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Author Spotlight: Assessing the Cardiovascular Profile of Patients with Metabolic Syndrome
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Author Spotlight: Assessing the Cardiovascular Profile of Patients with Metabolic Syndrome

Published on: September 27, 2024

805

Prevalence of cardiometabolic diseases in underweight: a nationwide cross-sectional study

Meng Chen1, Shuxiao Shi1, Sujing Wang1

  • 1Department of Epidemiology and Biostatistics, School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai200025, People's Republic of China.

The British Journal of Nutrition
|November 11, 2024
PubMed

Insights

Nearly half of US adults with underweight have cardiometabolic diseases (CMD). A significant 12.3% have two or more CMD, highlighting a critical public health challenge.

Area of Science:

  • Public Health
  • Cardiology
  • Endocrinology

Background:

  • Cardiometabolic diseases (CMD) pose a significant health burden.
  • Underweight individuals are often overlooked in CMD prevalence studies.
  • Understanding CMD prevalence in underweight populations is crucial for targeted interventions.

Purpose of the Study:

  • To estimate the nationwide prevalence of various cardiometabolic diseases (CMD) among adults with underweight in the US.
  • To assess the prevalence of zero or at least two CMD in this population.
  • To identify potential disparities in CMD prevalence among different demographic subgroups.

Main Methods:

  • Utilized data from the National Health and Nutrition Examination Survey (1999-2020).
  • Estimated age-standardized prevalence of dyslipidemia, hypertension, diabetes, chronic kidney disease, and cardiovascular disease (CVD).
  • Employed multivariable Poisson regressions to compare CMD prevalence across subgroups, adjusting for covariates.

Main Results:

  • Among 855 underweight adults, 23.4% had dyslipidemia, 15.6% hypertension, 2.5% diabetes, 7.9% chronic kidney disease, and 6.1% CVD.
  • 50.6% had zero CMD, while 12.3% had at least two CMD.
  • Non-Hispanic Black adults showed a significantly higher prevalence of diabetes compared to non-Hispanic White adults.

Conclusions:

  • Approximately half of US adults with underweight have at least one CMD.
  • A notable 12.3% of underweight adults have two or more CMD, indicating a substantial disease burden.
  • The prevention and management of CMD in underweight adults represent a critical, yet often neglected, public health issue.

Keywords:
BMICardiometabolic diseasesNHANESPrevalenceUnderweight

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