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Burden of cardiovascular diseases in the Eastern Mediterranean Region, 1990–2015: findings from the Global Burden of Disease 2015 study

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posted on 2018-05-01, 00:00 authored by A Tehrani-Banihashemi, M Moradi-Lakeh, C Elbcheraoui, R Charara, I Khalil, A Afshin, M Collison, F Daoud, K J Krohn, A Chew, L Cornaby, K J Foreman, J Frostad, N J Kassebaum, L Kemmer, M Kutz, P Liu, M Mirarefin, G Nguyen, H Wang, B Zipkin, A A Abajobir, Marian AbouzeidMarian Abouzeid, N M E Abu-Rmeileh, A Ahmad Kiadaliri, M B Ahmed, B Aksut, K Alam, D Alasfoor, R Ali, R Alizadeh-Navaei, R Al-Raddadi, U Alsharif, K A Altirkawi, N Alvis-Guzman, N Anber, P Anwari, J Ärnlöv, S W Asgedom, T M Atey, A Awasthi, T Bärnighausen, U Bacha, A Barac, S L Barker-Collo, N Bedi, D A Bennett, D F Berhe, S Biadgilign, Z A Butt, J R Carapetis, R E Castro, A A Chitheer, K Davletov, S D Dharmaratne, S Djalalinia, H P Do, M Dubey, H Ebrahimi, B Eshrati, A Esteghamati, M S Farvid, S M Fereshtehnejad, F Fischer, S W Gebrehiwot, T T Gebrehiwot, R F Gillum, P N Gona, R Gupta, N Hafezi-Nejad, R R Hamadeh, S Hamidi, M Hsairi, S H Jee, J B Jonas, C Karimkhani, A Kasaeian, Y S Khader, E A Khan, D Kim, D K Lal, H J Larson, A A Latif, S Linn, P A Lotufo, R Lunevicius, H Magdyabdelrazek, A Majeed, R Malekzadeh, D C Malta, T Meier, P Memiah, Z A Memish, W Mendoza, G A Mensah, A Meretoja, T R Miller, E M Mirrakhimov, S Mohammed, Q L Nguyen
Objectives: To report the burden of cardiovascular diseases (CVD) in the Eastern Mediterranean Region (EMR) during 1990–2015. Methods: We used the 2015 Global Burden of Disease study for estimates of mortality and disability-adjusted life years (DALYs) of different CVD in 22 countries of EMR. Results: A total of 1.4 million CVD deaths (95% UI: 1.3–1.5) occurred in 2015 in the EMR, with the highest number of deaths in Pakistan (465,116) and the lowest number of deaths in Qatar (723). The age-standardized DALY rate per 100,000 decreased from 10,080 in 1990 to 8606 in 2015 (14.6% decrease). Afghanistan had the highest age-standardized DALY rate of CVD in both 1990 and 2015. Kuwait and Qatar had the lowest age-standardized DALY rates of CVD in 1990 and 2015, respectively. High blood pressure, high total cholesterol, and high body mass index were the leading risk factors for CVD. Conclusions: The age-standardized DALY rates in the EMR are considerably higher than the global average. These findings call for a comprehensive approach to prevent and control the burden of CVD in the region.

History

Journal

International Journal of Public Health

Volume

63

Pagination

137 - 149

ISSN

1661-8556

eISSN

1420-911X

Publication classification

C1 Refereed article in a scholarly journal