1. Reporting of adherence to healthy lifestyle behaviors among hypertensive adults in the 50 states and the District of Columbia, 2013.

    Journal of the American Society of Hypertension 10(3):252 (2016) PMID 26851000

    Achieving and maintaining a healthy lifestyle is an important part of hypertension management. The purpose of this study was to assess US state-level prevalence of adherence to healthy lifestyle behaviors among those with self-reported hypertension. Using 2013 data from the Behavioral Risk Facto...
  2. Trends in High Blood Pressure among United States Adolescents across Body Weight Category between 1988 and 2012.

    The Journal of Pediatrics 169:166 (2016) PMID 26563532

    To examine trends in pre-high blood pressure (BP [HBP]) and HBP among US adolescents by body weight category during 1988-2012. We estimated pre-HBP and HBP prevalence among 14,844 participants aged 12-19 years using National Health and Nutrition Examination Surveys from 1988-1994, 1999-2002, 200...
  3. Relationships Between Blood Pressure and 24-Hour Urinary Excretion of Sodium and Potassium by Body Mass Index Status in Chinese Adults.

    Journal of Clinical Hypertension 17(12):916 (2015) PMID 26332433

    This study examined the impact of overweight/obesity on sodium, potassium, and blood pressure associations using the Shandong-Ministry of Health Action on Salt Reduction and Hypertension (SMASH) project baseline survey data. Twenty-four-hour urine samples were collected in 1948 Chinese adults ag...
  4. Cardiovascular disease deaths and high sodium consumption in Shandong province and China: a modelling analysis

    The Lancet 386:S80 (2015)

    Background Sodium intake and the prevalence of increased blood pressure are high in China, especially in northern China, including Shandong province where the Shandong-Ministry of Health Action on Sodium and Hypertension (SMASH) is currently underway. The aim of this study is...
  5. Vital Signs: Predicted Heart Age and Racial Disparities in Heart Age Among U.S. Adults at the State Level.

    Morbidity and Mortality Weekly Report 64(34):950 (2015) PMID 26335037

    Cardiovascular disease is a leading cause of morbidity and mortality in the United States. Heart age (the predicted age of a person's vascular system based on their cardiovascular risk factor profile) and its comparison with chronological age represent a new way to express risk for developing ca...
  6. Gender- and race-specific metabolic score and cardiovascular disease mortality in adults: A structural equation modeling approach--United States, 1988-2006.

    Obesity 23(9):1911 (2015) PMID 26308480

    Consider all metabolic syndrome (MetS) components [systolic (SBP) and diastolic (DBP) blood pressures, waist circumference, HDL cholesterol, triglycerides (TG), and fasting glucose] and gender/race differential risk when assessing cardiovascular disease (CVD) risk. We estimated a gender- and rac...
  7. Use of low-dose aspirin as secondary prevention of atherosclerotic cardiovascular disease in US adults (from the National Health Interview Survey, 2012).

    The American Journal of Cardiology 115(7):895 (2015) PMID 25670639 PMCID PMC4365416

    Current guidelines recommend that adults with atherosclerotic cardiovascular disease take low-dose aspirin or other antiplatelet medications as secondary prevention of recurrent cardiovascular events. Yet, no national level assessment of low-dose aspirin use for secondary prevention of cardiovas...
  8. Usual intake of added sugars and lipid profiles among the U.S. adolescents: National Health and Nutrition Examination Survey, 2005-2010.

    Journal of Adolescent Health 56(3):352 (2015) PMID 25703323 PMCID PMC4494648

    Although studies suggest that higher consumption of added sugars is associated with cardiovascular risk factors in adolescents, none have adjusted for measurement errors or examined its association with the risk of dyslipidemia. We analyzed data of 4,047 adolescents aged 12-19 years from the 200...
  9. Why are we consuming so much sugar despite knowing too much can harm us?-Reply.

    JAMA Internal Medicine 175(1):146 (2015) PMID 25560953 PMCID PMC4482352

  10. Predicted 10-year risk of developing cardiovascular disease at the state level in the U.S.

    American Journal of Preventive Medicine 48(1):58 (2015) PMID 25450016

    Cardiovascular disease (CVD) is the leading cause of death in the U.S. State-specific predicted 10-year risk of developing CVD could provide useful information for state health planning and policy. To estimate state-specific 10-year risk of developing CVD. Using the updated non-laboratory-based ...
  11. Disparities in access to care among US adults with self-reported hypertension.

    American Journal of Hypertension 27(11):1377 (2014) PMID 24847953 PMCID PMC4263941

    Hypertension is a major risk factor for cardiovascular disease. Access to care has been identified as a significant factor affecting hypertension treatment and control. We examined disparities in access to care among US adults with self-reported hypertension. Using Behavioral Risk Factor Surveil...
  12. Trends and clustering of cardiovascular health metrics among U.S. adolescents 1988-2010.

    Journal of Adolescent Health 55(4):513 (2014) PMID 24746492

    American Heart Association recently published a set of seven cardiovascular (CV) health metrics for adults and children, emphasizing importance of preventing CV risk factors. Although CV disease risk factors have generally improved in adults, there is concern that this has not been true among ad...
  13. Predictors of in-hospital death and symptomatic intracranial hemorrhage in patients with acute ischemic stroke treated with thrombolytic therapy: Paul Coverdell Acute Stroke Registry 2008-2012.

    International Journal of Stroke 9(6):728 (2014) PMID 24024962 PMCID PMC4451118

    Limited studies exist on the outcome of thrombolytic therapy of acute ischemic stroke patients outside of clinical trials. To assess the possible risk factors associated with in-hospital death and symptomatic intracerebral hemorrhage among patients who received intravenous tissue plasminogen act...
  14. Added sugar intake and cardiovascular diseases mortality among US adults.

    JAMA Internal Medicine 174(4):516 (2014) PMID 24493081

    IMPORTANCE Epidemiologic studies have suggested that higher intake of added sugar is associated with cardiovascular disease (CVD) risk factors. Few prospective studies have examined the association of added sugar intake with CVD mortality. OBJECTIVE To examine time trends of added sugar consumpt...
  15. Non-high-density lipoprotein cholesterol: distribution and prevalence of high serum levels in children and adolescents: United States National Health and Nutrition Examination Surveys, 2005-2010.

    The Journal of Pediatrics 164(2):247 (2014) PMID 24139441 PMCID PMC4476269

    To estimate age-related changes for serum concentration of non-high-density lipoprotein cholesterol (HDL-C), describe non-HDL-C distribution, and examine the prevalence of high non-HDL-C levels in children and adolescents by demographic characteristics and weight status. Data from 7058 participa...
  16. Hypertension prevalence, awareness, treatment, and control and sodium intake in Shandong Province, China: baseline results from Shandong-Ministry of Health Action on Salt Reduction and Hypertension (SMASH), 2011.

    Preventing chronic disease 11:E88 (2014) PMID 24854239 PMCID PMC4032056

    In China, population-based blood pressure levels and prevalence of hypertension are increasing. Meanwhile, sodium intake, a major risk factor for hypertension, is high. In 2011, to develop intervention priorities for a salt reduction and hypertension control project in Shandong Province (populat...
  17. Sodium and potassium intakes among US infants and preschool children, 2003-2010.

    American Journal of Clinical Nutrition 98(4):1113 (2013) PMID 23966425 PMCID PMC4559260

    Data are limited on usual sodium and potassium intakes relative to age-specific recommendations and the sodium:potassium ratio in infants and preschoolers, especially among those aged <2 y, who are black or breastfed. The usual sodium intake above the Tolerable Upper Intake Levels (ULs), potassi...
  18. Association between usual sodium and potassium intake and blood pressure and hypertension among U.S. adults: NHANES 2005-2010.

    PLoS ONE 8(10):e75289 (2013) PMID 24130700 PMCID PMC3794974

    Studies indicate high sodium and low potassium intake can increase blood pressure suggesting the ratio of sodium-to-potassium may be informative. Yet, limited studies examine the association of the sodium-to-potassium ratio with blood pressure and hypertension. We analyzed data on 10,563 partici...
  19. Status of cardiovascular health among adult Americans in the 50 States and the District of Columbia, 2009.

    Journal of the American Heart Association Cardi... 1(6):e005371 (2012) PMID 23316331 PMCID PMC3540670

    With ideal cardiovascular health metrics, the American Heart Association established a goal of improving cardiovascular health for all Americans by 20% by 2020. Determining how the metrics vary by state is important to the individual states as well as to researchers and policy makers nationwide....
  20. Sodium intake and blood pressure among US children and adolescents.

    Pediatrics 130(4):611 (2012) PMID 22987869

    To assess the association between usual dietary sodium intake and blood pressure among US children and adolescents, overall and by weight status. Children and adolescents aged 8 to 18 years (n = 6235) who participated in NHANES 2003-2008 comprised the sample. Subjects' usual sodium intake was es...