From the turn of the century through 2008, fewer Coloradans died of cardiovascular disease. Although fewer were dying of heart disease and stroke, more Coloradans were developing the risk factors that lead to cardiovascular disease. High blood pressure is pervasive, obesity rates have doubled and too few Coloradans get the nutritious food and physical activity needed to keep their hearts healthy. Research shows that social, economic and environmental factors have a significant impact on health outcomes.