This Health Syndrome Affects Most Americans – Why the Silence?

Essential Points

• Awareness: Almost 90% of Americans are unaware of CKM syndrome.
• Prevalence: 90% of adults in the U.S. meet CKM syndrome criteria.
• Connections: Heart, kidney, and metabolic systems are interlinked and should be treated together.
• Interest: Two-thirds of survey participants want to learn more about CKM health.

Chances are, you’re probably in the dark about a health problem that affects nearly every adult in America. A new survey shows that almost 90% of Americans have never heard of the recently defined syndrome known as cardiovascular-kidney-metabolic, or CKM, syndrome.

The Harris Poll conducted the online survey in August on behalf of the American Heart Association. Based on responses from more than 4,000 people, the survey found that only 12% were previously aware of CKM syndrome. The findings suggest that few people are on the lookout for this condition, despite the vast majority of Americans having some form of it.

“We want people to know that it’s really common to have heart, kidney and metabolic risk factors at the same time,” said Eduardo Sanchez, the American Heart Association’s chief medical officer for prevention, in a statement from the organization.

What is CKM Syndrome?

The AHA coined the term “CKM syndrome” in October 2023. The label is meant to reflect the reality that our kidneys and heart depend heavily on each other, and that both in turn are heavily affected by our metabolism.

It broadly combines four other conditions and their associated risk factors: heart disease, kidney disease, type 2 diabetes, and obesity, all of which can be connected to the others. Someone living with obesity, for instance, is more likely to develop the other three conditions. CKM is further broken down into four stages, depending on the level of risk factors or related diseases a person has. Someone with stage 1 CKM, for example, has no apparent symptoms but does have excess body fat, particularly around the belly.

Past research has found that about 90% of Americans meet the criteria for CKM syndrome, with about 50% in stage 2. Many people also have risk factors that can make them vulnerable to all of the diseases under the umbrella of CKM, such as hypertension, high blood sugar, high cholesterol, and excess weight.

Why Are Many Unaware of CKM Syndrome?

In addition to most not knowing about CKM, 68% of respondents in the survey wrongly believed that it’s best to take care of these conditions separately or weren’t sure about how to manage them. About 42% also incorrectly believed that a healthy heart couldn’t be affected by other organs or weren’t sure.

“The heart, kidney and metabolic systems are connected and, as such, should be treated in a coordinated way,” Sanchez said. “These results reveal the need to emphasize those connections and help patients understand the importance of collaborative care.”

On the bright side, though most Americans might be unaware about the existence of CKM, plenty in the AHA survey were curious once they were told about it. Over two-thirds felt it was important to learn more about the syndrome or their overall CKM health.

The AHA has just launched a public health campaign on CKM, which includes a dedicated website and short YouTube video. Early next year, the organization will also release the first formal guidelines on the syndrome.