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Trends in cardiovascular disease risk factors by BMI category among adults in England, 2003-2018.

Scholes, S; Fat, LN; Mindell, JS; (2021) Trends in cardiovascular disease risk factors by BMI category among adults in England, 2003-2018. Obesity 10.1002/oby.23184. (In press). Green open access

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Abstract

OBJECTIVE: This study aimed to estimate trends in cardiovascular disease risk factors by BMI category among adults in England (n = 115,860). METHODS: Risk factors included cigarette smoking, hypertension, total diabetes, and raised total cholesterol. Risk factor prevalence was computed in the following four 4-year time periods: 2003-2006; 2007-2010; 2011-2014; and 2015-2018. Change was computed as the difference between the first and last time periods, expressed in percentage points (PP). RESULTS: Hypertension remained at a stable level among men with normal weight but decreased among men with obesity (-4.1 PP; 95% CI: -7.1 to -1.0). Total diabetes remained at a stable level among adults with normal weight but increased among adults with obesity (men: 3.5 PP, 95% CI: 1.2 to 5.7; women: 3.6 PP, 95% CI: 1.8 to 5.4). Raised total cholesterol decreased in all BMI groups but fell more sharply among women with obesity (-21 PP; 95% CI: -25 to -17) versus their counterparts with normal weight (-16 PP; 95% CI: -18 to -14). CONCLUSIONS: Greater reductions in hypertension and raised total cholesterol among adults with overweight and obesity partially reflect improvements in screening, treatment, and control among those at highest cardiovascular risk. Higher levels of risk factor prevalence among adults with overweight and obesity, in parallel with rising diabetes, highlight the importance of national prevention efforts to combat the public health impact of excess adiposity.

Type: Article
Title: Trends in cardiovascular disease risk factors by BMI category among adults in England, 2003-2018.
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/oby.23184
Publisher version: https://doi.org/10.1002/oby.23184
Language: English
Additional information: © 2021 The Authors. Obesity published by Wiley Periodicals LLC on behalf of The Obesity Society (TOS). This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10130283
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