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Abstract P101: Cardiovascular Health in US Adults Before and After Publication of the American Heart Association 2020 Impact Goals: Results From NHANES 2005-2016


 Background:
 The dissemination of the American Heart Association (AHA) 2020 Impact Goals might promote nationwide efforts to improve cardiovascular health in the US general population. We aimed to compare cardiovascular health metrics in US adults before and after the release of the AHA 2020 Impact Goals.
 
 
 Methods:
 A total of 32,327 adults aged ≥20 years from the National Health and Nutrition Examination Surveys (NHANES) 2005-2016 were included in this analysis. Cardiovascular health comprised 7 health metrics (smoking status, body-mass index, physical activity, healthy diet score, total cholesterol, blood pressure, and fasting plasma glucose), and each metric was scored as poor (0 points), intermediate (1 point), or ideal (2 points). Cardiovascular health score (0-14) was calculated as the sum of all 7 cardiovascular health metric scores. Age-standardized proportions of cardiovascular health metrics and means of cardiovascular health scores were calculated overall and in age, sex, and race/ethnicity subgroups for NHANES 2005-2010 and 2011-2016.
 
 
 Results:
 The age-standardized mean of cardiovascular health score was not significantly different between 2005-2010 and 2011-2016 (7.86 vs. 7.99,
 P
 =0.14) in the US adult population. However, the cardiovascular health scores significantly increased in young adults aged 20-39 years (8.62 vs. 8.96,
 P
 =0.002) and non-Hispanic blacks (7.02 vs. 7.30,
 P
 =0.004). Additionally, although the cardiovascular health behaviors score was not significantly different (3.64 vs. 3.71,
 P=
 0.24), the cardiovascular health factors score significantly improved (5.74 vs. 5.82,
 P
 =0.02). Age-standardized proportions of non-current smoking (74.1% vs. 77.0%), ideal physical activity (35.7% vs. 39.0%), and total cholesterol <200 mg/dL (43.3% vs. 48.1%) significantly increased, but body-mass index <25.0 kg/m
 2
 (32.2% vs. 29.8%) significantly decreased, from 2005-2010 to 2011-2016 in US adults.
 
 
 Conclusions:
 Since the release of the AHA 2020 Impact Goals, cardiovascular health has improved in young adults and non-Hispanic blacks. In addition, the proportions of non-current smoking, ideal physical activity, and ideal total cholesterol have increased in the entire US adult population. However, several cardiovascular health metrics have not significantly improved, or have even worsened. Further nationwide efforts are warranted to promote cardiovascular health, especially weight loss, in the US general population.
