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Slide 2 Heart Disease and Stroke Statistics 2010 Update Slide 3 Questions on statistics? mailto:nancy.haase@heart.orgQuestions on statistics? mailto:nancy.haase@heart.org mailto:nancy.haase@heart.org Audio-visual questions? mailto:david.brentz@heart.orgAudio-visual questions? mailto:david.brentz@heart.org mailto:david.brentz@heart.org Please keep the red wave and logo attached to these slides.Please keep the red wave and logo attached to these slides. Slide 4 CVD disease mortality trends for males and females United States: 1979-2006). Source: NCHS and NHLBI. CVD disease mortality trends for males and females (United States: 1979-2006). Source: NCHS and NHLBI. Slide 5 Age-adjusted death rates for CHD, stroke, lung and breast for white and black females ( United States: 2006). Source: NCHS. Slide 6 Deaths from diseases of the heart (United States: 19002006) Note: See Glossary for an explanation of Diseases of the Heart. Source: NCHS. Slide 7 Deaths from cardiovascular disease (United States: 19002006). Source: NCHS and NHLBI. Slide 8 Hospital discharges for cardiovascular diseases. (United States: 1970-2006). Note: Hospital discharges include people discharged alive, dead and status unknown. Source: NCHS and NHLBI. Slide 9 Percentage breakdown of deaths from cardiovascular diseases (United States: 2006) * - Not a true underlying cause. Source: NCHS. Slide 10 Prevalence of CVD in adults age 20 and older by age and sex (NHANES 2003-2006). Source: NCHS and NHLBI. These data include coronary heart disease, heart failure, stroke and hypertension. Slide 11 Incidence of CVD* by age and sex. (FHS, 1980-2003). Source: NHLBI. * Includes CHD, HF, stroke or intermittent claudication. Does not include hypertension alone. Slide 12 CVD deaths vs. cancer deaths by age. (United States: 2006). Source: NCHS. Slide 13 CVD and other major causes of death: both sexes. (United States: 2006). Source: NCHS and NHLBI. Slide 14 CVD and other major causes of death: males (United States: 2006). Source: NCHS and NHLBI. Slide 15 CVD and other major causes of death: females (United States: 2006). Source: NCHS and NHLBI. Slide 16 A CVD (I00-I99; Q20-Q28) B Cancer C Accidents D Chronic Lower Respiratory Diseases E Diabetes Mellitus F Alzheimers Disease CVD and other major causes of death for all males and females (United States: 2006). Source: NCHS and NHLBI. Slide 17 A CVD (I00-I99; Q20-28) B Cancer C Accidents D Chronic Lower Respiratory Diseases E Diabetes Mellitus F Alzheimers Disease CVD and other major causes of death for white males and females (United States: 2006). Source: NCHS and NHLBI. Slide 18 A CVD (I00-I99; Q20-Q28) B Cancer C Accidents D Assault (Homicide) E Diabetes Mellitus F Nephritis, Nephrotic Syndrome and Nephrosis CVD and other major causes of death for black males and females. (United States: 2006). S ource: NCHS and NHLBI. Slide 19 A CVD (I00-I99) B Cancer C Accidents D Diabetes Mellitus E Assault (Homicide) F CLRD CVD and other major causes of death for Hispanic or Latino males and females (United States: 2006). Source: NCHS and NHLBI. Slide 20 A CVD (I00-I99) B Cancer C Accidents D Chronic Lower Respiratory Diseases E Diabetes Mellitus F Influenza and Pneumonia CVD and other major causes of death for Asian or Pacific Islander males and females (United States: 2006). Source: NCHS and NHLBI. Slide 21 A CVD (I00-I99) B Cancer C Accidents D Diabetes Mellitus E Chronic Liver Disease and Cirrhosis F Chronic Lower Respiratory Diseases CVD and other major causes of death for American Indian or Alaska Native males and females (United States: 2006). Source: NCHS and NHLBI. Slide 22 Hospital Discharges (in millions) for the 10 Leading diagnostic Groups (United States: 2006). Source: NHDS/NCHS and NHLBI. Slide 23 Estimated 10-Year CVD risk in 50 to 54-year-old adults according to levels of various risk factors (Framingham Heart Study). Source: DAgostino et al., Circulation. 2008;117:743-753. A B C D A B C D Age50-54 50-54 50-54 50-54 HDL Cholesterol, mg/dL45-49 45-49 35-34 35-34 Total Cholesterol (mg/dL) 160-199 200-239 200-239 200-239 Systolic BP mm/Hg, no treat. 120-129 130-139 130-139 130-139 Smoker No No No Yes Diabetes No No Yes Yes mm Hg = millimeters of mercury. mg/dL = milligrams per deciliter of blood Slide 24 Prevalence (%) of Coronary Calcium: US Adults Ages 33-45 Years (CARDIA Study). Source: Loria et al., JACC. 2007;49(20):2013-20. Slide 25 Prevalence (%) of Coronary Calcium: US Adults Ages 45-84 Years (The MESA Study). Source: Bild et al., Circulation. 2005;111:1313-1320. Slide 26 Hazard Ratios for CHD Events Associated With Coronary Calcium Scores: US Adults Ages 45-84 Years (Reference Group CAC=0) Source: Detrano et al., NEJM. 2008;358(13):1336-1345. Slide 27 Hazard Ratios for CHD Events Associated With Coronary Calcium Scores: US Adults (Reference Group CAC=0 and Framingham Risk Scores Prevalence of children ages 6-19 who attained sufficient MVPA to meet public health recommendations of >60 minutes/day on >5 of 7 days by sex and age. (NHANES: 2003-04). Source: MSSE 2008;40:181-8. Slide 61 Prevalence of overweight among students in grades 9-12 by race/ethnicity and sex (YRBS: 2007). Source: MMWR. 2008 57: No. SS-4. BMI 95th percentile or higher by age and sex of the CDC 2000 growth chart. NH non-Hispanic. Slide 62 Note: Obesity is defined as a BMI of 30.0 or higher. Age-adjusted prevalence of obesity in Adults ages 20-74 by sex and survey. (NHES, 1960-62; NHANES, 1971-74, 1976-80, 1988- 94 and 2003-2006). Source: Health, United States, 2008. NCHS. Slide 63 Trends in prevalence of overweight among U.S. children and adolescents by age and survey. (NHANES, 1976-80, 1988-94 and 2003-2006). Source: Health, United States, 2008. NCHS. Slide 64 Prevalence of physician-diagnosed diabetes in Adults age 20 and older by race/ethnicity and sex (NHANES: 2003-2006). Source: NCHS and NHLBI. NH non-Hispanic. Slide 65 Prevalence of Physician Diagnosed Type 2 diabetes in Adults age 20+ by Race/Ethnicity, and Years of Education (NHANES: 2003- 2006). Source: NCHS and NHLBI. NH non-Hispanic. Slide 66 Trends in diabetes prevalence in adults age 20+ by Sex (NHANES: 1988-94 and 2003-2006). Undiagnosed 03-06 for females considered unreliable. Source: NCHS and NHLBI. NH non-Hispanic. Slide 67 Diabetes Awareness, Treatment and Control (NHANES: 2003-2006). Source: NHLBI. Slide 68 19772007 Figure 16-3. Total U.S. Food Expenditures Away from Home and At Home, 1977 and 2007. Source: United States Department of Agriculture Economic Research Service Slide 69 Figure 16-2. Per Capita Calories Consumed from Different Beverages by U.S. Adults (age 19 and older), 1965-2002. Source: Nationwide Food Consumption Surveys (1965, 1977-78) and NHANES (1988-94, 1999-02); Duffey & Popkin, Obesity (Silver Spring) 2007 Slide 70 Figure 16-1. Age-Adjusted Trends in Macronutrients and Total Calories Consumed by U.S. Adults (20-74 years), 1971-2004. Source: National Center for Health Statistics. Health, United States 2008, With Special Focus on Young Adults. NCHS; 2009 Men Women Slide 71 Trends in Heart Transplants (UNOS: 1975-2008). Source: United Network for Organ Sharing (UNOS), scientific registry data. Slide 72 Trends in Cardiovascular Operations and Procedures (United States: 1979-2006). Source: NCHS and NHLBI. Note: In-hospital procedures only. Slide 73 Number of Surgical Procedures in the 10 Leading Diagnostic Groups (United States: 2006). Source: NHDS/NCHS and NHLBI. Slide 74 Direct Costs of the 10 Leading Diagnostic Groups (Billions of dollars) (United States: 2010). Source: NHLBI. 87.4 93.8 102.7 126.1 159.1 172.9 175.4 177.7 225.2 324.1 0.050.0100.0150.0200.0250.0300.0350.0 Endocrine System 240-279 Genitourinary System 580-629 Neoplasms 140-239 Musculoskeletal system 710-739 Respiratory System 460-519 Injury and Poisoning 800-999 Nervous System 320-389 Mental 290-319 Digestive System 520-579 Cardiovascular 390-459 Slide 75 Estimated direct and indirect costs (in billions of dollars) of major cardiovascular diseases and stroke (United States: 2010). Source: NHLBI.