Despite temporal improvements, racial and ethnic differences in controlling cardiovascular risk factors persisted among adults with obesity from 1999 to 2023.
While cardiovascular risk factor control among US adults with obesity improved from 1999 to 2023, significant racial and ethnic disparities persist, with non-Hispanic Whites achieving higher glycemic and blood pressure control and non-Hispanic Blacks achieving greater lipid control.
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BACKGROUND: The burden of obesity may be compounded by disparities in the quality of cardiovascular care across racial and ethnic groups. We aimed to examine racial and ethnic differences in the control of risk factors for cardiovascular disease (CVD) among adults with obesity. METHODS: We included nonpregnant US adults with obesity aged ≥20 years who participated in the National Health and Nutrition Examination Survey. Participants from a total of 11 survey cycles between 1999-2000 and 2021-2023 were included. Primary outcome was racial and ethnic differences in controlling all risk factors for CVD (including glycemic, blood pressure and lipid control) among participants, where the risk factor targets were glycated hemoglobin <7.0%, systolic and diastolic blood pressure <140/90 mmHg, and non-high-density lipoprotein cholesterol <3.4 mmol/L, respectively. Multivariable logistic regression models were used for analyses. RESULTS: A total of 21,982 participants with obesity (mean age: 48.4 years, body mass index: 36.0 kg/m CONCLUSIONS: Across racial and ethnic groups, the majority of participants with obesity were young adults, women, and those in low education. While temporal improvement was found in all groups, racial and ethnic differences in the control of CVD risk factors in adults with obesity still remained. Efforts are required to further explore and confirm these results to help reduce the obesity and CVD burden.
Liu et al. (Tue,) reported a other. Despite temporal improvements, racial and ethnic differences in controlling cardiovascular risk factors persisted among adults with obesity from 1999 to 2023.