Cardiovascular disease risk factors: Role of legislations that control marketing of breastmilk substitutes

Background: Cardiovascular diseases (CVDs) are the leading cause of mortality throughout the world. Breastfeeding has been shown to play a role in the prevention of CVD. The International Code for Marketing of Breastmilk Substitutes (BMSs) and its relevant resolutions (the Code) were adopted by the World Health Assembly to protect breastfeeding. Aim: This study aims to study the relationships between breastfeeding rates and laws that cover the code with CVD risk factors (obesity and blood pressure) and death from non-communicable diseases (NCDs). Methods: Data for scores given to national laws and provisions under the Code for protecting breastfeeding were obtained from the World Health Organization (WHO)/International Baby Food Action Network report in 2020. Data for exclusive breastfeeding (EBF) during infancy were obtained from United Nations International Children’s Emergency Fund Global data. The WHO data for CVD risk factors in adults (>18 years) included overweight, obesity raised blood pressure (RBP), raised blood glucose level (RBGL), and death from NCDs. Results: There were significant negative correlations of overweight, obesity, raised BP, and death from NCD with EBF and with scores given to national laws that cover the Code. RBGL correlated negatively with overweight and obesity. Overweight, obesity, RBP, and death from NCDs correlated inversely with provisions in the national laws for monitoring and enforcement at p<0.015. Engagement of health staff and systems and promotion in health facilities correlated with RBP and death from NCDs at p<0.01. Conclusions: Prevention of CVD can benefit from improving breastfeeding rates by the enactment of national laws that cover the Code in its entirety. All countries should enact, monitor, and enforce these laws for promoting and protecting breastfeeding and preventing long-term consequences of feeding BMS.

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The Prevalence of Cardiovascular Disease Risk Factors among Employees in the Kingdom of Bahrain between October 2010 and March 2011: A Cross-Sectional Study from a Workplace Health Campaign

Cardiology Research and Practice ◽

10.1155/2014/832421 ◽

2014 ◽

Vol 2014 ◽

pp. 1-9 ◽

Cited By ~ 3

Author(s):

Ameera Ali AL-Nooh ◽

Abdulhussain Abdulabbas Abdulla Alajmi ◽

David Wood

Keyword(s):

Risk Factors ◽

Blood Pressure ◽

Disease Risk ◽

Cross Sectional Study ◽

Overweight And Obesity ◽

Sectional Study ◽

Cvd Risk Factors ◽

Cvd Risk ◽

Cross Sectional ◽

Physical Measurements

Background. High prevalence of CVD risk factors has been reported in Bahrain.Objective. This study aims to estimate the CVD risk factors prevalence among government employees in Bahrain.Design. A cross-sectional study design.Setting. Different government workplaces in Bahrain.Method. Data was collected from 1139 employees between October 2010 and March 2011 through interviews, including physical measurements, patient blood testing, and expired carbon monoxide (CO) levels as particles per million (ppm) for smokers. A summary of composite CVD risk factors was identified.Results. The following overall prevalence rates were reported: overweight and obesity 78.4% and reported hypertension 36.9% (included both those who were on and not on treatments), with an estimated prevalence of 21.6% for measured systolic blood pressure (Sbp) ≥ 140 mmHg and 23.3% for diastolic blood pressure (dbp) ≥90 mmHg. The prevalence of total cholesterol levels ≥5.2 mmol/dl was 24.2% and LDL levels >3.3 mmol/dl 10.8%. Prevalence of HDL-C levels (≤1.03 mmol/dl) was 47.55% and (≥1.5 mmol/dl) in 12.31%. The low HDL level (<1.03 mmol/dl) among males was 64.1%, while it was 26.6% among females. Half the participants (50.8%) do not engage in any type of physical activity. Moreover, 24.3% were not eating daily servings of fruits and vegetables. About 16.1% of them were current smokers. The majority of the participants (95.35%) had either no or less than 3 CVD risk factors. Only 4.65% had 3–5 risk factors.Conclusions. Among the employees in Bahrain, the high CVD risk factors prevalence is evident. CVD risk factors prevention and control are a priority.

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Association between birth weight and childhood cardiovascular disease risk factors in West Virginia

Journal of Developmental Origins of Health and Disease ◽

10.1017/s204017441900045x ◽

2019 ◽

Vol 11 (1) ◽

pp. 86-95

Author(s):

Amna Umer ◽

Candice Hamilton ◽

Lesley Cottrell ◽

Peter Giacobbi ◽

Kim Innes ◽

...

Keyword(s):

Risk Factors ◽

Blood Pressure ◽

Cardiovascular Disease ◽

Birth Weight ◽

West Virginia ◽

Disease Risk ◽

Density Lipoprotein ◽

Cvd Risk Factors ◽

Cvd Risk ◽

The Relationship

AbstractThe reported associations between birth weight and childhood cardiovascular disease (CVD) risk factors have been inconsistent. In this study, we investigated the relationship between birth weight and CVD risk factors at 11 years of age. This study used longitudinally linked data from three cross-sectional datasets (N = 22,136) in West Virginia; analysis was restricted to children born full-term (N = 19,583). The outcome variables included resting blood pressure [systolic blood pressure (SBP), diastolic blood pressure (DBP)] and lipid profile [total cholesterol (TC), low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) cholesterol, non-HDL, and triglycerides (TG)]. Multiple regression analyses were performed, adjusting for child’s body mass index (BMI), sociodemographics, and lifestyle characteristics. Unadjusted analyses showed a statistically significant association between birth weight and SBP, DBP, HDL, and TG. When adjusted for the child’s BMI, the association between birth weight and HDL [b = 0.14 (95% CI: 0.11, 0.18) mg/dl per 1000 g increase] and between birth weight and TG [b = –0.007 (–0.008, –0.005) mg/dl per 1000 g increase] remained statistically significant. In the fully adjusted model, low birth weight was associated with higher LDL, non-HDL, and TGs, and lower HDL levels. The child’s current BMI at 11 years of age partially (for HDL, non-HDL, and TG) and fully mediated (for SBP and DBP) the relationship between birth weight and select CVD risk factors. While effects were modest, these risk factors may persist and amplify with age, leading to potentially unfavorable consequences in later adulthood.

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Perceptions of Heart-Healthy Behaviors among African American Adults: A Mixed Methods Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph15112433 ◽

2018 ◽

Vol 15 (11) ◽

pp. 2433 ◽

Cited By ~ 6

Author(s):

Cheryl Der Ananian ◽

Donna Winham ◽

Sharon Thompson ◽

Megan Tisue

Keyword(s):

Risk Factors ◽

African Americans ◽

Health Behaviors ◽

Disease Risk ◽

Economic Status ◽

Health Agency ◽

Overweight And Obesity ◽

Racial Groups ◽

Cvd Risk Factors ◽

Cvd Risk

African Americans have a disproportionately higher risk of chronic conditions such as cardiovascular disease (CVD), type 2 diabetes, and hypertension than other ethnic or racial groups. Data regarding CVD-related perceptions and beliefs among African Americans are limited, particularly in the Southwest US. Assessment of current views regarding health and health behaviors is needed to tailor interventions to meet the unique needs of specific populations. We sought to examine knowledge, attitudes, and perceptions of African Americans living in Arizona toward CVD and etiological factors associated with health behaviors and chronic disease development to inform state health agency program development. Transcripts from 14 focus groups (n = 103) were analyzed using Grounded Theory for perceived disease risk, knowledge of CVD risk factors, nutrition, preventative behaviors, and barriers and motivators to behavior change. Participants identified CVD, stroke, and diabetes as leading health concerns among African-Americans but were less certain about the physiological consequences of these diseases. Diet, stress, low physical activity, family history, hypertension, and stroke were described as key CVD risk factors, but overweight and obesity were mentioned rarely. Participants described low socio-economic status and limited access to healthy foods as contributors to disease risk. Focus group members were open to modifying health behaviors if changes incorporated their input and were culturally acceptable. Respondents were 41% male and 59% female with a mean age of 46 years. This study provides insight into CVD and associated disease-related perceptions, knowledge, and attitudes among African Americans in the Southwest and recommendations for interventions to reduce CVD risk.

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Changes in Weight and Cardiovascular Disease Risk Factors in Monozygotic Twins: The Healthy Twin Study

Twin Research and Human Genetics ◽

10.1017/thg.2014.90 ◽

2015 ◽

Vol 18 (2) ◽

pp. 151-157 ◽

Cited By ~ 2

Author(s):

Yun-Mi Song ◽

Kayoung Lee ◽

Joohon Sung

Keyword(s):

Risk Factors ◽

Blood Pressure ◽

Cardiovascular Disease ◽

Disease Risk ◽

Cardiovascular Disease Risk ◽

Density Lipoprotein ◽

Lipoprotein Cholesterol ◽

Cvd Risk Factors ◽

Cvd Risk ◽

Environmental Correlations

We aimed to assess the non-genetic contribution to the associations between the change in weight and changes in cardiovascular disease (CVD) risk factors. This analysis included 194 Korean monozygotic (MZ) twin pairs (116 men, 272 women; mean age, 38.5 ± 6.8 years) who were first examined for weight and CVD risk factors (blood pressure (BP), glucose, total cholesterol (TC), triglycerides (TG), high-density lipoprotein cholesterol (HDL), and low-density lipoprotein cholesterol (LDL)) between December 2005 and December 2008, and returned for a repeat examination after 2.7 ± 0.9 years. The within-pair correlations were 0.21 for the change in weight and 0.05-0.42 for the changes in CVD risk factors. Bivariate analyses showed significant environmental correlations shared between the change in weight and the changes in CVD risk factors (p < .05), except for glucose, while there were no significant genetic effects shared between the phenotypes. After adjusting for baseline values of weight, smoking, and alcohol consumption, diastolic blood pressure (DBP), TG, TC, and LDL significantly increased by 1.6 mmHg, 0.09 mmol/L, 0.10 mmol/L, and 0.09 mmol/L, respectively, per 1 kg increase in within-pair differences in weight change. In Korean MZ twins, similarity between twins for changes in weight and CVD risk factors were small to moderate, and non-genetic factors were responsible for the associations between the change in weight and changes in DBP, TG, TC, and LDL.

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Changes to cardiovascular risk factors over 7 years: a prospective cohort study of in situ urbanised residents in the Chaoyang District of Beijing

BMJ Open ◽

10.1136/bmjopen-2019-033548 ◽

2020 ◽

Vol 10 (3) ◽

pp. e033548

Author(s):

Zhe Li ◽

Shicheng Yu ◽

Xiaoyan Han ◽

Jianjun Liu ◽

Hongyan Yao

Keyword(s):

Risk Factors ◽

Blood Pressure ◽

Cohort Study ◽

Cardiovascular Risk ◽

Cardiovascular Risk Factors ◽

Overweight And Obesity ◽

Cvd Risk Factors ◽

Cvd Risk ◽

Rural Residents

ObjectivesTo examine changes in cardiovascular risk factors of in situ urbanised residents between 2010 and 2017.DesignPopulation-based cohort study.SettingThe Chaoyang District of Beijing, China.ParticipantsA total of 942 in situ urbanised rural residents aged 35–64 who participated in the cardiovascular disease (CVD) risk factors study in China between 2010 and 2017.Main outcome measuresLifestyles (smoking, drinking and effective exercise) and medical history (diabetes, hypertension, dyslipidaemia, overweight and obesity) were self-reported. New cases of diabetes, hypertension, dyslipidaemia, overweight and obesity were confirmed by physical examination or blood biochemical tests. Multiple linear regression and log-binomial models analyses adjusted for sociodemographic confounders were conducted to evaluate any changes of clinical indexes and to estimate prevalence rate ratios (PRRs), respectively.ResultsDuring the study period of 2010–2017, diastolic blood pressure elevated by 3.55 mm Hg, central blood pressure increased by 4.39 mm Hg, total cholesterol decreased by 0.29 mmol/L and hypertension increased significantly (PRR=1.25, p<0.05) after adjusting for demographic, lifestyle and family history factors. Effective exercise rate (PRR=1.57), prevalence of diabetes (PRR=1.36) and dyslipidaemia (PRR=1.19) all increased from 2010 to 2017. However, these changes were not significant after adjusting for confounders (p>0.05). Prevalence of smoking, drinking, hypertension, overweight and obesity was significantly higher in males than females in both 2010 and 2017. In 2017, the 10-year risk of atherosclerotic CVD increased in 29.8% of participants and decreased in 6.1% of individuals.ConclusionsCVD risk factors augmented remarkably for in situ urbanised rural residents aged 35–64 in the Chaoyang District of Beijing, especially those indicators related to blood pressure. Awareness of the direction and magnitude of these risk factor changes may be beneficial in informing targeted strategies for preventing CVDs of in situ urbanised populations.

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Prevalence of Cardiovascular Disease Risk Factors in Vologda Oblast Districts

Epidemiology and Vaccinal Prevention ◽

10.31631/2073-3046-2021-20-1-60-68 ◽

2021 ◽

Vol 20 (1) ◽

pp. 60-68

Author(s):

N. Kh. Svanadze ◽

R. A. Kasimov ◽

A. A. Orlovsky ◽

N. V. Lazareva

Keyword(s):

Risk Factors ◽

Cardiovascular Disease ◽

Disease Risk ◽

Communicable Disease ◽

Cardiovascular Disease Risk ◽

Overweight And Obesity ◽

World Health ◽

Cvd Risk ◽

Vologda Oblast ◽

Incidence And Mortality

Relevance. There are large regional disparities in prevalence of non-communicable disease risk factors, as well as in the cardiovascular disease (CVD) incidence and mortality rates in Russian Federation (RF). Aim. To demonstrate the disparities in prevalence of CVD risk factors between Vologda Oblast districts. Materials and methods. Databases created in 2009 at the State-financed health institution of the Vologda Oblast «Vologda Regional Center for Medical Prevention», based on the results of a survey conducted within the framework of the World Health Organization CINDI program. CINDI questionnaire; cross-sectional study; the data was processed using R programming language and the Statistica software package 12. Results. The most common behavioral CVD risk factors in different Vologda Oblast districts included inadequate fruits and vegetables consumption (30–90%) and alcohol abuse (40–80%); hypertension (40–60%), overweight and obesity (30–55%) were the most frequent biological CVD risk factors; the most prevalent socio-economic risk factors included low education level (75–90%) and unemployment (20–40%). Participants residing in rural municipalities differed from urban okrugs (cities) dwellers in a higher prevalence of smoking (p < 0.01), alcohol abuse (p < 0.001), inadequate fruits and vegetables consumption (p < 0.0001), overweight and obesity (p < 0.05), unemployment (p < 0.0001), low education level (p < 0.0001), as well as a low overall assessment of their health (p < 0.05). Conclusions. We detected disparities in CVD risk factors prevalence between Vologda Oblast districts in 2009. Both behavioral and biological CVD risk factors were more common in participants from rural municipalities. The CVD risk factors distribution between the RF subjects’ districts requires further scientific research.

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Cardiovascular disease risk factors of military: A comparative assessment with civilians

European Journal of Public Health ◽

10.1093/eurpub/ckz185.361 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

W Bell Ngan ◽

L Essama Eno Belinga ◽

A S P Essam Nlo’O ◽

D Lemogoum ◽

F Roche ◽

...

Keyword(s):

Risk Factors ◽

Cardiovascular Disease ◽

Military Personnel ◽

Disease Risk ◽

Cardiovascular Disease Risk ◽

Cvd Risk Factors ◽

Cvd Risk ◽

Military Population ◽

The World ◽

The Military

Abstract Background Cardiovascular diseases are the leading cause of death in the world. Military population that seemed immune to these pathologies is now as exposed as the general population. The effective response to this public health problem first requires the identification of the level of exposure of populations. Thus, the objective of our study was to determine the prevalence of Cardiovascular Disease (CVD) risk factors of the Cameroonian military population compared to civilians. Methods We conducted a cross-sectional study. It involved subjects aged 18 to 58 years, recruited from October 30, 2017 to November 13, 2018 at the Fifth Military Sector Health Center. Five cardiovascular risk factors were assessed, smoking, harmful alcohol consumption, obesity/overweight, hypertension and diabetes. The STEPwise model proposed by the World Health Organization (WHO) was used to estimate the risk of cardiovascular diseases. Mann Whitney and Fisher exact tests were used for statistics comparison. Results The study included 489 subjects, 270 military personnel and 219 civilians. The median age of the two populations was not significantly different (30 years versus 33 years, p = 0.6939). The proportion of smokers was higher in the military (12.59% versus 9%, p = 0.0011). Alcoholism was also higher in the military population (60.74% versus 13.24%, p = 0.0000). Similarly, military personnel were more obese than civilians (58.15% versus 40.18%, p = 0.0000). Distribution of hypertension and diabetes was not significantly different between military and civilians (18.15% versus 16.89%, p = 0.8113) and (1.48% versus 3.20%, p = 0.2321) respectively. The proportion of subjects with a high cardiovascular risk was higher in the military (14.81% versus 7.76%, p = 0.0162). Conclusions CVD risk factors are more prevalent in Cameroonian military population than in civilians. This result suggests that, in addition to national preventive campaigns, special attention is needed for military population in Cameroon. Key messages Cardiovascular disease risk factors are more prevalent in Cameroonian military population than in general population. in addition to national preventive campaigns, special attention is needed for military population in Cameroon.

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Trends in cardiovascular disease risk factors by body mass index category among adults in England 2003-18: analysis of repeated cross-sectional national health surveys

10.1101/2020.09.02.20186619 ◽

2020 ◽

Cited By ~ 1

Author(s):

Shaun Scholes ◽

Linda Ng Fat ◽

Jennifer S Mindell

Keyword(s):

Risk Factors ◽

Blood Pressure ◽

Risk Factor ◽

Total Cholesterol ◽

Normal Weight ◽

Overweight And Obesity ◽

Cvd Risk Factors ◽

Cvd Risk ◽

Cross Sectional ◽

Risk Factor Prevalence

Objective. Favourable trends in cardiovascular disease (CVD) risk factors at the population level potentially mask differences within high- and low-risk groups. Data from annual, repeated cross-sectional surveys (Health Survey for England 2003-18) was used to examine trends in the prevalence of key CVD risk factors by body mass index (BMI) category among adults aged 16 years or older (n=115,860). Methods. Six risk factors were investigated: (i) current cigarette smoking; (ii) physical inactivity (<30 minutes of moderate-to-vigorous physical activity per week); (iii) drinking above recommended daily alcohol limits; (iv) hypertension (measured blood pressure ≥140/90mmHg or use of medicine prescribed for high blood pressure); (v) total diabetes (reported diagnosed or elevated glycated haemoglobin); and (vi) raised total cholesterol (≥5mmol/L). Age-standardised risk factor prevalence was computed in each four-year time period (2003-06; 2007-10; 2011-14; 2015-18) in all adults and by BMI category (normal-weight; overweight; obesity). Change in risk factor prevalence on the absolute scale was computed as the difference between the first and last time-periods, expressed in percentage points (PP). Results. Risk factor change varied by BMI category in a number of cases. Current smoking prevalence fell more sharply for normal-weight men (-8.1 PP; 95% CI: -10.3, -5.8) versus men with obesity (-3.8 PP; 95% CI: -6.2, -1.4). Hypertension remained at a stable level among normal-weight men but decreased among men with obesity (-4.1 PP; 95% CI: -7.1, -1.0). Total diabetes remained at a stable level among normal-weight adults, but increased among adults with obesity (men: 3.5 PP; 95% CI: 1.2, 5.7; women: 3.6 PP; 95% CI: 1.8, 5.4). Raised total cholesterol decreased in all BMI groups, but fell more sharply among women with obesity (-21 PP; 95% CI: -25, -17) versus their normal-weight counterparts (-16 PP; 95% CI: -18, -14). Conclusions. Relative to adults with normal weight, greater reductions in hypertension and raised total cholesterol among adults with overweight and obesity reflect at least in part improvements in screening, treatment and control among those at highest cardiovascular risk. Higher levels of risk factor prevalence among adults with overweight and obesity, in parallel with rising diabetes, highlight the importance of national prevention efforts to combat the public health impact of excess adiposity.

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Cardiovascular Disease Prevention in Adolescents: eHealth, Co-Creation, and Advocacy

Medical Sciences ◽

10.3390/medsci7020034 ◽

2019 ◽

Vol 7 (2) ◽

pp. 34 ◽

Cited By ~ 5

Author(s):

Rebecca Raeside ◽

Stephanie Partridge ◽

Anna Singleton ◽

Julie Redfern

Keyword(s):

Risk Factors ◽

Cardiovascular Disease ◽

Behaviour Change ◽

Disease Risk ◽

Cardiovascular Disease Risk ◽

Overweight And Obesity ◽

Cvd Risk Factors ◽

Cvd Risk ◽

Behaviour Change Interventions ◽

Cvd Prevention

Cardiovascular disease (CVD) is the leading cause of death globally. Early atherosclerotic changes can begin to occur early in life and though adolescence. The prevalence of modifiable CVD risk factors, namely, smoking, poor diet quality, excessive alcohol intake, physical inactivity, and overweight and obesity can exacerbate the early onset of atherosclerosis. There is a need to improve modifiable risk factors during adolescence to prevent progression to CVD in later life. Electronic health (eHealth) behaviour change interventions are a potential solution for adolescents to improve CVD risk factors, given adolescents are digital frontrunners and digital technology is wide-reaching. The process of co-creating eHealth behaviour change interventions with adolescents is a promising strategy to improve intervention effectiveness and engagement. Additionally, effective youth advocacy is an emerging strategy for CVD prevention in adolescents. This narrative review evaluates published eHealth behaviour change interventions targeting cardiovascular disease risk factors in adolescents, which utilize a co-creation process, describe the emerging role of advocacy in CVD prevention for adolescents and provide recommendations for future interventions.

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Abstract 046: Excessive Gain in BMI Between Age 7-16 is Related to Cardiovascular Disease Risk in Adulthood: A Longitudinal Study

Circulation ◽

10.1161/circ.127.suppl_12.a046 ◽

2013 ◽

Vol 127 (suppl_12) ◽

Author(s):

Julia Steinberger ◽

Alan R Sinaiko ◽

David R Jacobs ◽

Donald R Dengel ◽

Xia Zhou ◽

...

Keyword(s):

Risk Factors ◽

Insulin Resistance ◽

Blood Pressure ◽

Cardiovascular Disease ◽

Disease Risk ◽

Normal Weight ◽

Overweight And Obesity ◽

Childhood And Adolescence ◽

Cvd Risk ◽

Adult Individual

Obesity in childhood has been shown to promote adult obesity and the development of cardiovascular disease (CVD) risk. However, little longitudinal information exists on the rate of progression of adiposity during childhood as a predictor of adult insulin resistance and markers of CVD risk. We hypothesize that excessive adiposity in childhood and adolescence predicts adult individual CV risk factors, insulin resistance and vascular changes. Children (n=383 mean age 7 yrs), were measured periodically for height, weight and blood pressure through adolescence. As adults (n=383, mean age 39 y, 50% female), height, weight, lipids, insulin resistance and carotid intima-media thickness (cIMT) were measured. Body mass index (BMI) categories (normal, overweight, and obese) were created by standard criteria. According to the CDC BMI growth charts, the normal mean change in BMI from age 7-16 at the 50th percentile is 5 kg/m 2 . Linear regression evaluated the influence of excessive weight gain in childhood on the development of adverse CVD risk factors in adulthood stratifying by 50 percentile change in BMI (≤5kg/m 2 vs >5kg/m 2 ) between childhood and adolescence, adjusting for confounding factors. Of 313 normal weight children, 32% stayed normal weight, 68% became overweight and obese in adulthood. Of 45 overweight children 90% stayed overweight or became obese in adulthood. Of 25 obese children 100% became overweight and stayed obese in adulthood. Compared to ≤5kg/m 2 , a BMI gain of >5 kg/m 2 between childhood and adolescence was more common in blacks than in whites and was associated with greater CV risk in adulthood: greater % obesity; higher blood pressure, lipids, insulin resistance (M/lbm=insulin sensitivity) and cIMT (Table). These findings show that: 1) childhood adiposity is a strong predictor of adult overweight and obesity, and 2) excessive BMI gain between childhood and adolescence is a major determinant of obesity and CVD risk in adulthood.

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