Heart Disease and Stroke Statistics—2016 Update A Report From ...
Heart Disease and Stroke Statistics 2013...
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Heart Disease and Stroke Statistics 2013 Update 1
Transcript of Heart Disease and Stroke Statistics 2013...
Heart Disease and Stroke Statistics
2013 Update
1
Additional charts may be downloaded directly from the online publication at: http://circ.ahajournals.org/lookup/doi/10.1161/CIR.0b013e31828124ad
Or at:
www.heart.org/statistics
The American Heart Association requests that this document be cited as follows: Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Borden WB, Bravata DM, Dai S, Ford ES,
Fox CS, Franco S, Fullerton HJ, Gillespie C, Hailpern SM, Heit JA, Howard VJ, Huffman MD,
Kissela BM, Kittner SJ, Lackland DT, Lichtman JH, Lisabeth LD, Magid D, Marcus GM, Marelli A,
Matchar DB, McGuire DK, Mohler ER, Moy CS, Mussolino ME, Nichol G, Paynter NP, Schreiner PJ,
Sorlie PD, Stein J, Turan TN, Virani SS, Wong ND, Woo D, Turner MB; on behalf of the American Heart
Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics—
2013 update: a report from the American Heart Association. Circulation.2013: published online before print December 12, 2012, 10.1161/CIR.0b013e31828124ad.
If you have questions about statistics or any points made in the 2013 Statistical Update, please contact the American Heart Association National Center,
Office of Science & Medicine at [email protected].
Please direct all media inquiries to News Media Relations at [email protected] or 214-706-1173.
Prevalence (unadjusted) estimates for poor, intermediate and ideal
cardiovascular health, US children aged 12-19 years (NHANES 2009-2010)
©2012 American Heart Association, Inc. All rights reserved.
Go AS et al. Published online in Circulation Dec. 12, 2012
14.8 18.6
8.0
91.5
8.0 1.8 0.1
0.0
17.2
55.8
8.5
22.8
12.4 11.7
85.2
64.2
36.1
0.0
69.1
85.5 88.2
0.0
20.0
40.0
60.0
80.0
100.0
CurrentSmoking
Body MassIndex
PhysicalActivity
Healthy DietScore*
TotalCholesterol
Blood PressureFasting PlasmaGlucose
Pe
rce
nta
ge
Poor Intermediate Ideal*Healthy Diet Score reflects 2007-2008 NHANES data
Age-standardized prevalence for poor, intermediate and ideal
cardiovascular health, US adults ≥20 years of age (NHANES 2009-2010)
©2012 American Heart Association, Inc. All rights reserved.
Go AS et al. Published online in Circulation Dec. 12, 2012
*Healthy Diet Score reflects 2007-2008 NHANES data
20.6
35.7
48.0
79.0
13.0 14.0 8.1
3.1
33.0 10.9
20.7
39.7 41.8
34.5
76.2
31.3
41.1
0.3
47.3 44.3
57.4
0.0
20.0
40.0
60.0
80.0
100.0
CurrentSmoking
Body MassIndex
PhysicalActivity
Healthy DietScore*
TotalCholesterol
Blood PressureFasting PlasmaGlucose
Pe
rce
nta
ge
Poor Intermediate Ideal
Prevalence of CVD in adults ≥20 years of age (NHANES: 2007–2010)
Source: NCHS and NHLBI. These data include CHD, HF, stroke, and hypertension.
©2012 American Heart Association, Inc. All rights reserved.
Go AS et al. Published online in Circulation Dec. 12, 2012
12.8
40.0
70.2
83.0
10.1
34.4
70.9
87.1
0
10
20
30
40
50
60
70
80
90
100
20-39 40-59 60-79 80+
Perc
en
t o
f P
op
ula
tio
n
Age (Years)
Men Women
Deaths due to diseases of the heart (United States: 1900–2009)
Source: National Center for Health Statistics.
©2012 American Heart Association, Inc. All rights reserved.
Go AS et al. Published online in Circulation Dec. 12, 2012
0
200
400
600
800
1,000
1900 1910 1920 1930 1940 1950 1960 1970 1980 1990 2000 2009
Dea
ths
in
Th
ou
sa
nd
s
Years
CVD and other major causes of death (United States: 2009)
Source: NCHS and NHLBI. A indicates CVD plus congenital CVD; B, cancer; C, accidents; D, CLRD; E, diabetes; and F, Alzheimer's disease.
©2012 American Heart Association, Inc. All rights reserved.
Go AS et al. Published online in Circulation Dec. 12, 2012
386,436
296,763
75,022
65,119
35,054
23,900
401,495
270,865
72,234
55,103
42,999
33,651
0
50,000
100,000
150,000
200,000
250,000
300,000
350,000
400,000
450,000
A B C D E F A B D F C E
De
ath
s
Males Females
Prevalence of Stroke (NHANES: 2007–2010)
Source: NCHS and NHLBI.
©2012 American Heart Association, Inc. All rights reserved.
Go AS et al. Published online in Circulation Dec. 12, 2012
0.4
2.1
6.2
13.9
0.6
2.1
6.9
13.8
0
2
4
6
8
10
12
14
16
18
20-39 40-59 60-79 80+
Pe
rce
nt
of
Po
pu
lati
on
Age (Years)
Men Women
Age-adjusted death rates for stroke, 2009
Source: NCHS and NHLBI.
©2012 American Heart Association, Inc. All rights reserved.
Go AS et al. Published online in Circulation Dec. 12, 2012
37.8
60.1
34.1
29.2 30.9
36.6
50.2
29.6
24.6
28.0
0
10
20
30
40
50
60
70
White Black Asian/Pacific Islander AmericanIndian/Alaska Native
Hispanic
De
ath
Ra
te p
er
100
000
Males Females
Prevalence of High Blood Pressure in adults ≥20 years of age (NHANES: 2007–2010)
Source: NCHS and NHLBI. Hypertension is defined as SBP 140 mm Hg or DBP 90 mmHg, taking antihypertensive medication, or being told twice by a
physician or other professional that one has hypertension.
©2012 American Heart Association, Inc. All rights reserved.
Go AS et al. Published online in Circulation Dec. 12, 2012
9.1
24.4
37.7
52.0
63.9
72.1
6.7
17.6
34.0
52.0
70.8
80.1
0
10
20
30
40
50
60
70
80
90
20-34 35-44 45-54 55-64 65-74 ≥75
Perc
en
t o
f P
op
ula
tio
n
Age (Years)
Male Female
Age-Adjusted Prevalence Trends for High Blood Pressure in Adults, ≥20 years of age (NHANES:1988-1994, 1999-2004 and 2007-2010)
Source: NCHS and NHLBI. NH indicates non-Hispanic.
©2012 American Heart Association, Inc. All rights reserved.
Go AS et al. Published online in Circulation Dec. 12, 2012
25.6
22.9
37.5 38.2
26.9
25.0
28.3 28.2
38.6
41.5
25.7 26.8
30.3
27.4
39.9
42.7
25.5 26.0
0
5
10
15
20
25
30
35
40
45
NH White Men NH White Women NH Black Men NH Black Women Mexican AmericanMen
Mexican AmericanWomen
Perc
en
t o
f P
op
ula
tio
n
1988-1994 1999-2004 2005-2010
Trends in mean total serum cholesterol among adolescents 12–17 years of age (NHANES: 1976-1980*, 1988–1994*, 1999–2004 and 2007-2010)
Source: NCHS and NHLBI. NH indicates non-Hispanic. Mex. Am. indicates Mexican American. * Data for Mexican Americans not available.
©2012 American Heart Association, Inc. All rights reserved.
Go AS et al. Published online in Circulation Dec. 12, 2012
163
171 170
172
163
165 166
174
159
161
163 163
158
160
153
157
161 160
156 157
140
145
150
155
160
165
170
175
180
NH White Males NH Black Males NH White Females NH Black Females Mex. Am. Males Mex. Am. Females
Mean
To
tal B
loo
d C
ho
leste
rol
1976-80 1988-94 1999-2004 2005-2010
Trends in mean total serum cholesterol among adults ages ≥20 (NHANES: 1988–1994, 1999–2004, 2003-2006 and 2007–2010)
Source: NCHS and NHLBI. NH indicates non-Hispanic.
©2012 American Heart Association, Inc. All rights reserved.
Go AS et al. Published online in Circulation Dec. 12, 2012
206
204
205
204
199
202
201
194
201
197
192
199
185
190
195
200
205
210
NH White NH Black Mexican American
Mean
Seru
m T
ota
l C
ho
leste
rol
1988-94 1999-2002 2003-2006 2007-2010
Age-adjusted prevalence of physician-diagnosed diabetes in adults ≥20 years of age (NHANES: 2007–2010)
Source: NCHS and NHLBI. NH indicates non-Hispanic.
©2012 American Heart Association, Inc. All rights reserved.
Go AS et al. Published online in Circulation Dec. 12, 2012
7.7
6.2
13.5
15.4
11.4
12.0
0
2
4
6
8
10
12
14
16
18
Male Female
Perc
en
t o
f P
op
ula
tio
n
NH White NH Black Mexican American
Trends in diabetes prevalence in adults ≥20 years of age (NHANES: 1988–1994 and 2007–2010)
Source: NCHS, NHLBI.
©2012 American Heart Association, Inc. All rights reserved.
Go AS et al. Published online in Circulation Dec. 12, 2012
5.4
3.4
8.7
4.7
5.4
2.5
7.9
2.3
0
1
2
3
4
5
6
7
8
9
10
Physician Diagnosed 1988-94 Undiagnosed 1988-94 Physician Diagnosed 2007-10 Undiagnosed 2007-10
Perc
en
t o
f P
op
ula
tio
n
Male Female
Prevalence of students in grades 9–12 who met recommended levels of
physical activity on 5 of the past 7 days (YRBSS: 2011)
Source: MMWR Surveill Summ.2012;61:1–162. NH indicates non-Hispanic.
©2012 American Heart Association, Inc. All rights reserved.
Go AS et al. Published online in Circulation Dec. 12, 2012
62.1
42.6
57.1
31.9
57.1
33
0
10
20
30
40
50
60
70
Male Female
Perc
en
t o
f P
op
ula
tio
n
NH White NH Black Hispanic
Prevalence of meeting the 2008 Federal Physical Activity Guidelines
among adults ≥18 years of age (NHIS 2010)
NH indicates non-Hispanic. Percents are age-adjusted. Meeting the 2008 Federal PA Guidelines is defined as engaging in moderate leisure-time
physical activity for at least 150 minutes per week or vigorous activity at last 75 minutes per week or an equivalent combination.
©2012 American Heart Association, Inc. All rights reserved.
Go AS et al. Published online in Circulation Dec. 12, 2012
55.3
50.0 49.0
34.6
44.2
36.2
0
10
20
30
40
50
60
Men Women
Perc
en
t o
f P
op
ula
tio
n
NH White NH Black Hispanic
Prevalence of students in grades 9 to 12 reporting current cigarette use (YRBSS 2011)
Source: MMWR Surveill Summ.2012;61:1–162. NH indicates non-Hispanic.
©2012 American Heart Association, Inc. All rights reserved.
Go AS et al. Published online in Circulation Dec. 12, 2012
21.5
13.7
19.4 18.9
7.4
15.2
0
5
10
15
20
25
NH White NH Black Hispanic
Perc
en
t o
f th
e P
op
ula
tio
n
Males Females
Prevalence of current smoking for adults ≥18 years of age (NHIS 2008-2010)
All percentages are age-adjusted. NH indicates non-Hispanic. *Includes both Hispanics and non-Hispanics. Data derived from Centers for Disease
Control and Prevention/National Center for Health Statistics, Health Data Interactive.
©2012 American Heart Association, Inc. All rights reserved.
Go AS et al. Published online in Circulation Dec. 12, 2012
23.9
20.9
23.7
17.6 17.3
9.6
15.2
5.5
24.6
20.7
0
5
10
15
20
25
30
Men Women
Perc
en
t o
f P
op
ula
tio
n
NH White NH Black Hispanic Asian* American Indian/Alaska Native*
Trends in the prevalence of obesity among US children and adolescents
Data derived from Health, United States, 2011. NCHS, 2011.
©2012 American Heart Association, Inc. All rights reserved.
Go AS et al. Published online in Circulation Dec. 12, 2012
4.0
6.1 6.5
5.0
11.3
10.5
15.9 16.0
17 17.6
18.8 18.2
0
2
4
6
8
10
12
14
16
18
20
6-11 12-19
Perc
en
t o
f P
op
ula
tio
n
1971-1974 1976-1980 1988-1994 1999-2002 2003-2006 2007-2010
Age-adjusted prevalence of obesity in adults 20–74 years of age
Data derived from Health, United States, 2011. NCHS, 2011.
©2012 American Heart Association, Inc. All rights reserved.
Go AS et al. Published online in Circulation Dec. 12, 2012
10.7
15.7
12.2
16.8
12.8
17.1
20.6
26.0
28.1
34.0 34.4
36.1
0
5
10
15
20
25
30
35
40
Men Women
Perc
en
t o
f P
op
ula
tio
n
1960-62 1971-74 1976-80 1988-94 1999-2002 2007-2010
Trends in cardiovascular procedures, United States: 1979–2010
Note: Inpatient procedures only. Source: National Hospital Discharge Survey, NCHS, and NHLBI.
©2012 American Heart Association, Inc. All rights reserved.
Go AS et al. Published online in Circulation Dec. 12, 2012
0
200
400
600
800
1000
1200
1400
1979 1980 1985 1990 1995 2000 2005 2010
Pro
ced
ure
s i
n T
ho
usan
ds
Years
Catheterizations Bypass PCI Carotid Endarterectomy Pacemakers
Direct and indirect costs (in billions of dollars)
of major cardiovascular diseases and stroke (United States: 2009)
Source: National Heart, Lung, and Blood Institute.
©2012 American Heart Association, Inc. All rights reserved.
Go AS et al. Published online in Circulation Dec. 12, 2012
195.2
51.0
38.6
27.8
0
50
100
150
200
250
Heart disease Hypertension Stroke Other CVD
Billio
ns o
f D
ollars
Projected Total Costs of CVD, 2015–2030 (in Billions 2010$) in the United States
Unpublished data tabulated by AHA using methods described in Circulation. 2011;123:933–944.
©2012 American Heart Association, Inc. All rights reserved.
Go AS et al. Published online in Circulation Dec. 12, 2012
358.0
91.4
46.8 32.4 38.0
149.2 170.4
470.3
119.1
61.4 42.9 51.3
195.6 222.5
621.6
155.0
81.1 57.5 70.0
258.0
293.6
818.1
200.3
106.4 77.7 95.6
338.2
389.0
0
100
200
300
400
500
600
700
800
900
All CVD HBP CHD CHF Stroke Other CVDs HBP as RiskFactor
To
tal D
oll
ars
(in
Bil
lio
ns
)
2015 2020 2025 2030
