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Obesity and Hypertension in the Time of COVID-19

Educational Objective
To understand how COVID-19 is affecting obesity and hypertension
1 Credit CME

In this issue of JAMA, 2 reports1,2 present cross-sectional data on the prevalence and trends for obesity and controlled hypertension from 1999 through 2018 based on data from the National Health and Nutrition Examination Survey, a federal program of nationally representative surveys designed to monitor the health and nutrition of adults and children in the US.3

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Article Information

Corresponding Author: Griffin P. Rodgers, MD, National Institutes of Health, 9000 Rockville Pike, Bethesda, MD 20892 (griffinr@extra.niddk.nih.gov).

Published Online: September 9, 2020. doi:10.1001/jama.2020.16753

Conflict of Interest Disclosures: None reported.

References
1.
Ogden  CL , Fryar  CD , Martin  CB ,  et al.  Trends in obesity prevalence by race and Hispanic origin—1999-2000 to 2017-2018.   JAMA. Published online August 28, 2020. doi:10.1001/jama.2020.14590Google Scholar
2.
Muntner  P , Hardy  ST , Fine  LJ ,  et al.  Trends in blood pressure control among US adults with hypertension, 1999-2000 to 2017-2018.   JAMA. Published online September 9, 2020. doi:10.1001/jama.2020.14545Google Scholar
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US Centers for Disease Control and Prevention, National Center for Health Statistics. National Health and Nutrition Examination Survey. Accessed August 26, 2020. https://www.cdc.gov/nchs/nhanes/about_nhanes.htm
4.
Malhotra  R , Nguyen  HA , Benavente  O ,  et al.  Association between more intensive vs less intensive blood pressure lowering and risk of mortality in chronic kidney disease stages 3 to 5: a systematic review and meta-analysis.   JAMA Intern Med. 2017;177(10):1498-1505. doi:10.1001/jamainternmed.2017.4377PubMedGoogle ScholarCrossref
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Jensen  MD , Ryan  DH , Apovian  CM ,  et al; American College of Cardiology/American Heart Association Task Force on Practice Guidelines; Obesity Society.  2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Obesity Society.   Circulation. 2014;129(25)(suppl 2):S102-S138. doi:10.1161/01.cir.0000437739.71477.eePubMedGoogle ScholarCrossref
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Linder  BL , Fradkin  JE , Rodgers  GP .  The TODAY study: an NIH perspective on its implications for research.   Diabetes Care. 2013;36(6):1775-1776. doi:10.2337/dc13-0707 PubMedGoogle ScholarCrossref
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Sidney  S , Quesenberry  CP  Jr , Jaffe  MG ,  et al.  Recent trends in cardiovascular mortality in the United States and public health goals.   JAMA Cardiol. 2016;1(5):594-599. doi:10.1001/jamacardio.2016.1326PubMedGoogle ScholarCrossref
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Schultz  WM , Kelli  HM , Lisko  JC ,  et al.  Socioeconomic status and cardiovascular outcomes: challenges and interventions.   Circulation. 2018;137(20):2166-2178. doi:10.1161/CIRCULATIONAHA.117.029652PubMedGoogle ScholarCrossref
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Hales  CM , Fryar  CD , Carroll  MD , Freedman  DS , Aoki  Y , Ogden  CL .  Differences in obesity prevalence by demographic characteristics and urbanization level among adults in the United States, 2013-2016.   JAMA. 2018;319(23):2419-2429. doi:10.1001/jama.2018.7270PubMedGoogle ScholarCrossref
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US Centers for Disease Control and Prevention. Coronavirus disease 2019 (COVID-19): people with certain medical conditions. Accessed August 26, 2020. https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with-medical-conditions.html
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Webb Hooper  M , Nápoles  AM , Pérez-Stable  EJ .  COVID-19 and racial/ethnic disparities.   JAMA. 2020;323(24):2466-2467. doi:10.1001/jama.2020.8598PubMedGoogle ScholarCrossref
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Metzl  JM , Maybank  A , De Maio  F .  Responding to the COVID-19 pandemic: the need for a structurally competent health care system.   JAMA. 2020;324(3):231-232. doi:10.1001/jama.2020.9289PubMedGoogle ScholarCrossref
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Suglia  SF , Campo  RA , Brown  AGM ,  et al.  Social determinants of cardiovascular health: early life adversity as a contributor to disparities in cardiovascular diseases.   J Pediatr. 2020;219:267-273. doi:10.1016/j.jpeds.2019.12.063PubMedGoogle ScholarCrossref
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National Institutes of Health. Request for information: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) strategic plan. Accessed August 26, 2020. https://grants.nih.gov/grants/guide/notice-files/NOT-DK-20-015.html
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