Prevalence of Cardiovascular Diseases Among Breast Cancer Survivors: Findings From the NHANES 2003-2018. Issue 2 (February 2023)

• Record Type: Journal Article
• Authors: Kim, Youngdeok; Franco, R. Lee; Lucas, Alexander R.; Sutton, Arnethea L.; LaRose, Jessica G.; Kenyon, Jonathan; Via, Jeremy; Cheng, Richard K.; D'Agostino, Ralph, B.; Sheppard, Vanessa B.; Hundley, W. Gregory
• Is Part Of: American journal of health promotion. Volume 37:Issue 2(2023)
• Page Start: 233
• Page End: 238
• Publication Date: 2023-02
• Subjects: physical activity -- cardiotoxic -- cancer survivorship -- coronary artery disease; Health promotion -- Periodicals; Health Promotion; Health promotion; Periodicals; Periodicals; 613.05
• DOI: 10.1177/08901171221120910
• Languages: English
• ISSNs: 0890-1171

Abstract

Purpose: To examine the prevalence of cardiovascular diseases (CVD) among breast cancer (BC) survivors. Design: Cross-sectional observational study using the data from the National Health and Nutrition Examination Survey (NHANES) 2003–2018. Setting: United States (US). Subjects: A nationally representative sample of US women with a history of BC. Measures: Self-reported CVD status (i.e., coronary artery disease (CAD), heart failure, and stroke) and time of the CVD diagnosis were used to categorize BC survivors into three groups: No CVD, preexisting CVD, and post-acquired CVD after BC diagnosis. Analysis: The prevalence of CVD among BC survivors were estimated by demographic characteristics. Complex sampling design of the NHANES was accounted to estimate the population-level prevalence. Results: A total of 658 BC survivors were identified, representing 3.01% (≈3.4 million) of the US women aged ≥18 years old. Of those, ≈6% (≈.2 million) had preexisting CVD and ≈11% (≈.4 million) had at least one CVD diagnosed after BC diagnosis, with an average time elapsed ranging from ≈5 years for heart failure to ≈9 years for CAD and stroke. The prevalence of CVD among BC survivors differed by demographic characteristics including age, education, marital status, menopausal, and physical activity levels. Conclusion: Our findings suggest that BC survivors are at risk of suffering from CVD and public health strategies for the long-term management of CVD risk factors in this vulnerable population group is recommended.