"Cardiovascular disease poses a huge health and economic burden in the US and the world," writes the authors.
The 48% prevalence of cardiovascular disease – almost 121.5 million adults – is a significant increase over the previous year, although it was mainly due to the high blood pressure. The hypertension guidelines were updated so that people with a blood pressure of 130/80 or more are now considered "hypertensive"; the above definition was 140/90.
With the exception of high blood pressure, the prevalence of cardiovascular disease among adults in the United States is 9%, down from 11.5% in 2015.
"Overall, we have made great progress," said Zhao, who was not involved in the report. However, "we have not yet made significant progress in obesity, diabetes and unhealthy behavior", which includes smoking, non-use, malnutrition and overweight. About 8 out of every 10 cases of cardiovascular disease can be prevented by controlling high blood pressure, diabetes and high cholesterol and maintaining a healthy lifestyle, according to the heart association.
Scorecard also shows some terrific benefits. Self-assessed unemployment among adults has been decreasing since 1998, with an upward trend in recent years. The report shows that between 2007 and 2016, inactivity decreased from 40.1% to 26.9%.
In the last five years, smoking levels have decreased: around 51% of men and 34% of women smoked in 1965, compared with only 16.7% of men and 13.6% of women in 2015.
"We really need to work to reduce all the risk factors to reduce cardiovascular disease," said Zhao, stressing obesity. Almost 4 out of 10 US adults and nearly 1 in 5 young people are obese, while 7.7% of adults and 5.6% of young people are very serious, the report states.
In addition, not all groups have taken the same steps to stop cigarettes or never smoke.
"The significantly higher prevalence of tobacco use is observed in American Indians / Alaska native and lesbian, gay, bisexual and transgender populations, as well as in individuals with low socio-economic status, people with mental illness, people with HIV, and those who "Military troops are military," the report said.
Overall, Zhao believes that "there is still much to be done."
We may see a downward trajectory in some risk factors and cardiovascular diseases, "but we are not there yet," he said. "That's all we need to start thinking about what we can do together to really improve our health, healthy behaviors and reduce our weight?"