Most Urban Young Adults Already Show Cardiovascular-Kidney-Metabolic Risk
A cohort study of young adults from disadvantaged urban backgrounds found that only 20% had no cardiovascular-kidney-metabolic (CKM) risk factors by age 22. Higher CKM stages were associated with worse cardiovascular health scores and greater carotid artery thickness. The findings support the use of CKM staging for early prevention in younger populations.
EXPANDED:
The FF-CHAYA study followed participants from birth into their early twenties, finding that roughly four in five already carried at least one cardiovascular-kidney-metabolic risk factor. Stage distribution showed 40.2% in stage 1, 36.2% in stage 2, and 2.8% in stage 3. Notably, behavioral factors like diet, exercise, sleep, and nicotine exposure showed no clear pattern across stages, while metabolic measures such as BMI, glucose, lipids, and blood pressure worsened progressively.
The CKM staging system, introduced by the American Heart Association, replaces earlier overweight and