"Even more worrying are the persistent disparities with higher mortality rates among black Americans compared to white Americans," Khan said. The study found that black adults consistently had higher cardiometabolic-related mortality than white adults, and blacks had the highest rates.
"We need to reduce deaths from cardiometabolic diseases and we need to find strategies to reduce disparities," she
"It is clear from our findings that we are losing ground in the battle against cardiovascular disease," she said in a statement. "We need to focus our focus as a nation on prevention in order to achieve our goal of living longer, healthier and without cardiovascular disease."
Data show that in 1999 the total deaths by cause were 725,192 from heart disease, 167,366 from stroke, 68 399 from diabetes and 16,968 from hypertension.
In 2017, total mortality by cause was 647,457 from heart disease, 146,383 from stroke, 83,564 from diabetes and 35,366 from hypertension, data show.
From 1999 to 2017, 12.3% of fatal cardiometabolic events occurred in black individuals and 85.1% in white individuals, i.e. and 51.3% occurred in women, the data show.
Researchers also found that deaths from heart disease declined between 1999 and 2010 – and in those years there were 8.3 fewer deaths per 100,000 people per year compared to the years after 2010.
Mortality also declined from stroke and diabetes before 2010, but did not change significantly between this year and 2017, data show.
With regard to hypertension or high blood pressure, the 2003 point of departure and the mortality associated with this condition increased less rapidly thereafter, the researchers found.
The study had some limitations, including that since based on evidence from a death certificate, has been subject to any errors presented in the death certificates. In addition, more research is needed to determine why certain data trends have emerged.
"Our study is also not able to conclusively state what causes the change in cardio-metabolic mortality, but obesity is probably the leading culprit," said Khan
"The sudden increase in mortality due to hypertension in blacks, a completely treatable condition, is of greatest concern," he said. "Hypertension is a major risk factor for stroke in the United States, with stagnation rates in this study. Again, which suggests that we are losing a leg. "
Yet he added that for a nation to reduce cardiometabolic-related mortality, the approach may be more complicated – and it can require a public health initiative selvages.
"In the 1980s and 1990s, we made great strides in the treatment of cardiovascular disease and I think this is largely a result of public health measures. This reduces the use of tobacco and the recognition of this link. between cholesterol and cardiovascular disease, "Adler said.