Prevention & lipidsResearch article

Forecasting the Burden of Cardiovascular Disease and Stroke in the United States Through 2050—Prevalence of Risk Factors and Disease: A Presidential Advisory From the American Heart Association

CirculationPublished

  • Modelling (forecasting) study
  • AHA presidential advisory
  • projection through 2050
  • NHANES 2015 to March 2020 and MEPS 2015 to 2019 data

Authors' conclusion

The prevalence of many cardiovascular risk factors and most established diseases will increase over the next 30 years.

Study context

Population
US adults (and children), by age and race and ethnicity
Outcome
Prevalence of CV risk factors (adverse Life's Essential 8 levels) and clinical CVD and stroke
Follow-up
2020 to 2050

Main finding

As reported in the abstract

Projected prevalence among adults, 2020 to 2050 · 2050
Hypertension
51.2% to 61.0%
Diabetes
16.3% to 26.8%
Obesity
43.1% to 60.6%
Hypercholesterolemia (decline)
45.8% to 24.0%
Coronary disease
7.8% to 9.2%
HF
2.7% to 3.8%
Stroke
3.9% to 6.4%
AF
1.7% to 2.4%
Total CVD
11.3% to 15.0%
Adults with clinical CVD by 2050
45 million
Adults with CVD incl. hypertension by 2050
more than 184 million (>61%)

Further findings

Children

Similar trends projected in children

By race and ethnicity

Most adverse trends worse among American Indian/Alaska Native or multiracial, Black, or Hispanic people

Original publication

Forecasting the Burden of Cardiovascular Disease and Stroke in the United States Through 2050—Prevalence of Risk Factors and Disease: A Presidential Advisory From the American Heart Association. Circulation. Published 4 June 2024. doi:10.1161/cir.0000000000001256

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