.S. 1979-91# of stroke deaths# OF CHD DEATHS# of hyp deaths
M CHDF CHDM STROKEF STROKEM STROKEF STROKEM CHDF CHDmf
79307.286244.079551.36570.43999.497970.43999.4979307.286244.07913.78618.13
80310.774254.981565.75569.973100.2528069.973100.25280310.774254.98113.94318.69
81303.929251.229555.15866.42997.0758166.42997.07581303.929251.22913.82217.905
82300.820251.966552.78663.85593.8558263.85593.85582300.82251.96613.5517.828
83297.522254.970552.49262.84792.7518362.84792.75183297.522254.9713.80317.993
84289.461251.827541.28861.69792.638461.69792.6384289.461251.82713.47817.863
85286.181250.624536.80560.7892.278560.7892.2785286.181250.62413.50717.926
86274.184246.545520.72959.16490.4798659.16490.47986274.184246.54513.03417.955
87267.757244.381512.13859.06190.7748759.06190.77487267.757244.38113.38217.956
88264.505245.087509.59259.75990.7588859.75990.75888264.505245.08713.39918.295
89257.524240.497498.02157.32188.238957.32188.2389257.524240.49713.64818.466
90252.597236.574489.17156.69787.3919056.69787.39190252.597236.57413.61419.004
91249.736235.702485.43856.71486.7679156.71486.76791249.736235.70213.94719.387
92246.913233.138480.0519256.64587.12492246.913233.13814.5220.09
93250.362239.701490.0639359.04891.0693250.362239.70115.30621.438
94245.350236.108481.4589460.22593.08194245.35236.10815.91522.287
95244.819236.468481.2879561.56396.42895244.819236.46816.6623.321
96242.036234.088476.124
97237.332228.769466.101
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Prevalence of cardiovascular diseases in adults age 20 and older by age and sex (NHANES: 1999-2004). Source: NCHS and NHLBI. These data include coronary heart disease, heart failure, stroke and hypertension.
Chart1
14.89.4
39.139.5
71.375.1
8392
Males
Females
Percent of Population
Sheet1
Prevalence of CVD, U.S. 2003-2004 NHANES
AgeMalesFemales
20-3914.89.4
40-5939.139.5
60-7971.375.1
80+83.092.0
Prevalence of Cardiovascular Diseases in Americans Age 20 and Older by Age and Sex
United States: 1999-2004
Sheet1
Males
Females
Percent of Population
A B C DBlood Pressure (mm Hg)120/80140/90140/90140/90Total Cholesterol (mg/dL) 200 240 240 240HDL Cholesterol (mg/dL) 50 50 40 40Diabetes No No Yes YesCigarettes No No No Yesmm Hg = millimeters of mercury. mg/dL = milligrams per deciliter of bloodEstimated 10-Year CHD risk in 55-year-old adults according to levels of various risk factors (Framingham Heart Study). Source: Wilson et al., Circulation. 1998;97:1837-47.
Chart15
55
138
2520
3727
Men
Women
Estimated 10-Year Rate (%)
Sheet1
CVDCVD2001 CVD total mortalityLCD BLACK M/F, 2001LCD AM. INDIAN M/F, 2001AgesMenWomenMenWomenNHES IIINHANES INHANES III
MalesFemales145,908141,80125-442.02.8A2.61.1Non-Hispanic WhitesNon-Hispanic BlacksMexican AmericansWhite Males163163155% of Men using PA to lose weight% of Men meeting PA guidelines% of Women using PA to lose weight% of Women meeting PA guidelinesNumber of TransplantsEST. COST OF CV DISEASES 2004
1979500469MALESFEMALESMALESFEMALES45-546.75.5B4.02.0Black Males171165166Whites66.522.863.520.1196823
80510490Coronary Heart Disease54502,18954CVD+cong.A33.5CVD+cong.A40.1D of H/St.A24.4D of H/St.A25.455-6413.18.4C5.43.5Awareness69.573.957.8White Females170166163Blacks70.122.662.816.9197010Heart Disease238.6
81500484Stroke18163,53818CancerB22.4CancerB20.8CancerB17.1CancerB19.165-7417.711.1D8.46.3Treatment60.163.040.3Black Females172174168Hispanics63.817.152.714.3197522Coronary Heart Disease133.2
82495484Congestive Heart Failure652,8286AccidentsC5.9DiabetesF5.1Acc.C14.0Acc.C8.275+18.616.1E14.819.1Control, Treated55.644.644.0Others68.423.063.520.6198057Stroke53.6
83498494High Blood Pressure546,7655Assault(Homicide)D4.6Nephritis, etc.G2.9C. Liver D.D4.8DiabetesE6.7F22.427.0Control, All Hypertensives33.428.117.7Trends in Mean Total Blood Cholesterol Among Adolescents Ages 12-17 by Sex and Race and Survey1985719Hypertensive Disease55.5
84491493Diseases of the Arteries439,4044HIV(Aids)E3.7AccidentsC2.8DiabetesE4.3C. Lower res.D.F4.1Prevalence of Coronary Heart Disease by Age and SexNHES III, NHANES I, NHANES III: 1966-70, 1971-74 and 1988-94Leisure-time Physical Activity (PA) Patterns Among Overweight Adults by Race/Ethnicity and Sex19902,107Congestive Heart Failure28.8
85491498Rheumatic Fever/Rheumatic Heart Disease0.43,4890.4NHANES III: 1988-94Estimated 10 Year Stroke Risk in 55 Year Old AdultsBRFSS: 199819952,363Total CVD*368.4
86481498Congenital Cardiovascular Defects0.44,1090.4Leading Causes of Death for Black or African American Males and FemalesLeading Causes of Death for American Indian/Alaska Native Males and FemlaesAccording to Levels of Various Risk FactorsExtent of Awareness, Treatment and Control of High Blood Pressure by Race/Ethnicity20002,199
87475499Other13118,78613United States: 2001United States: 2001Framingham Heart StudyNHANES IV: 1999-200020022,154Estimated Direct and Indirect Costs (in Billions of Dollars) of Cardiovascular Diseases and Stroke
88476504100.8931,108100.0United States: 2004
89456486Trend in Heart Transplants
90448478Percentage Breakdown of Deaths From Cardiovascular DiseasesUnitedStates: 1968-2002
91447479United States:2001
92444479
93457500
94452498
95455505
96453506
97450503
98446504
99446513
00439507Non-Hispanic WhitesNon-Hispanic BlacksMexican Americans
01432499YearMalesFemales12% of high school students who participated in vigorous or moderate physical physical activity in past 7 daysMen5.47.68.1
70779597Whites76.644.218.2Women4.79.511.4
Cardiovascular Disease Mortality Trends for Males and FemalesMales71851628Blacks26.724.116.4Non-Hispanic White MalesNon-Hispanic White FemalesNon-Hispanic Black MalesNon-Hispanic Black FemalesHispanic MalesHispanic FemalesMalesFemales
United States: 1979-2001Males72935693ABCDEFCHF PREVALENCEMexican Americans34.317.317.5Vigorous73.759.872.447.868.852.4Non-Hispanic Whites12.45.3Prevalence of Age-Adjusted (2000) Physician-Diagnosed Diabetes in Americans Age 20 and Older by Sex and Race/Ethnicity
73982725Blood Pressure*95-105138-148138-148138-148138-148138-148MalesFemalesModerate29.824.723.716.525.918.5Non-Hispanic Blacks17.514.6NHANES III: 1988-94 NHANES III
741030756DiabetesNoNoYesYesYesYes20-240.10.1Prevalence of Current Smoking for Men Ages 18-24 by Education and Race/EthnicityHispanics21.38.8
751043789Cigarette SmokingNoNoNoYesYesYes25-340.10.1NHANES III: 1988-94Prevalence of Students in Grades 9-12 Who Participated in Sufficient Vigorousu.s. 1979-00
Prevalence of CVD, U.S. 1988-94 NHANES III761087843Prior AFNoNoNoNoYesYes35-440.70.5or Moderate Physical Activity During the Past 7 Days by Race/Ethnicity and SexPercentage of Overweight Among Students in Grades 9-12 by Sex and Race/EthnicityCatheterizationsOpen-HeartBypassPTCAEndarterectomyPacemakers
771111852Prior CVDNoNoNoNoNoYes45-541.81.3United States: 2001United States: 200119792991721145442
AgeMalesFemales78111084455-646.23.4803501971375544
20-245.54.6791014724* - Closest ranges for women are : 95-104 and 115-124.65-746.86.6814162221597326
25-3410.44.280104973775+9.89.7824732401708231
35-4417.413.6811095765MenWomen835122601919525
45-5434.228.982116084120-349.80.0Prevalence of Congestive Heart Failure by Age and Sex8457627820210339
55-6451.048.183122985235-4417.116.0NHANES III: 1988-948569030823010740
65-7465.265.284104484045-5432.330.5867863702848332
75+70.779.085120584655-6444.153.0878794093321568189
86125088965-7459.970.38894445735321170120
Females87126890175+68.884.18999846836824370107
Prevalence of Cardiovascular Diseases in Americans Age 20 and Older by Age and SexFemales8812208309010465013922666897
NHANES III :1988-94MenWomen891174819Prevalence of High Blood Pressure in Americans Age 20 and Over by Age and Sex91105751840730367121
DR FOR WOMEN, CV AND CANCER 2001A55901151795United States: 1999-200092108459046836791113
LCD HISPANIC M/F, 2001B138911146806WhitesBlacksMexican Americans93107860648536989123
White FemalesBlack Females63,31747,082C252092124788612
Annual number of Adults having diagnosed heart attack by age and sex (ARIC: 1987-2000). Source: Extrapolated from rates in the NHLBIs ARIC surveillance study, 1987-2000. These data dont include silent MIs.
Chart1
3400010000
25000088000
410000372000
Men
Women
Ages
New and Recurrent Attacks
HYPPRSEX
1976-801988-941999-001976-801988-94
Non-Hispanic White Men45.025.628.9Non-Hispanic White Men34.225.2OLD!
Non-Hispanic White Women33.719.724.7Non-Hispanic White Women25.920.5
Non-Hispanic Black Men50.736.538.0Non-Hispanic Black Men44.836.7
Non-Hispanic Black Women51.136.441.0Non-Hispanic Black Women46.736.6
Mexican Men25.625.930.6Mexican-American Men31.024.2
Mexican Women22.522.325.0Mexican-American Women31.422.4
Age-Adjusted Prevalence Trends for High Blood Pressure in Americans, Ages 2074 by Race/Ethnicity, Sex and SurveyAge-Adjusted Prevalence Trends for High Blood Pressure, Ages 2074 by Race/Ethnicity, Sex and Survey
NHANES II, III & IV: 1976-80, 1988-94 and 1999-2000United States: 197680 and 1988-94
1988-94
MenWomen
Non-Hispanic Whites25.220.5
Non-Hispanic Blacks36.736.6
Hispanics24.222.4
Estimated Age-Adjusted(2000) Prevalence for High Blood Pressure in Adults Ages 20-74 By Sex and Race
United States: 1988-94
MenWomenMenWomen
20-348.110.6WRONG!20-349.80.0
35-4414.329.535-4417.116.0
45-5429.144.345-5432.330.5
55-6443.058.055-6444.153.0
65-7454.965.265-7459.970.3
75+59.071.375+68.884.1
Prevalence of High Blood Pressure in Americans Age 20 and Over by Age and SexPrevalence of High Blood Pressure in Americans Age 20 and Over by Age and Sex
United States: 1999-2000NHANES IV: 1999-2000
MenWomen
20-3411.15.8
35-4421.318.1
45-5434.134.0
55-6446.655.5
65-7460.974.0
75+69.283.4
Prevalence of High Blood Pressure in Americans Age 20 and Over by Age and Sex
NHANES: 1999-2002
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HYPPRSEX
Non-Hispanic Whites
Non-Hispanic Blacks
Hispanics
Percent of Population
HYPREV
1976-80
1988-94
Percent of Population
HYPAWARE
Men
Women
Ages
Percent of Population
strokeprev
Men
Women
Ages
Percent of Population
INCHA
1976-80
1988-94
1999-00
Percent of Population
FHSrisk
Men
Women
Ages
Percent of Population
MenWomen
1960-6241.334.9
1971-7443.935.8
1976-8045.135.8
1988-9426.421.5
Estimated Age-Adjusted (2000 Standard) Prevalence for High Blood Pressure, Ages 2074 by Sex and Survey
United States: 196062, 197174, 197680, to 198894
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1960-62
1971-74
1976-80
1988-94
Percent of Population
1976-801988-941991-94
On Medication, Controlled102818-3940-5960+
On Medication, Uncontrolled2126Awareness51.873.369.8
Not on Medication2017Treatment27.762.962.7
Unaware4929Control, Treated51.966.443.7
Awareness Treatment and Control Rates for High Blood PressureControl, All Hypertensives14.441.627.4
United States: 1976-80 and 1988-94
Extent of Awareness, Treatment and Control of High Blood Pressure by Age
NHANES IV: 1999-2000
1976-801988-911991-94
Awareness51.073.068.4
Treatment31.055.053.6Non-Hispanic WhitesNon-Hispanic BlacksMexican Americans
Control10.029.027.4
Awareness69.573.957.8
Treatment60.163.040.3
High Blood Pressure* Awareness, Treatment and Control RatesControl, Treated55.644.644.0
United States: 1976-94Control, All Hypertensives33.428.117.7
Extent of Awareness, Treatment and Control of High Blood Pressure by Race/Ethnicity
NHANES IV: 1999-2000
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1976-80
1988-94
Percent of People With High Blood Pressure
1976-80
1988-91
1991-94
Percent of People With HBP
51.873.369.8
27.762.962.7
51.966.443.7
14.441.627.4
18-39
40-59
60+
Percent of Population
69.573.957.8
60.16340.3
55.644.644
33.428.117.7
Non-Hispanic Whites
Non-Hispanic Blacks
Mexican Americans
Percent of Population
Stroke Prevalence NHANES 1999-2002
AgesMenWomen
20-340.40.3
35-441.10.8
45-541.22.1
55-643.13.0
65-746.66.3
75+12.011.5
Prevalence of Stroke by Age and Sex
NHANES: 1999-2002
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`
Men
Women
Ages
Percent of Population
MenWomen
29-4434,00010,000
45-64250,00088,000
65+410,000372,000
Annual Number of Americans Having Diagnosed Heart Attack by Age and Sex
ARIC: 1987 - 2000
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Men
Women
Ages
New and Recurrent Attacks
MenWomen
A55MenWomen
B138A2.61.1
C2520B4.02.0
D3727C5.43.5
D8.46.3
Estimated 10-Year CHD Risk in 55 Year-Old AdultsE14.819.1
According to Levels of Various Risk Factors - Framingham Heart StudyF22.427.0
Framingham Heart Study
Estimated 10 Year Stroke Risk in 55 Year Old Adults
According to Levels of Various Risk Factors
Framingham Heart Study
ABCD
Blood Pressure120/80140/90140/90140/90
Cholesterol200240240240
HDL-C50504040
DiabetesNoNoYesYesABCDEF
CigarettesNoNoNoYesBlood Pressure*95-105138-148138-148138-148138-148138-148
DiabetesNoNoYesYesYesYes
Source: PWF Wilson, et al., "Prediction of Coronary Heart Disease Using Risk Factor Categories",Cigarette SmokingNoNoNoYesYesYes
Circulation 97:1837-47, 1998.Prior AFNoNoNoNoYesYes
Prior CVDNoNoNoNoNoYes
* - Closest ranges for women are : 95-104 and 115-124.
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Men
Women
Estimated 10-Year Rate (%)
Men
Women
Estimated 10-Year Rate (%)
Prevalence of coronary heart disease by age and sex (NHANES :1999-2004). Source: NCHS and NHLBI.
Chart1
0.60.6
7.85.5
22.815.4
32.721.6
Men
Women
Percent of Population
Sheet1
AgesMenWomen
20-390.60.6
40-597.85.5
60-7922.815.4
80+32.721.6
Prevalence of Coronary Heart Disease by Age and Sex
NHANES: 1999-2004
Sheet1
Men
Women
Percent of Population
Note: Hospital discharges include people discharged alive, dead, and status unknown.Hospital discharges for coronary heart disease by sex (United States: 1970-2004). Source: NHDS, /NCHS and NHLBI.
Chart1
779597
851628
935693
982725
1030756
1043789
1087843
1111852
1110844
1014724
1049737
1095765
1160841
1229852
1044840
1205846
1250889
1268901
1220830
1174819
1151795
1146806
1247886
1205872
1219899
1269858
1325933
1249840
1263915
1317945
1274892
1199891
1249875
1175834
1180801
Males
Females
Years
Discharges in Thousands
CVD
CVD (390-459)Hdis.MalesFemalesHospital Discharges* for Cardiovascular Diseases as First listed Diagnosis
703.34United States: 1970-2004
3.543
3.86
4.11
4.304
754.418
4.585
4.758
4.766
4.907792.4712.436
805.14802.592.549
5.336812.6792.657
5.4882.7852.703
5.6542.8962.758
5.5932.8562.737
855.47852.7832.686
5.5632.8462.717
5.5722.8682.704
5.2962.7222.574
5.1972.672.527
905.161902.6682.493
5.3382.7282.611
5.5972.8662.73
5.6332.8852.747
5.7792.9062.873
955.83952.9732.857
6.1073.1013.006
6.0973.1163.03
6.272983.1393.133
6.344794.907
006.2943.1153.179805.14
6.2263.0583.168815.336
6.3733.2093.164825.488
6.4343,2393.196835.654
046.3633.2273.136845.593
855.47
865.563
875.572
885.296
895.197
905.161
915.338
925.597
935.633
945.779
955.83
966.107
976.097
NOTE: do not include congenital!986.272
996.344
006.294
See Above Chart
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CVD
Years
Discharges in Millions
stroke
Hospital Discharges Where Stroke Was the First Listed Diagnosis
United States: 1979-02
YearMalesFemalesTotal
79335411746
80371425796
368439807
388446834
407469876
420477897
85407499906
398491889
392503895
336448784
344447791
90355453808
371464835
376450826
387452839
407478885
95424501925
438518956
4615551017
4575531010
434527961
00428553981
391539931
432509942
455510965
04416490906
Hospital Discharges Where Stroke Was the First Listed Diagnosis
United States: 1979-2004
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stroke
Males
Females
Years
Discharges in Thousands
CHF
Hospital Discharges for CHF
CHF Discharges
-----------In thousands------
MalesFemalesTotal
708074155
7986165
98102200
107111218
121113234
75122131253
123143267
143152296
157173330
174203377
80176224401
182240423
195243439
208255464
228303531
85247310557
274308582
269336605
277357634
304339643
90315386701
360405764
373449822
394481875
390484874
95378494872
377493870
431526957
438540978
430532962
00418581999
444551995
441529970
4715661,037
04
Hospital Discharges*for Congestive Heart Failure by Sex
United States: 1970-2003
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CHF
1
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#REF!
Discharges in Millions
HF
Males
Females
Years
Discharges in Thousands
chd
Hospital Discharge Code=428 FL (1970-2003) Heart Failure
MaleFemale
197011,07111,238
9,5199,157
10,4909,276
9,42910,090
8,9249,555
7510,3259,056
7,4888,974
6,2617,660
5,3346,539
MaleFemale
79185214
80190240
195252
207257Hospital discharges for Heart Failure by Sex
221276United States: 1979-2004
237317
85259326
287328
282347
289375
312351
90325397
370417
384456
404491
395492
95384497
381496
436530
442547
434541
00422586
446554
443530
496597
04524575
chd
Male
Female
Years
Discharges in Thousands
Hospital Discharges Where CHD Was the First Listed Diagnosis
United States: 1979-2000
(000)(000)
YearMalesFemales
70779597
851628
935693
982725
1030756
751043789
1087843
1111852
1110844
10147241738
801049737
1095765
1160841
1229852
1044840
851205846
1250889
1268901
1220830
1174819
901151795
1146806
1247886
1205872
1219899
951269858
1325933
1249840
1263915
1317945
001274892
1199891
1249875
1175834
0411808011981
Hospital Discharges* for Coronary Heart Diasease by Sex
United States: 1970-2004
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Males
Females
Years
Discharges in Thousands
Prevalence of high blood pressure in Adults by age and sex (NHANES: 1999-2004). Source: NCHS and NHLBI.
Chart1
11.26.4
23.218.3
37.537.4
49.155.4
63.673.9
69.583.8
Men
Women
Percent of Population
HYPPRSEX
MenWomen
20-3411.26.4
35-4423.218.3
45-5437.537.4
55-6449.155.4
65-7463.673.9
75+69.583.8
Prevalence of High Blood Pressure in Americans Age 18 and Over by Age and Sex
NHANES: 1999-2004
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HYPPRSEX
Men
Women
Percent of Population
Extent of awareness, treatment and control of high blood pressure by age (NHANES : 1999-2004.) Source: NCHS and NHLBI.
Chart1
52.374.675.3
35.862.568.4
24.639.834.3
20-39
40-59
60+
Percent of Population
OVERWT
1960-621971-741976-801988-942001-2004
Men10.712.212.820.630.2
Women15.716.817.126.034.0
Age-Adjusted Prevalence of Obesity* in Americans Ages 20-74 by Sex and Survey
NHES and NHANES: 1960--62, 1971--74, 1976--80, 1988--94 and 2001-2004
Source:Health US, 2004.
Obesity is defined as BMI of 30 plus.
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OVERWT
1960-62
1971-74
1976-80
1988-94
2001-2004
Percent of Population
cholchild
Estimated Percentage of Children With Serum Cholesterol of 170 mg/dl or More, United States
WhiteBlack
Males 0-9 Years2940
Females 0-9 Years3350
Males 10-19 Years2534
Females 10-19 Years2941
Estimated Percentage of Children With Serum Cholesterol of 170 mg/dL
or More, United States
Trends in Mean Total Blood Cholesterol Among Adolescents Ages 12-17 by Sex and Race and Survey
NHANES:1976-80,1988-94, 1999-02 and 2003-04
1976-801988-941999-022003-04
White Males163163155156
Black Males171165166161`
White Females170166163164
Black Females172174168161
`
cholchild
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White
Black
Percent of Population
diabetes
1976-80
1988-94
1999-02
2003-04
Mean Total Blood Cholesterol
Strokerace
NH WhitesNH BlacksMexican Americans
Men6.710.711.0
Women5.613.210.9
Age-Adjusted Prevalence of Physician-Diagnosed Diabetes in Americans Age 20 and Older by Sex and Race/Ethnicity
NHANES: 1999-2004
WhitesBlacksMexican Americans
122.95.46.4
Prevalence of Non-Insulin-Dependent (Type 2) Diabetes in Women Ages 25-64
by Education and Race/Ethnicity
NHANES III: 1988-94
OLD
Winkleby et al.
NH WhitesNH BlacksMexican Americans
Less than high school7.512.010.1
High school5.69.76.0
More than high school4.29.89.8
Prevalence of Non-Insulin-Dependent (Type 2) Diabetes in Americans Age 18+
by Education, Race/Ethnicity and Years of Education
NHANES: 1999-2004
`
NCHS and NHLBI.
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Strokerace
NH Whites
NH Blacks
Mexican Americans
Percent of Population
Hdl&Ldl
Whites
Blacks
Mexican Americans
Years of Education
Percent of Population
smokhschool
Less than high school
High school
More than high school
Percent of Population
Metsyndr.
Relative Risk of Deaths due to StrokeCompared to Non-Hispanic Whites, by Race/Ethnicity and Age Groups, U.S., 1997
Non-Hispanic BlacksAmerican Indians/ Alaska NativesAsian/Pacific IslandersHispanics
35-444.01.91.31.3
45-543.91.31.31.3
55-643.01.51.41.2
65-741.90.91.10.9
75-841.20.81.00.6
85+0.90.40.70.5
Risk for Stroke Mortality Among Racial/Ethnic Groups Compared With Non-Hispanic Whites,
by Age Groups
United States: 1997
Metsyndr.
35-44
45-54
55-64
65-74
75-84
85+
Race/Ethnicity
Relative Risk
PhysicAct.
Estiamted % of Americans Age 20 and Over with High-Risk LDL-Cholesterol of 130 mg/dL or More by Race and Sex
MenWomen
Total Population32.032.0
NH Whites32.034.0
NH Blacks32.030.0
Mexican Americans39.031.0
Age-Adjusted Prevalence of Americans Age 20 and Older With
LDL-Cholesterol of 130 mg/dL or Higher by Race/Ethnicity and Sex
United States: 2003-04
MenWomen
Total259
NH Whites269
NH Blacks167
Mexican Americans2813
Estimated Age-Adjusted (2000) Prevalence of Adults Age 20 and Over With
HDL-Cholesterol Under 40 mg/dL by Race and Sex
United States: NHANES 2003-2004
PhysicAct.
Men
Women
Percent of Population
smokmf
Men
Women
Percent of Population
NHANESrf
`NH WhitesNH BlacksHispanics
Males24.914.024.8
Females27.011.919.2
Prevalence of High School Students in Grades 9-12 Reporting Current Cigarette Use
Within the last 30 days by Race/Ethnicity and Sex
YRBS: 2005
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NHANESrf
Males
Females
Percent of Population
oweight hs
CHD MortalityCVD MortalityTotal Mortality
No MetS or DM2.65.314.4
MetS w/o DM4.37.817.1
MetS w/DM4.88.621.1
DM only6.311.526.1
Prior CVD10.916.730.0
Prior CVD and DM17.028.144.1
Total Mortality Rates in US Adults Age 30-75, with Metabolic Syndrome, With and Without Diabetes and Pre-Existing CVD
NHANES1976-80 Follow-Up Study
oweight hs
No MetS or DM
MetS w/o DM
MetS w/DM
DM only
Prior CVD
Prior CVD and DM
Deaths/1,000 Person Years
RFNHANES
% of high school students who participated in vigorous or moderate physical physical activity in past 7 days
NH WhiteNH BlackHispanicBMI
Prevalence of heart failure by age and sex (NHANES: 1999-2004). Source: NCHS and NHLBI.
Chart1
0.30.2
21.5
7.25.2
11.612.4
Men
Women
Percent of Population
Sheet1
HF PREVALENCECHD MortalityCVD MortalityTotal Mortality
MenWomenNo MetS or DM2.65.314.4
20-390.30.2MetS w/o DM4.37.817.1
40-592.01.5MetS w/DM4.88.621.1
60-797.25.2DM only6.311.526.1
80+11.612.4Prior CVD10.916.730.0
Prior CVD and DM17.028.144.1
Chart 7A: Prevalence of heart failure by sex and ageChart 10A: Total mortality rates in U.S. adults, ages 3075, with metabolic syndrome (MetS), with and without diabetes mellitus (DM) and pre-existing CVD
NHANES: 199904NHANES II 197680 Follow-Up Study*
Source : NCHS and NHLBI.Source: Malik et al.(10) *Average of 13 years of follow-up.
Chart 7B: Hospital discharges for heart failure by sex
United States: 19702004
Note: Hospital discharges include those inpatients discharged alive, dead or status unknown. Source: NHDS, NCHS and personal communication with NHLBI.
Hospital Discharges for HF
CHF Discharges
-----------In thousands------
MalesFemales
708074
7986
98102
107111
121113
75122131
123143
143152
157173
174203
80176224
182240
195243
208255
228303
85247310
274308
269336
277357
304339
90315386
360405
373449
394481
390484
95378494
377493
431526
438540
430532
00418581
444551
441529
471566
04524575
Chart 7C. Incidence of heart failure* by age and sex
FHS 19802003
* - HF based on physician review of medical records and strict diagnostic criteria.
Source: NHLBI.(10)
7010
7522
8057
85719
902,107
952,363
002,199
052,125
Chart 13A: Trends in heart transplants
UNOS: 19702005
Source: United Network for Organ Sharing (UNOS), scientific registry data.
est. cv oper. & proc
u.s. 1979-03 (000)
CatheterizationsOpen-HeartBypassPTCACarotid EndarterectomyPacemakers
`NH WhitesNH BlacksHispanics792991721145442
Males24.914.024.8803501971375544
Females27.011.919.28569030823010740
9010465013922666897
Chart 9A: Prevalence of high school students in grades 912 reporting current cigarette use951137722573419132136
by sex and race/ethnicity001318686519561124152
YRBS: 2005011314690516571128177
021463709515657134199
04129764642766498170
Chart 13B: Trends in cardiovascular inpatient operations and procedures
United States: 19792004
Source: MMWR.4 NH indicates non-Hispanic.
MenWomen
NH White24.120.4
NH Black23.920.2
Hispanic18.915
Asian17.811.3Source: NHDS. NCHS and NHLBI. Note: In-hospital procedures only.
American Indian or Alaska Native37.333.4
Chart 9B: Prevalence of current smoking for Americans age 18 and older by race/ethnicity and sexEST. COST OF CV DISEASES 2007
NHIS: 2004Coronary Heart Disease142.5
Stroke57.9
Hypertensive Disease63.5
Heart Failure29.6
Chart 14A: Estimated direct and indirect costs (in billions of dollars) of major cardiovascular diseases and stroke
United States: 2007
Source: MMWR.1 NH indicates non-Hispanic.
1988-941999-022003-04
NH White206204202
NH Black204199197
Mexican American205202201Source: NHLBI
Chart 9C: Trends in mean total serum cholesterol among adults by race, sex and survey
NHANES: 198894, 199902 and 200304
Source: NCHS and NHLBI.
1976-801988-941999-022003-04
White Males163163155156
Black Males171165166161
White Females170166163164
Black Females172174168161
Chart 9D: Trends in mean total serum cholesterol among adolescents ages 1217 by race, sex and survey
NHANES:1976-80,1988-94, 1999-02 and 2003-04
Source: NCHS and NHLBI.
MenWomen
Total Population32.032.0
NH Whites32.034.0
NH Blacks32.030.0
Mexican Americans39.031.0
Chart 9E: Age-adjusted prevalence of Americans age 20 and older with
LDL cholesterol of 130 mg/dL or higher by race/ethnicity and sex
NHANES: 200304
Source: NCHS and NHLBI.
MenWomen
Total259
NH Whites269
NH Blacks167
Mexican Americans2813
Chart 9F: Age-adjusted prevalence of Americans age 20 and older with
HDL cholesterol under 40 mg/dL by race/ethnicity and sex
NHANES: 200304
Source: NCHS and NHLBI.
NH WhiteNH BlackHispanic
Male46.938.239
Female30.221.326.5
Chart 9G: Prevalence of students in grades 912 who met currently recommended
levels of physical activity during the past 7 days by race/ethnicity and sex
YRBS: 2005
Note: Currently recommended levels is defined as activity that increased their heart rate and made them breathe hard some of the time for a total of at least 60 minutes/day on 5 or more of the 7 days preceding the survey. Source: MMWR.1
Source:YRBS (4)
19942004
NH White Male26.418.4
NH Black Male34.227.0
Hispanic Male37.532.5
Asian/Pacific Islander Male25.020.4
Am. Indian/Alaska Native Male34.423.8
NH White Female28.321.6
NH Black Female45.733.9
Hispanic Female44.839.6
Asian/Pacific Islander Female31.524.0
Am. Indian/Alaska Native Female36.331.8
Chart 9H: Prevalence of leisure-time physical inactivity among adults age 18 and older by race/ethnicity and sex
BRFSS: 1994 and 2004
Source: MMWR.(11) NH indicates non-Hispanic.
MalesFemales
NH Whites15.28.2
NH Blacks15.916.1
Hispanics21.312.1
Chart 9i: Prevalence of overweight among students in grades 912 by sex and race/ethnicity
YRBS: 2005
Source: BMI 95th percentile or higher by age and sex of the CDC 2000 growth chart. MMWR.(2) NH indicates non-Hispanic.
MenWomen
65-749.24.7
75-8422.314.8
85-9443.030.7
1960-621971-741976-801988-942001-2004
Men10.712.212.820.630.2
Women15.716.817.126.034.0
Chart 9J: Age-adjusted prevalence of obesity in Americans ages 2074 by sex and survey
NHES 196062; NHANES: 197174, 197680, 198894 and 200104
Note: Obesity is defined as a BMI of 30.0 or higher. Source: Health, United States, 2006; Unpublished data, NCHS.
6-1112-19
1971-744.33.6
1976-806.66.4
1988-9411.611.0
2001-200418.716.3
Chart 9K: Trends in the prevalence of overweight among U.S. children and adolescents by age and survey
NHANES: 197174, 197680; 198894 and 200104
Source: Health, United States, 2006. Unpublished data. NCHS.
NH WhitesNH BlacksMexican Americans
Men69.89.9
Women4.512.211
Chart 9L: Prevalence of physician-diagnosed diabetes in Americans age 20 and older by race/ethnicity and sex
NHANES: 19992004
NCHS and NHLBI
NH WhitesNH BlacksMexican Americans
Less than high school7.512.010.1
High school5.69.76.0
More than high school4.29.89.8
Chart 9M. Prevalence of Non-Insulin-Dependent (Type 2) Diabetes in Americans Age 18+
by Education, Race/Ethnicity and Years of Education
NHANES: 1999-2004
Source: NCHS and NHLBI.
Sheet1
10.712.212.820.630.2
15.716.817.12634
1960-62
1971-74
1976-80
1988-94
2001-2004
Percent of Population
Sheet2
4.36.611.618.7
3.66.41116.3
1971-74
1976-80
1988-94
2001-2004
Percent of Population
Sheet3
185.303214.49
190.125240.37
194.834252.488
207.11257.35
221.391275.644
236.69317.084
258.645326.377
287.202327.978
281.616347.436
288.585374.508
312.253351.142
324.63397.288
369.68417.005
383.856455.757
403.565490.614
395.02491.788
383.917496.515
381.013496.109
436.463530.027
442.23547.189
433.785540.992
421.896585.791
446.166553.626
442.772530.311
495.774597.144
524575
Male
Female
Years
Discharges in Thousands
299172114795442
350197137805544
6903082308510740
10465013922666897
1137722573419132136
1318686519561124152
129764642766498170
Catheterizations
Open-Heart
Bypass
PCI
Carotid Endarterectomy
Pacemakers
Years
Procedures in Thousands
24.927
1411.9
24.819.2
Males
Females
Percent of Population
24.123.918.917.837.3
20.420.21511.333.4
NH White
NH Black
Hispanic
Asian
American Indian or Alaska Native
Percent of Population
46.938.239
30.221.326.5
NH White
NH Black
Hispanic
Sex and Race/Ethnicity
Percent of Population
151.6
62.7
66.4
33.2
Billions of Dollars
0.30.2
21.5
7.25.2
11.612.4
Men
Women
Percent of Population
206204202
204199197
205202201
1988-94
1999-02
2003-04
Mean Serum Total Cholesterol
2.64.34.86.310.917
5.37.88.611.516.728.1
14.417.121.126.13044.1
No MetS or DM
MetS w/o DM
MetS w/DM
DM only
Prior CVD
Prior CVD and DM
Deaths/1,000 Person Years
MBD0006C71F.xls
Chart9
259
269
167
2813
Men
Women
Percent of Population
OVERWT
1960-621971-741976-801988-942001-2004
Men10.712.212.820.630.2
Women15.716.817.126.034.0
Age-Adjusted Prevalence of Obesity* in Americans Ages 20-74 by Sex and Survey
NHES and NHANES: 1960--62, 1971--74, 1976--80, 1988--94 and 2001-2004
Source:Health US, 2004.
Obesity is defined as BMI of 30 plus.
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OVERWT
1960-62
1971-74
1976-80
1988-94
2001-2004
Percent of Population
cholchild
Estimated Percentage of Children With Serum Cholesterol of 170 mg/dl or More, United States
WhiteBlack
Males 0-9 Years2940
Females 0-9 Years3350
Males 10-19 Years2534
Females 10-19 Years2941
Estimated Percentage of Children With Serum Cholesterol of 170 mg/dL
or More, United States
Trends in Mean Total Blood Cholesterol Among Adolescents Ages 12-17 by Sex and Race and Survey
NHANES:1976-80,1988-94, 1999-02 and 2003-04
1976-801988-941999-022003-04
White Males163163155156
Black Males171165166161`
White Females170166163164
Black Females172174168161
`
cholchild
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White
Black
Percent of Population
diabetes
1976-80
1988-94
1999-02
2003-04
Mean Total Blood Cholesterol
Strokerace
NH WhitesNH BlacksMexican Americans
Men6.710.711.0
Women5.613.210.9
Age-Adjusted Prevalence of Physician-Diagnosed Diabetes in Americans Age 20 and Older by Sex and Race/Ethnicity
NHANES: 1999-2004
WhitesBlacksMexican Americans
122.95.46.4
Prevalence of Non-Insulin-Dependent (Type 2) Diabetes in Women Ages 25-64
by Education and Race/Ethnicity
NHANES III: 1988-94
OLD
Winkleby et al.
NH WhitesNH BlacksMexican Americans
Less than high school7.512.010.1
High school5.69.76.0
More than high school4.29.89.8
Prevalence of Non-Insulin-Dependent (Type 2) Diabetes in Americans Age 18+
by Education, Race/Ethnicity and Years of Education
NHANES: 1999-2004
`
NCHS and NHLBI.
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Strokerace
000
000
NH Whites
NH Blacks
Mexican Americans
Percent of Population
Hdl&Ldl
000
000
000
000
Whites
Blacks
Mexican Americans
Years of Education
Percent of Population
smokhschool
000
000
000
Less than high school
High school
More than high school
Percent of Population
Metsyndr.
Relative Risk of Deaths due to StrokeCompared to Non-Hispanic Whites, by Race/Ethnicity and Age Groups, U.S., 1997
Non-Hispanic BlacksAmerican Indians/ Alaska NativesAsian/Pacific IslandersHispanics
35-444.01.91.31.3
45-543.91.31.31.3
55-643.01.51.41.2
65-741.90.91.10.9
75-841.20.81.00.6
85+0.90.40.70.5
Risk for Stroke Mortality Among Racial/Ethnic Groups Compared With Non-Hispanic Whites,
by Age Groups
United States: 1997
Metsyndr.
000000
000000
000000
000000
35-44
45-54
55-64
65-74
75-84
85+
Race/Ethnicity
Relative Risk
PhysicAct.
Estiamted % of Americans Age 20 and Over with High-Risk LDL-Cholesterol of 130 mg/dL or More by Race and Sex
MenWomen
Total Population32.032.0
NH Whites32.034.0
NH Blacks32.030.0
Mexican Americans39.031.0
Age-Adjusted Prevalence of Americans Age 20 and Older With
LDL-Cholesterol of 130 mg/dL or Higher by Race/Ethnicity and Sex
United States: 2003-04
MenWomen
Total259
NH Whites269
NH Blacks167
Mexican Americans2813
Estimated Age-Adjusted (2000) Prevalence of Adults Age 20 and Over With
HDL-Cholesterol Under 40 mg/dL by Race and Sex
United States: NHANES 2003-2004
PhysicAct.
Men
Women
Percent of Population
smokmf
Men
Women
Percent of Population
NHANESrf
`NH WhitesNH BlacksHispanics
Males24.914.024.8
Females27.011.919.2
Prevalence of High School Students in Grades 9-12 Reporting Current Cigarette Use
Within the last 30 days by Race/Ethnicity and Sex
YRBS: 2005
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NHANESrf
00
00
00
Males
Females
Percent of Population
oweight hs
CHD MortalityCVD MortalityTotal Mortality
No MetS or DM2.65.314.4
MetS w/o DM4.37.817.1
MetS w/DM4.88.621.1
DM only6.311.526.1
Prior CVD10.916.730.0
Prior CVD and DM17.028.144.1
Total Mortality Rates in US Adults Age 30-75, with Metabolic Syndrome, With and Without Diabetes and Pre-Existing CVD
NHANES1976-80 Follow-Up Study
oweight hs
000000
000000
000000
No MetS or DM
MetS w/o DM
MetS w/DM
DM only
Prior CVD
Prior CVD and DM
Deaths/1,000 Person Years
RFNHANES
% of high school students who participated in vigorous or moderate physical physical activity in past 7 days
NH WhiteNH BlackHispanicBMI
Note: Hospital discharges include people discharged alive, dead and status unknown..Hospital discharges for heart failure by sex(United States: 1979-2004). Source: NHDS, NCHS and NHLBI.
Chart1
185.303214.49
190.125240.37
194.834252.488
207.11257.35
221.391275.644
236.69317.084
258.645326.377
287.202327.978
281.616347.436
288.585374.508
312.253351.142
324.63397.288
369.68417.005
383.856455.757
403.565490.614
395.02491.788
383.917496.515
381.013496.109
436.463530.027
442.23547.189
433.785540.992
421.896585.791
446.166553.626
442.772530.311
495.774597.144
524575
Male
Female
Years
Discharges in Thousands
CVD
CVD (390-459)Hdis.MalesFemalesHospital Discharges* for Cardiovascular Diseases as First listed Diagnosis
703.34United States: 1970-2004
3.543
3.86
4.11
4.304
754.418
4.585
4.758
4.766
4.907792.4712.436
805.14802.592.549
5.336812.6792.657
5.4882.7852.703
5.6542.8962.758
5.5932.8562.737
855.47852.7832.686
5.5632.8462.717
5.5722.8682.704
5.2962.7222.574
5.1972.672.527
905.161902.6682.493
5.3382.7282.611
5.5972.8662.73
5.6332.8852.747
5.7792.9062.873
955.83952.9732.857
6.1073.1013.006
6.0973.1163.03
6.272983.1393.133
6.344794.907
006.2943.1153.179805.14
6.2263.0583.168815.336
6.3733.2093.164825.488
6.4343,2393.196835.654
046.3633.2273.136845.593
855.47
865.563
875.572
885.296
895.197
905.161
915.338
925.597
935.633
945.779
955.83
966.107
976.097
NOTE: do not include congenital!986.272
996.344
006.294
See Above Chart
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CVD
Years
Discharges in Millions
stroke
Hospital Discharges Where Stroke Was the First Listed Diagnosis
United States: 1979-02
YearMalesFemalesTotal
79335411746
80371425796
368439807
388446834
407469876
420477897
85407499906
398491889
392503895
336448784
344447791
90355453808
371464835
376450826
387452839
407478885
95424501925
438518956
4615551017
4575531010
434527961
00428553981
391539931
432509942
455510965
04416490906
Hospital Discharges Where Stroke Was the First Listed Diagnosis
United States: 1979-2004
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stroke
Males
Females
Years
Discharges in Thousands
CHF
Hospital Discharges for CHF
CHF Discharges
-----------In thousands------
MalesFemalesTotal
708074155
7986165
98102200
107111218
121113234
75122131253
123143267
143152296
157173330
174203377
80176224401
182240423
195243439
208255464
228303531
85247310557
274308582
269336605
277357634
304339643
90315386701
360405764
373449822
394481875
390484874
95378494872
377493870
431526957
438540978
430532962
00418581999
444551995
441529970
4715661,037
04
Hospital Discharges*for Congestive Heart Failure by Sex
United States: 1970-2003
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CHF
1
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#REF!
Discharges in Millions
HF
Males
Females
Years
Discharges in Thousands
chd
Hospital Discharge Code=428 FL (1970-2003) Heart Failure
MaleFemale
197011,07111,238
9,5199,157
10,4909,276
9,42910,090
8,9249,555
7510,3259,056
7,4888,974
6,2617,660
5,3346,539
MaleFemale
79185214
80190240
195252
207257Hospital discharges for Heart Failure by Sex
221276United States: 1979-2004
237317
85259326
287328
282347
289375
312351
90325397
370417
384456
404491
395492
95384497
381496
436530
442547
434541
00422586
446554
443530
496597
04524575
chd
Male
Female
Years
Discharges in Thousands
Hospital Discharges Where CHD Was the First Listed Diagnosis
United States: 1979-2000
(000)(000)
YearMalesFemales
70779597
851628
935693
982725
1030756
751043789
1087843
1111852
1110844
10147241738
801049737
1095765
1160841
1229852
1044840
851205846
1250889
1268901
1220830
1174819
901151795
1146806
1247886
1205872
1219899
951269858
1325933
1249840
1263915
1317945
001274892
1199891
1249875
1175834
0411808011981
Hospital Discharges* for Coronary Heart Diasease by Sex
United States: 1970-2004
&A
Page &P
Males
Females
Years
Discharges in Thousands
Incidence of Heart Failure* by age and sex. (FHS: 1980-2003). Source: NHLBI.* HF based on physicians review of medical records and strict diagnostic criteria.
Chart12
9.24.7
22.314.8
4330.7
Men
Women
Age
Per 1,000 Person Years
IncCVD
MenWomen
45-5410.14.2
55-6421.48.9
65-7434.620.0
75-8459.240.2
85-9474.465.2
Incidence of Cardiovascular Disease* by Age and Sex
FHS, 1980-2003
* - CHD, HF, stroke or IC.
IncCVD
Men
Women
Age
Per 1,000 Person Years
IncMI
White MenBlack MenWhite WomenBlack Women
35-441.01.30.30.7
45-543.13.61.02.0
55-646.36.32.54.6
65-749.510.35.47.1
Incidence of Myocardial Infarction* by Age, Race and Sex
ARIC Surveillance, 1987-2001
* - MI diagnosis by expert committee based on review of hospital records.
IncMI
White Men
Black Men
White Women
Black Women
Age
Per 1,000 Person Years
IncAP
MenWomen
45-544.81.1
55-648.94.0
65-749.95.6
75-8413.06.2
Incidence of Angina Pectoris* by Age, Race and Sex
FHS 1980-2003
* - AP based on physician interview of patient. + - Rate for women age 45-54 considered unreliable.
IncAP
Men
Women
Age
Per 1,000 Person Years
IncHF
MenWomen
65-749.24.7
75-8422.314.8
85-9443.030.7
Incidence of Heart Failure* by Age and Sex
FHS 1980-2003
* - HF based on physician review of medical records and strict diagnostic criteria.
IncHF
Men
Women
Age
Per 1,000 Person Years
IncPAD
TotalMenWomenWhite MenBlack MenWhite WomenBlack Women
6.96.86.96.67.26.97.3
Age-Adjusted Incidence of Peripheral Arterial Disease* by Race and Sex, ages 45-74
ARIC Cohort, 1987-2001
* - PAD based on ABI
Prevalence of high school students in grades 9-12 reporting current cigarette smoking by race/ethnicity and sex. (YRBS:2005).Source: MMWR. 2006;55:SS-5. June 9, 2006. . NH non-Hispanic.
Chart2
24.927
1411.9
24.819.2
Males
Females
Percent of Population
Sheet1
HF PREVALENCECHD MortalityCVD MortalityTotal Mortality
MenWomenNo MetS or DM2.65.314.4
20-390.30.2MetS w/o DM4.37.817.1
40-592.01.5MetS w/DM4.88.621.1
60-797.25.2DM only6.311.526.1
80+11.612.4Prior CVD10.916.730.0
Prior CVD and DM17.028.144.1
Chart 7A: Prevalence of heart failure by sex and ageChart 10A: Total mortality rates in U.S. adults, ages 3075, with metabolic syndrome (MetS), with and without diabetes mellitus (DM) and pre-existing CVD
NHANES: 199904NHANES II 197680 Follow-Up Study*
Source : NCHS and NHLBI.Source: Malik et al.(10) *Average of 13 years of follow-up.
Chart 7B: Hospital discharges for heart failure by sex
United States: 19702004
Note: Hospital discharges include those inpatients discharged alive, dead or status unknown. Source: NHDS, NCHS and personal communication with NHLBI.
Hospital Discharges for HF
CHF Discharges
-----------In thousands------
MalesFemales
708074
7986
98102
107111
121113
75122131
123143
143152
157173
174203
80176224
182240
195243
208255
228303
85247310
274308
269336
277357
304339
90315386
360405
373449
394481
390484
95378494
377493
431526
438540
430532
00418581
444551
441529
471566
04524575
Chart 7C. Incidence of heart failure* by age and sex
FHS 19802003
* - HF based on physician review of medical records and strict diagnostic criteria.
Source: NHLBI.(10)
7010
7522
8057
85719
902,107
952,363
002,199
052,125
Chart 13A: Trends in heart transplants
UNOS: 19702005
Source: United Network for Organ Sharing (UNOS), scientific registry data.
est. cv oper. & proc
u.s. 1979-03 (000)
CatheterizationsOpen-HeartBypassPTCACarotid EndarterectomyPacemakers
`NH WhitesNH BlacksHispanics792991721145442
Males24.914.024.8803501971375544
Females27.011.919.28569030823010740
9010465013922666897
Chart 9A: Prevalence of high school students in grades 912 reporting current cigarette use951137722573419132136
by sex and race/ethnicity001318686519561124152
YRBS: 2005011314690516571128177
021463709515657134199
04129764642766498170
Chart 13B: Trends in cardiovascular inpatient operations and procedures
United States: 19792004
Source: MMWR.4 NH indicates non-Hispanic.
MenWomen
NH White24.120.4
NH Black23.920.2
Hispanic18.915
Asian17.811.3Source: NHDS. NCHS and NHLBI. Note: In-hospital procedures only.
American Indian or Alaska Native37.333.4
Chart 9B: Prevalence of current smoking for Americans age 18 and older by race/ethnicity and sexEST. COST OF CV DISEASES 2007
NHIS: 2004Coronary Heart Disease142.5
Stroke57.9
Hypertensive Disease63.5
Heart Failure29.6
Chart 14A: Estimated direct and indirect costs (in billions of dollars) of major cardiovascular diseases and stroke
United States: 2007
Source: MMWR.1 NH indicates non-Hispanic.
1988-941999-022003-04
NH White206204202
NH Black204199197
Mexican American205202201Source: NHLBI
Chart 9C: Trends in mean total serum cholesterol among adults by race, sex and survey
NHANES: 198894, 199902 and 200304
Source: NCHS and NHLBI.
1976-801988-941999-022003-04
White Males163163155156
Black Males171165166161
White Females170166163164
Black Females172174168161
Chart 9D: Trends in mean total serum cholesterol among adolescents ages 1217 by race, sex and survey
NHANES:1976-80,1988-94, 1999-02 and 2003-04
Source: NCHS and NHLBI.
MenWomen
Total Population32.032.0
NH Whites32.034.0
NH Blacks32.030.0
Mexican Americans39.031.0
Chart 9E: Age-adjusted prevalence of Americans age 20 and older with
LDL cholesterol of 130 mg/dL or higher by race/ethnicity and sex
NHANES: 200304
Source: NCHS and NHLBI.
MenWomen
Total259
NH Whites269
NH Blacks167
Mexican Americans2813
Chart 9F: Age-adjusted prevalence of Americans age 20 and older with
HDL cholesterol under 40 mg/dL by race/ethnicity and sex
NHANES: 200304
Source: NCHS and NHLBI.
NH WhiteNH BlackHispanic
Male46.938.239
Female30.221.326.5
Chart 9G: Prevalence of students in grades 912 who met currently recommended
levels of physical activity during the past 7 days by race/ethnicity and sex
YRBS: 2005
Note: Currently recommended levels is defined as activity that increased their heart rate and made them breathe hard some of the time for a total of at least 60 minutes/day on 5 or more of the 7 days preceding the survey. Source: MMWR.1
Source:YRBS (4)
19942004
NH White Male26.418.4
NH Black Male34.227.0
Hispanic Male37.532.5
Asian/Pacific Islander Male25.020.4
Am. Indian/Alaska Native Male34.423.8
NH White Female28.321.6
NH Black Female45.733.9
Hispanic Female44.839.6
Asian/Pacific Islander Female31.524.0
Am. Indian/Alaska Native Female36.331.8
Chart 9H: Prevalence of leisure-time physical inactivity among adults age 18 and older by race/ethnicity and sex
BRFSS: 1994 and 2004
Source: MMWR.(11) NH indicates non-Hispanic.
MalesFemales
NH Whites15.28.2
NH Blacks15.916.1
Hispanics21.312.1
Chart 9i: Prevalence of overweight among students in grades 912 by sex and race/ethnicity
YRBS: 2005
Source: BMI 95th percentile or higher by age and sex of the CDC 2000 growth chart. MMWR.(2) NH indicates non-Hispanic.
MenWomen
65-749.24.7
75-8422.314.8
85-9443.030.7
1960-621971-741976-801988-942001-2004
Men10.712.212.820.630.2
Women15.716.817.126.034.0
Chart 9J: Age-adjusted prevalence of obesity in Americans ages 2074 by sex and survey
NHES 196062; NHANES: 197174, 197680, 198894 and 200104
Note: Obesity is defined as a BMI of 30.0 or higher. Source: Health, United States, 2006; Unpublished data, NCHS.
6-1112-19
1971-744.33.6
1976-806.66.4
1988-9411.611.0
2001-200418.716.3
Chart 9K: Trends in the prevalence of overweight among U.S. children and adolescents by age and survey
NHANES: 197174, 197680; 198894 and 200104
Source: Health, United States, 2006. Unpublished data. NCHS.
NH WhitesNH BlacksMexican Americans
Men69.89.9
Women4.512.211
Chart 9L: Prevalence of physician-diagnosed diabetes in Americans age 20 and older by race/ethnicity and sex
NHANES: 19992004
NCHS and NHLBI
NH WhitesNH BlacksMexican Americans
Less than high school7.512.010.1
High school5.69.76.0
More than high school4.29.89.8
Chart 9M. Prevalence of Non-Insulin-Dependent (Type 2) Diabetes in Americans Age 18+
by Education, Race/Ethnicity and Years of Education
NHANES: 1999-2004
Source: NCHS and NHLBI.
Sheet1
10.712.212.820.630.2
15.716.817.12634
1960-62
1971-74
1976-80
1988-94
2001-2004
Percent of Population
Sheet2
4.36.611.618.7
3.66.41116.3
1971-74
1976-80
1988-94
2001-2004
Percent of Population
Sheet3
185.303214.49
190.125240.37
194.834252.488
207.11257.35
221.391275.644
236.69317.084
258.645326.377
287.202327.978
281.616347.436
288.585374.508
312.253351.142
324.63397.288
369.68417.005
383.856455.757
403.565490.614
395.02491.788
383.917496.515
381.013496.109
436.463530.027
442.23547.189
433.785540.992
421.896585.791
446.166553.626
442.772530.311
495.774597.144
524575
Male
Female
Years
Discharges in Thousands
299172114795442
350197137805544
6903082308510740
10465013922666897
1137722573419132136
1318686519561124152
129764642766498170
Catheterizations
Open-Heart
Bypass
PCI
Carotid Endarterectomy
Pacemakers
Years
Procedures in Thousands
24.927
1411.9
24.819.2
Males
Females
Percent of Population
24.123.918.917.837.3
20.420.21511.333.4
NH White
NH Black
Hispanic
Asian
American Indian or Alaska Native
Percent of Population
46.938.239
30.221.326.5
NH White
NH Black
Hispanic
Sex and Race/Ethnicity
Percent of Population
151.6
62.7
66.4
33.2
Billions of Dollars
0.30.2
21.5
7.25.2
11.612.4
Men
Women
Percent of Population
206204202
204199197
205202201
1988-94
1999-02
2003-04
Mean Serum Total Cholesterol
2.64.34.86.310.917
5.37.88.611.516.728.1
14.417.121.126.13044.1
No MetS or DM
MetS w/o DM
MetS w/DM
DM only
Prior CVD
Prior CVD and DM
Deaths/1,000 Person Years
MBD0006C71F.xls
Chart9
259
269
167
2813
Men
Women
Percent of Population
OVERWT
1960-621971-741976-801988-942001-2004
Men10.712.212.820.630.2
Women15.716.817.126.034.0
Age-Adjusted Prevalence of Obesity* in Americans Ages 20-74 by Sex and Survey
NHES and NHANES: 1960--62, 1971--74, 1976--80, 1988--94 and 2001-2004
Source:Health US, 2004.
Obesity is defined as BMI of 30 plus.
&A
Page &P
OVERWT
1960-62
1971-74
1976-80
1988-94
2001-2004
Percent of Population
cholchild
Estimated Percentage of Children With Serum Cholesterol of 170 mg/dl or More, United States
WhiteBlack
Males 0-9 Years2940
Females 0-9 Years3350
Males 10-19 Years2534
Females 10-19 Years2941
Estimated Percentage of Children With Serum Cholesterol of 170 mg/dL
or More, United States
Trends in Mean Total Blood Cholesterol Among Adolescents Ages 12-17 by Sex and Race and Survey
NHANES:1976-80,1988-94, 1999-02 and 2003-04
1976-801988-941999-022003-04
White Males163163155156
Black Males171165166161`
White Females170166163164
Black Females172174168161
`
cholchild
&A
Page &P
White
Black
Percent of Population
diabetes
1976-80
1988-94
1999-02
2003-04
Mean Total Blood Cholesterol
Strokerace
NH WhitesNH BlacksMexican Americans
Men6.710.711.0
Women5.613.210.9
Age-Adjusted Prevalence of Physician-Diagnosed Diabetes in Americans Age 20 and Older by Sex and Race/Ethnicity
NHANES: 1999-2004
WhitesBlacksMexican Americans
122.95.46.4
Prevalence of Non-Insulin-Dependent (Type 2) Diabetes in Women Ages 25-64
by Education and Race/Ethnicity
NHANES III: 1988-94
OLD
Winkleby et al.
NH WhitesNH BlacksMexican Americans
Less than high school7.512.010.1
High school5.69.76.0
More than high school4.29.89.8
Prevalence of Non-Insulin-Dependent (Type 2) Diabetes in Americans Age 18+
by Education, Race/Ethnicity and Years of Education
NHANES: 1999-2004
`
NCHS and NHLBI.
&A
Page &P
Strokerace
000
000
NH Whites
NH Blacks
Mexican Americans
Percent of Population
Hdl&Ldl
000
000
000
000
Whites
Blacks
Mexican Americans
Years of Education
Percent of Population
smokhschool
000
000
000
Less than high school
High school
More than high school
Percent of Population
Metsyndr.
Relative Risk of Deaths due to StrokeCompared to Non-Hispanic Whites, by Race/Ethnicity and Age Groups, U.S., 1997
Non-Hispanic BlacksAmerican Indians/ Alaska NativesAsian/Pacific IslandersHispanics
35-444.01.91.31.3
45-543.91.31.31.3
55-643.01.51.41.2
65-741.90.91.10.9
75-841.20.81.00.6
85+0.90.40.70.5
Risk for Stroke Mor