Cardiometabolic & kidneyCohort study

Cardiometabolic and Atherosclerotic Cardiovascular Disease (ASCVD) Risk Profiles in Arab Americans

JACC AdvPublished

  • Registry analysis
  • Houston Methodist Cardiovascular Disease Learning Health System Registry (2016-2025)
  • validated Arab name algorithm
  • multivariable logistic regression, including sex-stratified models

Authors' conclusion

Arab American adults demonstrated substantial cardiometabolic and ASCVD burden, with premature ASCVD characterized by clustering of hyperlipidemia, hypertension, smoking, and elevated body mass index. These findings support improved ethnicity data collection, and earlier, more intensive risk-factor management in this under-recognized population.

Study context

Population
Arab American adults ≥18 years in a large U.S. health care systemArab American adults (53.1% women, median age, 44 years)
Participants
49,440 adults
Exposure
Associations of traditional risk factors with overall and premature ASCVD

Main finding

As reported in the abstract

ASCVD and premature ASCVD prevalence

ASCVD

15.2%

Premature ASCVD

3.4%

Observational data: associations, not effects.

Further findings

Risk factor associations with ASCVD

ComparisonOR (95% CI)
Hyperlipidemia · ASCVD · Strongest correlates of ASCVD3.36 (3.13–3.61)
Hypertension · ASCVD · Strongest correlates of ASCVD3.14 (2.91–3.39)
OutcomeOR
Risk factor associations with ASCVD — Hyperlipidemia · premature ASCVD · Strongest correlates of ASCVD4.18
Risk factor associations with ASCVD — Hypertension · premature ASCVD · Strongest correlates of ASCVD3.88

Cardiometabolic conditions by age and sex

Cardiometabolic conditions increased with age and were more prevalent in men, except for obesity

Sex-stratified associations with premature ASCVD

Hyperlipidemia was more strongly associated with premature ASCVD in men, whereas hypertension and diabetes showed stronger associations in women

Original publication

Cardiometabolic and ASCVD Risk Profiles in Arab Americans. JACC Adv. Published 2 September 2026. doi:10.1016/j.jacadv.2026.103202

Summarised from the published abstract; every number is checked against it