Preprint / Version 1

Trends between alcohol use, smoking, and sedentary lifestyle on cardiovascular disease risk factors in young adults aged 18-25 from NHANES Dataset

##article.authors##

  • Raashi Garg James Logan High School

DOI:

https://doi.org/10.58445/rars.4211

Abstract

Cardiovascular disease is the most common cause of death worldwide. Despite it affecting  people of all ages, cardiovascular studies among young adults are lacking. While mortality rates may be low for individuals aged 18-25, behavior in early adulthood may leave a lasting impact on future risk of cardiovascular disease. The goal of this paper is to determine the extent to which smoking, drinking alcohol, and having a sedentary lifestyle among young adults demonstrates trends with multiple kinds of cardiovascular risk factors. Specifically, using the 2021-2023 NHANES data set, we examined the relationship between alcohol use, smoking, and sedentary behavior to common cardiovascular risk factors, including diabetes, high cholesterol, and blood pressure. We also considered sociodemographic factors such as race and ethnicity, and gender. We found that among individuals with high cholesterol, 4.85% smoked, 4.67% drank, and 4.58% were sedentary for more than eight hours a day. These results illuminate these behaviors as potential risk factors for high cholesterol. The trend of behaviors having a large impact on the cardiovascular risk factors of an individual was followed throughout the data. This information is absolutely vital for young adults, not only to inform, but also to implement into their daily lives. While smoking, drinking, and sitting for long periods of time may not seem destructive at first, this paper shows that these behaviors may be related to cardiovascular disease, with implications for mortality. 

References

References

Aggarwal, R. (2023, March 21). Cardiovascular Risk Factor Prevalence, Treatment, and Control in US Adults Aged 20 to 44 Years, 2009 to March 2020. National Library of Medicine. https://pubmed.ncbi.nlm.nih.gov/36871237/

American Heart Association. (2024, January 10). What Is Cardiovascular Disease? American Heart Association. Retrieved September 7, 2025, from https://www.heart.org/en/health-topics/consumer-healthcare/what-is-cardiovascular-disease

American Heart Association. (2025, January 30). Angina (Chest Pain). American Heart Association. Retrieved September 6, 2025, from https://www.heart.org/en/health-topics/heart-attack/angina-chest-pain

Centers for Disease Control and Prevention. (2024, October 24). Heart Disease Facts | Heart Disease. CDC. Retrieved September 6, 2025, from https://www.cdc.gov/heart-disease/data-research/facts-stats/index.html

Centers for Disease Control and Prevention. (2024, December 2). Heart Disease Risk Factors | Heart Disease. CDC. Retrieved September 8, 2025, from https://www.cdc.gov/heart-disease/risk-factors/index.html

Heron, M., & Anderson, R. N. (2016, August). Changes in the Leading Cause of Death: Recent Patterns in Heart Disease and Cancer Mortality. PubMed. Retrieved February 1, 2026, from https://pubmed.ncbi.nlm.nih.gov/27598767/

Institute of Medicine. (1991). Disability in America: Toward a National Agenda for Prevention. National Academies Press. Retrieved June 18, 2026, from https://nap.nationalacademies.org/read/1579/chapter/5

Kahn, R., Robertson, R. M., Smith, R., & Eddy, D. (n.d.). The Impact of Prevention on Reducing the Burden of Cardiovascular Disease. PubMed Central. Retrieved September 8, 2025, from https://pmc.ncbi.nlm.nih.gov/articles/PMC2494659/

Murray, C. J. L., & Lopez, A. D. (1996, November 1). Evidence-based health policy — Lessons from the Global Burden of Disease Study. Science, 274(5288), 740–743. 10.1126/science.274.5288.740

National Heart, Lung, and Blood Institute. (2022, March 24). Heart-Healthy Living - Understand Your Risk for Heart Disease. NHLBI. Retrieved September 8, 2025, from https://www.nhlbi.nih.gov/health/heart-healthy-living/risks

National Heart, Lung, and Blood Institute. (2023, February 1). Numbers to know for a healthy heart. NHLBI. Retrieved September 6, 2025, from https://www.nhlbi.nih.gov/news/2023/numbers-know-healthy-heart

National Institute on Alcohol Abuse and Alcoholism. (2025, August 12). Alcohol and Young Adults Ages 18 to 25. National Institute on Alcohol Abuse and Alcoholism (NIAAA). Retrieved September 6, 2025, from https://www.niaaa.nih.gov/alcohols-effects-health/alcohol-topics-z/alcohol-facts-and-statistics/alcohol-and-young-adults-ages-18-25

NHANES. (2023, August). NHANES August 2021-August 2023. National Health and Nutrition Examination Survey. Retrieved September 8, 2025, from https://wwwn.cdc.gov/nchs/nhanes/continuousnhanes/default.aspx?Cycle=2021-2023

NHANES. (2024, December 18). About NHANES | National Health and Nutrition Examination Survey. CDC. Retrieved September 6, 2025, from https://www.cdc.gov/nchs/nhanes/about/index.html

NHANES. (2024, December 18). Who Participates In NHANES | National Health and Nutrition Examination Survey. CDC. Retrieved September 8, 2025, from https://www.cdc.gov/nchs/nhanes/about/who-participates.html

Paul, M. (2014, February 5). Heart Disease Warning Signs Appear as Early as 18 - News Center. Feinberg News Center. Retrieved September 8, 2025, from https://news.feinberg.northwestern.edu/2014/02/05/heart_disease_warning/

Penn Medicine. (2025). Hypertensive heart disease. Penn Medicine. Retrieved September 6, 2025, from https://www.pennmedicine.org/conditions/hypertensive-heart-disease

R Core Team. (2025). R: A Language and Environment for Statistical Computing. The R Project for Statistical Computing: R. Retrieved September 6, 2025, from https://www.r-project.org/

Ramirez, A. G. (2013, May 5). Behavioral Risk Factors in Adults - The South Texas Health Status Review - NCBI Bookshelf. NCBI. Retrieved June 18, 2026, from https://www.ncbi.nlm.nih.gov/books/NBK543618/

Rodgers, J. L., Jones, J., Bolleddu, S. I., Vanthenapalli, S., Rodgers, L. E., Shah, K., Kaira, K., & Panguluri, S. K. (2019, April 27). Cardiovascular Risks Associated with Gender and Aging. PubMed Central. Retrieved September 8, 2025, from https://pmc.ncbi.nlm.nih.gov/articles/PMC6616540/

Silva, G. O., Cunha, P. M., Oliveira, M. D., Christofaro, D., Tebar, W. R., Gerage, A. M., Kanegusuku, H., Correia, M. A., & Ritti-Dias, R. M. (2023, March 13). Patterns of sedentary behavior in adults: A cross-sectional study. PubMed Central. Retrieved September 6, 2025, from https://pmc.ncbi.nlm.nih.gov/articles/PMC10042287/

Singh, S. S., Stranges, S., Wilk, P., Tang, A. S. L., & Frisbee, S. J. (2023, February 21). Influence of the Social Environment on Ideal Cardiovascular Health. PubMed. Retrieved September 8, 2025, from https://pubmed.ncbi.nlm.nih.gov/36789849/

Trejo, R., Cross, W., & Stephenson, J. (2018). Young adults' knowledge and attitudes towards cardiovascular disease: A systematic review and meta-analysis. PubMed. Retrieved September 8, 2025, from https://pubmed.ncbi.nlm.nih.gov/29775496/

What we do: Prevention. (n.d.). World Heart Federation. https://world-heart-federation.org/what-we-do/prevention

Winpenny, E. M., Winkler, M. R., Stochl, J., van Sluijs, E. M. F., Larson, N., & Neumark-Sztainer, D. (2020, October 9). Associations of early adulthood life transitions with changes in fast food intake: a latent trajectory analysis - International Journal of Behavioral Nutrition and Physical Activity. International Journal of Behavioral Nutrition and Physical Activity. Retrieved September 8, 2025, from https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-020-01024-4

World Heart Federation. (2025). CVD Prevention | What We Do. World Heart Federation. Retrieved September 6, 2025, from https://world-heart-federation.org/what-we-do/prevention/

Yaribeygi, H., Maleki, M., Sathyapalan, T., Jamialahmadi, T., & Sahebkar, A. (n.d.). Pathophysiology of Physical Inactivity-Dependent Insulin Resistance: A Theoretical Mechanistic Review Emphasizing Clinical Evidence. PubMed Central. Retrieved September 8, 2025, from https://pmc.ncbi.nlm.nih.gov/articles/PMC8516544/

Downloads

Posted

2026-10-03

Categories