Tracking Disparities in the Burden of Ischemic Heart Disease Attributable To Modifiable Risk Factors in 137 Low- and Middle-Income Countries from 2000 to 2017: A Comparative Assessment

Background Ischemic heart disease (IHD) imposes the greatest disease burden globally, especially in low‐ and middle‐income countries (LMICs). We aim to examine the population‐attributable fraction and risk‐attributable death and disability‐adjusted life years (DALYs) for IHD in 137 low‐ and middle‐income countries. Methods and Results Using comparative risk assessment framework from the 2019 Global Burden of Disease study, the population‐attributable fraction and IHD burden (death and DALYs) attributable to risk factors in low‐income countries, lower‐middle‐income countries (LMCs), and upper‐middle‐income countries were assessed from 2000 to 2019. In 2019, the population‐attributable fraction (%) of IHD deaths in relation to all modifiable risk factors combined was highest in lower‐middle‐income countries (94.2; 95% uncertainty interval, 91.9–96.2), followed by upper‐middle‐income countries (93.5; 90.4–95.8) and low‐income countries (92.5; 90.0–94.7). There was a >13‐fold difference between Peru and Uzbekistan in age‐standardized rates (per 100 000) of attributable death (44.3 versus 660.4) and DALYs (786.7 versus 10506.1). Dietary risks accounted for the largest proportion of IHD’s behavioral burden in low‐ and middle‐income countries, primarily attributable to diets low in whole grains. High systolic blood pressure and high low‐density lipoprotein cholesterol remained the 2 leading causes of DALYs, with the former topping the list in 116 countries, while the latter led in 21 of the 137 countries. Compared with 2000 to 2010, the increases in risk‐attributable deaths and DALYs among upper‐middle income countries were slower from 2010 to 2019, while the trends in low‐income countries and lower‐middle income countries were opposite. Conclusions IHD’s attributable burden remains high in low‐ and middle‐income countries. Considerable heterogeneity was observed among different income‐classified regions and countries.

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Knowledge of Modifiable Risk Factors of Ischemic Heart Disease among Patients Presenting With Acute Myocardial Infarction in Peshawar

MOJ Biology and Medicine ◽

10.15406/mojbm.2017.02.00049 ◽

2017 ◽

Vol 2 (2) ◽

Author(s):

Mohammad Mehran Shah

Keyword(s):

Risk Factors ◽

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Heart Disease ◽

Ischemic Heart Disease ◽

Ischemic Heart ◽

Modifiable Risk Factors

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Patient’s Information Toward Some Modifiable Risk Factors of Ischemic Heart Disease

Kurdistan Journal of Applied Research ◽

10.24017/science.2020.ichms2020.4 ◽

2020 ◽

pp. 27-39

Author(s):

Bayan Omar Sharif ◽

Aras Hamad Rasul ◽

Osman Ibrahim Mahmud ◽

Farman Nuri Abdulla

Keyword(s):

Risk Factors ◽

Heart Disease ◽

Ischemic Heart Disease ◽

Demographic Data ◽

Internal Consistency Reliability ◽

Ischemic Heart ◽

P Value ◽

Modifiable Risk Factors ◽

Dietary Regimen ◽

Patient’S Information

Ischemic heart disease (IHD), , is the condition of heart problems, caused by narrowed coronary arteries that supply oxygenated blood to the heart muscle. There is a shortage of study of bachelor students. The goal of this research was directed to assess level of patient’s information toward some modifiable risk factors of IHD at Rania teaching hospital in Kurdistan region of Iraq during the period of (20th October 2019 - 10th February 2020). A non- probability purposive sample of (143) patients; the study instrument was constructed of total (42) items for the purpose of data collection. The content validity of the instrument was determined through a panel of (12) experts. Reliability of the instrument was determined through the use of internal consistency reliability (split half) approach which was estimated as r = (0.83) the data were collected through the use of interview technique (face to face approach), the computer files is used to organizing and coding it. The data analyzed by Statistical approaches which includes: descriptive and inferential statistical and chi- square, data analysis (SPSS version 25). The outcome showed that most of the sample rang from the age (25-40) years and most of them were male from urban, more than half of them were unemployed but nearly half of them were graduated from primary school. 32.2% of them diagnosed by cardiovascular disease. However more than half of them had a high level of information about IHD as a general, and the TV was the first source of their information but more than half of them were overweight, 65% did not do regular exercise, 52.4% were relatively stressful. Also, the study demonstrated that there is no significant association between socio demographic data and level of patient’s information toward some modifiable risk factors of IHD, with age, gender, educational level and occupation with IHD, at p value greater than 0.05. The study recommended to ministry of health and directorate of health in Rania city to develop and supervise the center of dietary regimen and halls of exercise for the people to implement their information and practice it

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DEMENTIA PREVENTION IN LOW- AND MIDDLE-INCOME COUNTRIES: POPULATION ATTRIBUTABLE FRACTION FOR POTENTIALLY MODIFIABLE RISK FACTORS

Alzheimer s & Dementia ◽

10.1016/j.jalz.2019.06.055 ◽

2019 ◽

Vol 15 (7) ◽

pp. P244

Author(s):

Naaheed Mukadam ◽

Andrew Sommerlad ◽

Jonathan D. Huntley ◽

Gill Livingston

Keyword(s):

Risk Factors ◽

Population Attributable Fraction ◽

Attributable Fraction ◽

Modifiable Risk Factors ◽

Middle Income ◽

Middle Income Countries ◽

Dementia Prevention ◽

Low And Middle Income

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Burden of Ischemic Heart Disease And Stroke And The Impact Of Modifiable Risk Factors In Taiwan

Value in Health ◽

10.1016/j.jval.2018.07.248 ◽

2018 ◽

Vol 21 ◽

pp. S32

Author(s):

J Chen ◽

C Tang ◽

I Gagnon-Arpin ◽

A Dobrescu ◽

W Li ◽

...

Keyword(s):

Risk Factors ◽

Heart Disease ◽

Ischemic Heart Disease ◽

Ischemic Heart ◽

Modifiable Risk Factors ◽

The Impact

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Burden of Ischemic Heart Disease And Stroke And Impact of Lipid Control And Modifiable Risk Factors In China

Value in Health ◽

10.1016/j.jval.2018.07.249 ◽

2018 ◽

Vol 21 ◽

pp. S32-S33

Author(s):

Y Zhang ◽

H Li ◽

I Gagnon-Arpin ◽

A Dobrescu ◽

W Li ◽

...

Keyword(s):

Risk Factors ◽

Heart Disease ◽

Ischemic Heart Disease ◽

Ischemic Heart ◽

Modifiable Risk Factors ◽

Lipid Control

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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

10.21203/rs.3.rs-16144/v2 ◽

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.

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