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medRxiv PreprintsInternational10 November 2026

Trends in Cardiovascular Risk Factors, Disease Management, and Predicted Cardiovascular Risk Among US Adults, 1999-2023

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Background: Cardiovascular risk factors have changed in the United States, but trends in prevalence, management, and predicted risk through the post-pandemic period remain incompletely characterized. Methods: We analyzed 11 National Health and Nutrition Examination Survey (NHANES) periods (1999-2000 through 2021-2023) among 60,199 nonpregnant adults aged 20 years. Survey-weighted regression assessed age-standardized trends, subgroup differences, and measurement-change sensitivity. We assessed awareness, treatment, and control of hypertension, dyslipidemia, and diabetes. PREVENT equations estim
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