Hypertension was defined as blood pressure ≥140 mm Hg systolic or ≥90 mm Hg diastolic, or the use of antihypertensive medications irrespective of the blood pressure status. Diabetes was defined as a fasting plasma glucose level ≥126 mg/dL or hemoglobin A1c ≥6.5%, and/or a current regimen for diabetes treatment. Hyperlipidemia was defined as an abnormal level of high density lipoprotein (<40 mg/dL in male and <50 mg/dL in female participants), a triglyceride level >150 mg/dL, and/or currently taking lipid lowering agents.