Prevalence of Cardiovascular Diseases Among Breast Cancer Survivors: Findings From the NHANES 2003-2018

• Published in: American journal of health promotion Vol. 37; no. 2; pp. 233 - 238
• Main 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
• Format: Journal Article
• Language: English
• Published: Los Angeles, CA SAGE Publications 01.02.2023
• Subjects: Adolescent; Adult; Breast Neoplasms - epidemiology; Cancer Survivors; Cardiovascular Diseases - epidemiology; Cross-Sectional Studies; Female; Heart Failure - complications; Humans; Nutrition Surveys; Prevalence; Risk Factors; Stroke; Survivors; United States - epidemiology; United States; coronary artery disease; cardiotoxic; cancer survivorship; physical activity
• ISSN: 0890-1171; 2168-6602; 2168-6602
• DOI: 10.1177/08901171221120910

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.