Abstract Details

Title Disparities in Stroke-Related Mortality Among Individuals with Obesity Based on Race and Gender in the United States from 1999 to 2020: An Analysis from the DC-WONDER Database.

Topic Cerebrovascular Disease and Interventional Neurology

Presentation(s) S8 - Disparities and Outcomes in Cerebrovascular Disease (3:42 PM-3:54 PM)

Poster/Presentation
Number 002

Background

Obesity has been recognized as an important risk factor for cardiovascular and cerebrovascular diseases. However, exact data about the mortality trends is not available.

Objective This study aims to elucidate the trends in stroke-related mortality among obese patients in the US over two decades, stratified by race and gender.

Design/Methods Data from the CDC-WONDER database was analyzed from 1999 to 2020 to assess stroke-related mortality rates among individuals with obesity. Crude mortality rates (CMRs) and age-adjusted mortality rates (AAMRs) were calculated, and trends were analyzed using Joinpoint regression to identify changes in mortality patterns over time by determining the annual per cent change (APC) in rates. The analysis was stratified by race and gender.

Results

From 1999 to 2020, a total of 9368 deaths occurred due to stroke in individuals with obesity. AAMRs increased moderately till 2018 (APC: 2.94) and sharply thereafter till 2020 (APC: 18.96). AAMR was higher in females (0.22) than males (0.19), but males showed a greater increase in AAMR from 1999 to 2020. Non-Hispanic (NH) Blacks or African Americans displayed the highest AAMR (0.40) while NH Asians or Pacific Islanders displayed the lowest (0.08). AAMRs also varied substantially by region (West: 0.23; Midwest: 0.21; South: 0.20; Northeast: 0.12). Rural regions exhibited a higher AAMR (0.27) than Urban regions (0.20). CMRs increased consistently for all age groups from 1999 to 2020, except those aged 85+ years who showed a stable trend till 2018 and a sudden sharp increase thereafter till 2020.

Conclusions The overall stroke-related obesity in obese individuals has increased over the years. Significant disparities exist between genders and Black or African American and Hispanic populations.

Authors/Disclosures
Muhammad Sohaib, MBBS PRESENTER	Mr. Sohaib has nothing to disclose.
Muhammad Ahmed, MD (Medical College of Georgia, Augusta University)	Dr. Ahmed has nothing to disclose.
Zain A. Nadeem (Allama Iqbal Medical College)	Mr. Nadeem has nothing to disclose.
Muhammad Tayyab Muzaffar Chaychi, MD	Muhammad Tayyab Muzaffar Chaychi, MD has nothing to disclose.
Hafiz M. Maaz (Quaid-e-Azam Medical College, Bahawalpur Pakistan)	Mr. Maaz has nothing to disclose.

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