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According to a study, nearly half of American adults suffer from cardiovascular disease.

After decades of decline, cardiovascular mortality is rising again, with 840,678 deaths recorded in 2016 compared to 836,546 in 2015, according to the annual report of the Association for Heart and Stroke Diseases, published Thursday in the medical journal Circulation .

"Cardiovascular diseases create a huge burden for health and the economy in the United States and around the world," the authors write.

The prevalence of cardiovascular diseases by 48% — almost 121.5 million. Adults — is a significant increase from the level indicated last year, although this was mainly due to how high blood pressure is determined. Recommendations for hypertension have been updated so that people with blood pressure of 130/80 and above are now considered "hypertensive"; the earlier definition was 140/90.

With the exception of high blood pressure, the prevalence of cardiovascular diseases in the adult population of the United States totals 9%, a decrease from 11.5% in 2015.

Dr. David Zhao, chief of cardiac medicine and executive director of the Heart and Vascular Center at the Wap Forest Health Baptist Health in Winston-Salem, North Carolina, called the new report a “painful reminder” that heart disease is still No. 1 cause of death and diseases in the nation.

“In general, we have made great progress,” said Zhao, who was not involved in the report. However, “we have not yet made significant progress in the field of obesity, diabetes, and unhealthy behavior,” which includes smoking, lack of exercise, unhealthy diet, and being 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.

The scorecard also shows some amazing results. Self-esteem inactivity among adults has been declining since 1998, and this trend has increased in recent years. The report shows that passivity fell from 40.1% to 26.9% between 2007 and 2016.

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Over the past five decades, smoking has also declined: about 19% of men and 34% of women smoked in 1965, compared with only 16.7% of men and 13.6% of women in 2015.

The new report contains a new recommendation that adults should sleep at least seven hours a day to ensure optimal health. One recent study found that too much or too little — more than eight hours or less than seven hours per night — was associated with a higher risk of death from all causes.

“We really need to work harder to reduce all risk factors to reduce cardiovascular diseases,” Zhao said, emphasizing obesity. The report says that almost 4 out of 10 adults in the United States and almost 1 out of 5 young people are obese, while 7.7% of adults and 5.6% of young people have severe illness.

In addition, not all groups have taken equal steps to quit or never smoke.

Studies show that for your health is no worse than for smoking, diabetes and heart disease.

“Significantly higher rates of tobacco use are found among Native Americans and Alaskans, as well as among lesbians, gays, bisexuals and transgender people, as well as people with low socioeconomic status, people with mental illness, people with HIV who receive medical care. assistance, and those who are active in the military ", – the report says. "Over the past 6 years there has been a sharp increase in the use of electronic cigarettes among adolescents."

In general, Zhao believes that "there is still a lot of work."

Perhaps we are seeing a downward trajectory in some risk factors and the cardiovascular disease itself, “but we are not there yet,” he said. “This is what we all need to start thinking about: what can we do together to really improve our health, our healthy behavior and reduce our weight?”

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