Prevention & lipidsCross-sectional study
Trends in cardiovascular risk factors control among US adults by glycemic statuses, 2007–2018
- Serial cross-sectional study
- nationally representative
- NHANES 2007-2008 to 2017-2018
Authors' conclusion
In this nationally representative cross-sectional study, we systematically estimated the cardiovascular risk factors control in American adults and found poor weight control in the normoglycemia and prediabetes group. Despite the significant decrease trend of plasma total cholesterol in all groups, the high cholesterol level in the prediabetes group deserves special concern.
Study context
- Population
- Non-pregnant US adults aged ≥20 years, NHANES 2007–2008 to 2017–2018
- Participants
- 33,040 adults
- Exposure
- CV risk factor control by glycemic status over time
- Outcome
- Trends in CV risk factors (weight, BP, plasma cholesterol, smoking) by glycemic status
- Follow-up
- 2007-2008 to 2017-2018
Main finding
As reported in the abstract
CV risk factor control trends, 2007-2008 to 2017-2018
Mean difference
−5.34%
95% CI −15.28% to 4.59%
P = 0.298 for trend
Diabetes
mean difference −5.34% (95% CI −15.28% to 4.59%); P for trend = 0.298
- Age-adjusted mean total cholesterol decreased in all three groups; lowest in diabetes
- P for trend < 0.010
Observational data: associations, not effects.
Further findings
Sensitivity analysis (second definition of prediabetes and diabetes)
- Consistent trend
Original publication
Trends in cardiovascular risk factors control among US adults by glycemic statuses, 2007–2018. Eur J Prev Cardiol. Published 17 March 2023. doi:10.1093/eurjpc/zwad080
Summarised from the published abstract; every number is checked against it