scholarly journals Temporal and spatial trends of ischemic heart disease burden in Chinese and subgroup populations from 1990 to 2016 : data from the 2016 global burden of disease study

2020 ◽  
Author(s):  
Chenran Wang ◽  
Chunping Wang ◽  
Mi Liu ◽  
Zhe Chen ◽  
Shiwei Liu
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Burden Of Disease ◽  
Ischemic Heart ◽  
Global Burden ◽  
Modifiable Risk Factors ◽  
Spatial Trends ◽  
Temporal And Spatial ◽  
Temporal And Spatial Trends

Abstract Background: Ischemic heart disease (IHD) is the leading cause of premature death which poses public health challenges worldwide. This study was to analyze how the IHD burden among Chinese and subgroup populations changes in response to temporal and spatial trends from 1990–2016. Methods : Based on data from the updated estimates in the 2016 Global Burden of Disease (GBD) study, we used years lived with disability (YLDs), years of life lost (YLLs), and disability-adjusted life years (DALYs) to describe the IHD burden. The percentage changes were applied to illustrate temporal and spatial variations of the IHD burden stratified by age, sex, and province, over the periods 1990–2016, 1990–2005, and 2005–2016. We estimate population-attributable fraction (PAF) for 24 modifiable risk factors at the provincial level. Results: YLD rates, YLL rates, and DALY rates for IHD underwent a notable increase among all age groups and increased by 119.4%, 83.3%, and 84.5% nationally from 1990–2016. In YLD rates, an evident rise was seen in females compared to males, while males experienced a more substantial increase than that in females in YLL rates and DALY rates from 1990–2016. Compared with 1990–2005, annual average changes in overall population in YLL rates and DALY rates showed a tardier increase whereas an opposite increasing trend of YLD rates was observed between 2005 and 2016. Geographically, all provinces saw declines in the YLLs/YLDs ratio from 2005–2016, with seventeen of thirty-three provinces showing an upward trend between 1990 and 2005. Most provinces witnessed a remarkable upsurge in the age-standardised DALY rate from 1990–2016 whereas the economically advantaged region Macao saw the most marked reduction. High systolic blood pressure and high LDL cholesterol remained the two leading risk factors of IHD in all provinces in 2016. Diet high in sodium was the leading behavioral risks in twenty-eight provinces with smoking heading the list in five provinces. Conclusions: Substantial disparities in temporal and spatial trends of the IHD burden emphasize concerns for elderly men and those in economically disadvantaged regions with resource constraints. Regional differences in the IHD burden can be partly explained by modifiable risk factors.

scholarly journals Temporal and Spatial Trends of Ischemic Heart Disease Burden in Chinese and Subgroup Populations from 1990 to 2016

2020 ◽  
Author(s):  
Chenran Wang ◽  
Chunping Wang ◽  
Mi Liu ◽  
Zhe Chen ◽  
Shiwei Liu
Keyword(s):  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Premature Death ◽  
Ischemic Heart ◽  
Years Of Life Lost ◽  
Annual Average ◽  
Average Growth ◽  
Spatial Trends ◽  
Temporal And Spatial ◽  
Temporal And Spatial Trends

Abstract Background Ischemic heart disease (IHD) is a leading cause of premature death which poses public health challenges worldwide. Previous studies have focused on the overall population in China. However variations in temporal and spatial pattern across subgroups remain unknown. This study was to analyze how the IHD burden among Chinese and subgroup populations changes in response to temporal and spatial trends from 1990-2016.Methods Based on data from the updated estimates in the 2016 Global Burden of Disease (GBD) study, we used years lived with disability (YLDs), years of life lost (YLLs), and disability-adjusted life years (DALYs) to describe the IHD burden. The percentage and annual average percentage changes were applied to illustrate temporal and spatial variations of the IHD burden stratified by age-sex and province from 1990-2016, 1990-2005, and 2005-2016.Results YLD rates, YLL rates, and DALY rates for IHD underwent a notable increase among all age groups and increased by 119.4%, 83.3%, and 84.5% nationally from 1990-2016. In YLD rates, an evident rise was seen in females (124.4%) compared to males (114.0%) while males experienced a more substantial increase than that in females in YLL rates (99.3% vs. 60.5%) and DALY rates (99.7% vs. 63.2%) from 1990 to 2016. Compared with 1990-2005, annual average changes in overall population in YLL (3.5% vs. 1.8%) and DALY rates (3.5% vs. 1.9%) showed a tardier increase whereas higher annual average growth of YLD rates (3.5% vs. 4.0%) was observed from 2005-2016. Geographically, all provinces saw declines in YLLs/YLDs ratios from 2005-2016 with seventeen provinces showing an upward trend between 1990 and 2005. Most of the provinces in China witnessed a remarkable upsurge in the age-standardized DALY rate from 1990-2016 whereas the economically advantaged region Macao (52.2%) saw the most marked reduction.Conclusions China has made significant achievements in preventing premature death from IHD along with the increased risk of disability. Substantial disparities in the temporal and spatial trends of IHD burden emphasize concerns for elderly men and those in economically disadvantaged regions with resource constraints. By having identified these disparities, targeted IHD prevention and control will help to bridge these gaps in IHD burden.

scholarly journals Life expectancy, death, and disability in Haiti, 1990-2017: a systematic analysis from the Global Burden of Disease Study 2017

2020 ◽  
Vol 44 ◽  
pp. 1
Author(s):  
Fato Fene ◽  
María Jesús Ríos-Blancas ◽  
James Lachaud ◽  
Christian Razo ◽  
Hector Lamadrid-Figueroa ◽  
...  
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Life Expectancy ◽  
Ischemic Heart Disease ◽  
Burden Of Disease ◽  
Ischemic Heart ◽  
Global Burden Of Disease ◽  
Global Burden ◽  
Disease Study ◽  
Hiv Aids

Objective. To investigate the magnitude and distribution of the main causes of death, disability, and risk factors in Haiti. Methods. We conducted an ecological analysis, using data estimated from the Global Burden of Disease Study 2017 for the period 1990-2017, to present life expectancy (LE), healthy life expectancy (HALE) at under 1-year-old, cause-specific deaths, years of life lost (YLLs), years lived with disability (YLDs), disability adjusted life-years (DALYs), and risk factors associated with DALYs. Results. LE and HALE increased substantially in Haiti. People may hope to live longer in 2017, but in poor health. The Caribbean countries had significantly lower YLLs rates than Haiti for ischemic heart disease, stroke, lower respiratory infections, and diarrheal diseases. Road injuries were the leading cause of DALYs for people aged 5-14 years. Road injuries and HIV/AIDS were the leading causes of DALYs for men and women aged 15-49 years, respectively. Ischemic heart disease was the main cause of DALYs for people older than 50 years. Maternal and child malnutrition were the leading risk factors for DALYs in both sexes. Conclusion. Haiti faces a double burden of disease. Infectious diseases continue to be an issue, while non-communicable diseases have become a significant burden of disease. More attention must also be focused on the increase in worrying public health issues such as road injuries, exposure to forces of nature and HIV/AIDS in specific age groups. To address the burden of disease, sustained actions are needed to promote better health in Haiti and countries with similar challenges.

Abstract TP197: Countries With an Inverse Ratio of Ischemic Stroke and Ischemic Heart Disease- Analysis of Global Burden of Disease Data

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Talha Jilani ◽  
Iryna Lobanova ◽  
Brandi R French ◽  
Farhan Siddiq ◽  
Camilo R Gomez ◽  
...  
Keyword(s):  
Heart Disease ◽  
Ischemic Stroke ◽  
Ischemic Heart Disease ◽  
Burden Of Disease ◽  
The United States ◽  
American Samoa ◽  
Marshall Islands ◽  
Ischemic Heart ◽  
Global Burden Of Disease ◽  
Global Burden

Background: Ischemic heart disease is more prevalent than ischemic stroke in most countries, including the United States; however, recent data suggests that ischemic stroke may be more prevalent in some countries. We performed this study to identify the countries with an inverse ratio of ischemic stroke and ischemic heart disease and associated attributes. Methods: We analyzed the data using the Global Burden of Disease (GBD) website; GBD Compare tool published by the Institute for Health Metrics and Evaluation (IHME), Seattle, Washington for the year 2017. We categorized individual 195 countries based on the ratio of ischemic stroke/ischemic heart disease and divided them into ≥1.0, 0,5-99, and <0.5. Gross domestic product (GDP) per capita for each country was calculated using data from Worldometers. Results: There were 51, 125, and 19 countries with the ratio of ischemic stroke/ischemic heart disease and divided them into ≤0.5, 0.5-0.99, and ≥1.0 respectively (see Table). The range of ratio was between 0.24 and 1.86. Countries with inverse ratio included China (1.86), North Korea (1.31), Guam (1.28), Taiwan (1.20), Marshall Islands (1.15), Timor-Leste (1.16), South Korea (1.13), Seychelles (1.11), Northern Mariana Islands (1.10), Cambodia (1.09), Federated States of Micronesia (1.08), American Samoa (1.07), Samoa (1.06), Kiribati (1.04), Solomon Islands (1.03), Fiji (1.02), Indonesia (1.02), Mauritius (1.01), and Vanuatu (1.00). Conclusions: Approximately 1 out of 10 countries have an inverse ratio of ischemic stroke / ischemic heart disease incidences. The inverse ratio is predominantly driven by a lower incidence of ischemic heart disease.

PM278 The Global Burden of Ischemic Heart Disease in 1990 and 2010: The Global Burden of Disease 2010 Study

Global Heart ◽  
2014 ◽  
Vol 9 (1) ◽  
pp. e117 ◽  
Author(s):  
Andrew E. Moran ◽  
Mohammad H. Forouzanfar ◽  
Gregory Roth ◽  
Majid Ezzati ◽  
George Mensah ◽  
...  
Keyword(s):  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Burden Of Disease ◽  
Ischemic Heart ◽  
Global Burden Of Disease ◽  
Global Burden
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