{"id":"ce1259213061","type":"article","url":"https://hartvaat.nl/2026/05/19/mobiele-screeningseenheid-in-detroit-70-van-inwoners-in-achtergestelde-wijken-he/","title":"Mobiele screeningseenheid in Detroit: 70% van inwoners in achtergestelde wijken heeft minstens één onbeheerste cardiometabole risicofactor","title_en":"","category":"cholesterol","category_label":"Cholesterol","professions":["cardioloog","huisarts","internist"],"tags":["primaire-preventie"],"journal":"Journal of the American Heart Association","doi":"10.1161/JAHA.125.047852","source_url":"https://doi.org/10.1161/JAHA.125.047852","authors":["Robert D Brook","Steven J Korzeniewski","Bethany Foster","Paul Kurian","Brian Reed","Anna Steinberg-Abreu","James L Young","Phillip D Levy"],"significance":6,"published":"2026-06-11","source_date":"2026-05-19","image":"","kennis":["https://hartvaat.nl/kennis/lipiden/lpa-meten-wanneer-waarom/","https://hartvaat.nl/kennis/lipiden/lp-a-verhoogd/"],"congress":"","summary_en":"Cross-sectional analysis of the Wayne State University/Wayne Health mobile health unit program, which conducted screening at over 1,000 locations across metropolitan Detroit between July 2021 and September 2025. In voluntary adult participants: median BP 122/75 mm Hg, LDL cholesterol 103 mg/dL, HbA1c 5.7%. About half had elevated BP (48%; n=6,182/12,821) or LDL ≥100 mg/dL (54%; n=3,860/7,115); 16% had HbA1c ≥6.5%. Among 5,393 participants with all four measurements, only 4% had an ideal cardiometabolic risk profile (SBP <120, LDL <70, HbA1c <5.7%), while 70% had at least one uncontrolled risk factor. Older age predicted all four; Black race predicted uncontrolled BP; male sex predicted uncontrolled BP and HbA1c. Mobile units are a valuable tool for detection and targeted intervention in socioeconomically disadvantaged populations.","created":"2026-07-03T10:33:02Z","updated":"2026-07-03T13:31:56Z","licence":"Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.","body_markdown":"Cross-sectionele analyse van het Wayne State University/Wayne Health-programma met mobiele screeningseenheden, dat tussen juli 2021 en september 2025 op meer dan 1.000 locaties in groot Detroit screening uitvoerde. Bij volwassenen die zich vrijwillig lieten meten: mediane bloeddruk 122/75 mmHg, LDL-cholesterol 103 mg/dL en HbA1c 5,7%. Ongeveer de helft had verhoogde bloeddruk (48%; n=6.182/12.821) of LDL ≥100 mg/dL (54%; n=3.860/7.115); 16% had HbA1c ≥6,5%. Onder de 5.393 deelnemers met alle vier metingen bleek slechts 4% een ideaal risicoprofiel te hebben (SBP <120, LDL <70, HbA1c <5,7%), terwijl 70% minstens één onbeheerste risicofactor had. Oudere leeftijd voorspelde alle vier; zwarte etniciteit voorspelde onbeheerste bloeddruk; mannelijk geslacht voorspelde onbeheerste bloeddruk én HbA1c. Mobiele eenheden vormen een waardevol instrument voor opsporing en gerichte interventies in sociaal-economisch achtergestelde populaties.","abstract_original":"BACKGROUND: Awareness and control of cardiometabolic disease risk factors remain suboptimal in the United States. Mobile health units may improve detection, particularly in socially disadvantaged urban communities. METHODS: The Wayne State University/Wayne Health mobile health units program has conducted screening events across metropolitan Detroit (>1000 locations) since 2020. Adults ≥18 years undergo medical history assessment and may elect blood pressure (BP) and laboratory testing. We conducted a serial cross-sectional analysis of electronic health records data from July 26, 2021 to September 8, 2025 to characterize the population screened. RESULTS: The median BP (122/75 mm Hg), low-density lipoprotein-cholesterol (103 mg/dL) and hemoglobin A1c (5.7%) were modestly elevated. Roughly half of the population had high BP (systolic ≥130 mm Hg or diastolic ≥80 mm Hg; 48%; n=6182/12821) and low-density lipoprotein-cholesterol levels ≥100 mg/dL (54%; n=3860/7115), whereas 16% had hemoglobin A1c levels ≥6.5% (n=1137/7061). Among individuals with all 4 results (n=5393), only 4% had an ideal cardiometabolic disease risk profile (systolic BP <120 mm Hg + low-density lipoprotein-cholesterol <70 mg/dL + hemoglobin A1c <5.7%). Conversely, 70% had ≥1 uncontrolled cardiometabolic disease risk factor(s) (systolic BP ≥130 mm Hg or low-density lipoprotein-cholesterol ≥100 mg/dL or hemoglobin A1c ≥7.0%). Older age was associated with all 4 risk factors being uncontrolled, whereas Black race was associated with uncontrolled BP and male sex with both uncontrolled BP and HbA1c. CONCLUSIONS: Population screening using mobile health unit-based outreach identified a high burden of cardiometabolic disease abnormalities in socially disadvantaged urban communities. These programs are potentially valuable for improving detection and enabling targeted interventions to reduce health disparities."}