Cardiovascular risk factor trends in the Eastern Mediterranean region: evidence from four countries is alarming

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• 作者：Kaan S?zmen ; Belgin ünal ; Olfa Saidi…
• 关键词：Trend ; Risk factors ; Cardiovascular diseases ; Diabetes ; Obesity ; Smoking
• 刊名：International Journal of Public Health
• 出版年：2015
• 出版时间：January 2015
• 年：2015
• 卷：60
• 期：1-supp
• 页码：3-11
• 全文大小：261 KB
• 参考文献：1. Abu-Rmeileh NM, Shoaibi A, O’Flaherty M, Capewell S, Husseini A (2012) Analysing falls in coronary heart disease mortality in the West Bank between 1998 and 2009. BMJ Open. doi:10.1136/bmjopen-2012-001061
  2. Altun B et al (2005) Prevalence, awareness, treatment and control of hypertension in Turkey (the Patent study) in 2003. J Hypertens 23:1817-823 CrossRef
  3. American Diabetes Association (2011) Standards of medical care in diabetes-011. Diabetes Care 34(Suppl 1):S11–S61. doi:10.2337/dc11-S011 CrossRef
  4. Bogers RP et al (2007) Association of overweight with increased risk of coronary heart disease partly independent of blood pressure and cholesterol levels: a meta-analysis of 21 cohort studies including more than 3,00,000 persons. Arch Intern Med 167:1720-728. doi:10.1001/archinte.167.16.1720 CrossRef
  5. Bowman S et al (2012) Use of evidence to support healthy public policy: a policy effectiveness-feasibility loop. Bull World Health Organ 90:847-53. doi:10.2471/BLT.12.104968 CrossRef
  6. Consultation WHOE (2004) Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 363:157-63. doi:10.1016/S0140-6736(03)15268-3 CrossRef
  7. Danaei G et al (2011) National, regional, and global trends in systolic blood pressure since 1980: systematic analysis of health examination surveys and epidemiological studies with 786 country-years and 5.4 million participants. Lancet 377:568-77 (pii):S0140-6736(10)62036-3 CrossRef
  8. Dinc G, Sozmen K, Gerceklio LuG, Ar KH, Critchley J, Unal B (2013) Decreasing trends in cardiovascular mortality in Turkey between 1988 and 2008. BMC public health 13:896. doi:10.1186/1471-2458-13-896 CrossRef
  9. Farzadfar F et al (2011) National, regional, and global trends in serum total cholesterol since 1980: systematic analysis of health examination surveys and epidemiological studies with 321 country-years and 3.0 million participants. Lancet 377:578-86 (pii):S0140-6736(10)62038-7 CrossRef
  10. Finucane MM et al (2011) National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9.1 million participants. Lancet 377:557-67 (pii):S0140-6736(10)62037-5 CrossRef
  11. Hassoy H, Ergin I, Kunst AE (2014) Socioeconomic inequalities in current daily smoking in five Turkish regions. Int J Public Health 59:251-60. doi:10.1007/s00038-013-0476-z CrossRef
  12. Kuulasmaa K et al (2000) Estimation of contribution of changes in classic risk factors to trends in coronary-event rates across the WHO MONICA Project populations. Lancet 355:675-87 CrossRef
  13. Lewington S, Clarke R, Qizilbash N, Peto R, Collins R, Prospective Studies Collaboration (2002) Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet 360:1903-913. doi:10.1016/S0140-6736(02)11911-8 CrossRef
  14. Lozano R et al (2012) Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Glob
• 刊物主题：Public Health; Occupational Medicine/Industrial Medicine; Environmental Health;
• 出版者：Springer Basel
• ISSN：1661-8564

文摘

Objectives Many Eastern Mediterranean countries are undergoing dramatic socioeconomic, demographic and life style changes and face noncommunicable disease (NCD) epidemics. We evaluated recent trends in major NCD risk factors in occupied Palestinian territories (OPT), Turkey, Syria and Tunisia. Methods We searched published and unpublished sources for systolic blood pressure (SBP), diabetes, smoking, body mass index (BMI), and cholesterol trends for both men and women aged 35-4 in each country from 1995 to 2009. Results Smoking prevalence was stable over time in Tunisia and Syria, but decreasing in Turkey (annual change ?.9?%) and OPT (annual change ?.7?%). Mean BMI (annual change of 0.1?% for Turkey, 0.2?% for OPT and Tunisia and 0.3?% in Syria) and diabetes (annual change of 0.3?% for Turkey, 0.4?% for OPT and Tunisia and 0.7?% in Syria) prevalence increased in each country. SBP levels increased slightly in Tunisia and Syria but decreased in OPT and Turkey. Conclusions Recent risk factor trends are worrying. Good quality data on the extent and determinants of NCDs are essential to respond the changing health needs of populations with burgeoning NCD epidemics.