Cargando…

The burden of ischemic heart disease and the epidemiologic transition in the Eastern Mediterranean Region: 1990–2019

It has been estimated that in the next decade, IHD prevalence, DALYs and deaths will increase more significantly in EMR than in any other region of the world. This study aims to provide a comprehensive description of the trends in the burden of ischemic heart disease (IHD) across the countries of th...

Descripción completa

Detalles Bibliográficos
Autores principales: Sadeghi, Masoumeh, Jamalian, Marjan, Mehrabani-Zeinabad, Kamran, Turk-Adawi, Karam, Kopec, Jacek, AlMahmeed, Wael, Abdul Rahim, Hanan F., Farhan, Hasan Ali, Anwar, Wagida, Manla, Yosef, Fadhil, Ibtihal, Lui, Michelle, Roohafza, Hamidreza, Islam, Sheikh Mohammed Shariful, Sulaiman, Kadhim, Bazargani, Nooshin, Saade, George, Hassen, Nejat, Alandejani, Amani, Abdin, Amr, Bokhari, Saira, Roth, Gregory A., Johnson, Catherine, Stark, Benjamin, Sarrafzadegan, Nizal, Mokdad, Ali H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10479892/
https://www.ncbi.nlm.nih.gov/pubmed/37669274
http://dx.doi.org/10.1371/journal.pone.0290286
_version_ 1785101689556041728
author Sadeghi, Masoumeh
Jamalian, Marjan
Mehrabani-Zeinabad, Kamran
Turk-Adawi, Karam
Kopec, Jacek
AlMahmeed, Wael
Abdul Rahim, Hanan F.
Farhan, Hasan Ali
Anwar, Wagida
Manla, Yosef
Fadhil, Ibtihal
Lui, Michelle
Roohafza, Hamidreza
Islam, Sheikh Mohammed Shariful
Sulaiman, Kadhim
Bazargani, Nooshin
Saade, George
Hassen, Nejat
Alandejani, Amani
Abdin, Amr
Bokhari, Saira
Roth, Gregory A.
Johnson, Catherine
Stark, Benjamin
Sarrafzadegan, Nizal
Mokdad, Ali H.
author_facet Sadeghi, Masoumeh
Jamalian, Marjan
Mehrabani-Zeinabad, Kamran
Turk-Adawi, Karam
Kopec, Jacek
AlMahmeed, Wael
Abdul Rahim, Hanan F.
Farhan, Hasan Ali
Anwar, Wagida
Manla, Yosef
Fadhil, Ibtihal
Lui, Michelle
Roohafza, Hamidreza
Islam, Sheikh Mohammed Shariful
Sulaiman, Kadhim
Bazargani, Nooshin
Saade, George
Hassen, Nejat
Alandejani, Amani
Abdin, Amr
Bokhari, Saira
Roth, Gregory A.
Johnson, Catherine
Stark, Benjamin
Sarrafzadegan, Nizal
Mokdad, Ali H.
author_sort Sadeghi, Masoumeh
collection PubMed
description It has been estimated that in the next decade, IHD prevalence, DALYs and deaths will increase more significantly in EMR than in any other region of the world. This study aims to provide a comprehensive description of the trends in the burden of ischemic heart disease (IHD) across the countries of the Eastern Mediterranean Region (EMR) from 1990 to 2019. Data on IHD prevalence, disability-adjusted life years (DALYs), mortality, DALYs attributable to risk factors, healthcare access and quality index (HAQ), and universal health coverage (UHC) were extracted from the Global Burden of Disease (GBD) database for EMR countries. The data were stratified based on the social demographic index (SDI). Information on cardiac rehabilitation was obtained from publications by the International Council of Cardiovascular Prevention and Rehabilitation (ICCPR), and additional country-specific data were obtained through advanced search methods. Age standardization was performed using the direct method, applying the estimated age structure of the global population from 2019. Uncertainty intervals were calculated through 1000 iterations, and the 2.5th and 97.5th percentiles were derived from these calculations. The age-standardized prevalence of IHD in the EMR increased from 5.0% to 5.5% between 1990 and 2019, while it decreased at the global level. In the EMR, the age-standardized rates of IHD mortality and DALYs decreased by 11.4% and 15.4%, respectively, during the study period, although both rates remained higher than the global rates. The burden of IHD was found to be higher in males compared to females. Bahrain exhibited the highest decrease in age-standardized prevalence (-3.7%), mortality (-65.0%), and DALYs (-69.1%) rates among the EMR countries. Conversely, Oman experienced the highest increase in prevalence (14.5%), while Pakistan had the greatest increase in mortality (30.0%) and DALYs (32.0%) rates. The top three risk factors contributing to IHD DALYs in the EMR in 2019 were high systolic blood pressure, high low-density lipoprotein cholesterol, and particulate matter pollution. The trend analysis over the 29-year period (1990–2019) revealed that high fasting plasma glucose (64.0%) and high body mass index (23.4%) exhibited increasing trends as attributed risk factors for IHD DALYs in the EMR. Our findings indicate an increasing trend in the prevalence of IHD and a decrease in mortality and DALYs in the EMR. These results emphasize the need for well-planned prevention and treatment strategies to address the risk factors associated with IHD. It is crucial for the countries in this region to prioritize the development and implementation of programs focused on health promotion, education, prevention, and medical care.
format Online
Article
Text
id pubmed-10479892
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-104798922023-09-06 The burden of ischemic heart disease and the epidemiologic transition in the Eastern Mediterranean Region: 1990–2019 Sadeghi, Masoumeh Jamalian, Marjan Mehrabani-Zeinabad, Kamran Turk-Adawi, Karam Kopec, Jacek AlMahmeed, Wael Abdul Rahim, Hanan F. Farhan, Hasan Ali Anwar, Wagida Manla, Yosef Fadhil, Ibtihal Lui, Michelle Roohafza, Hamidreza Islam, Sheikh Mohammed Shariful Sulaiman, Kadhim Bazargani, Nooshin Saade, George Hassen, Nejat Alandejani, Amani Abdin, Amr Bokhari, Saira Roth, Gregory A. Johnson, Catherine Stark, Benjamin Sarrafzadegan, Nizal Mokdad, Ali H. PLoS One Research Article It has been estimated that in the next decade, IHD prevalence, DALYs and deaths will increase more significantly in EMR than in any other region of the world. This study aims to provide a comprehensive description of the trends in the burden of ischemic heart disease (IHD) across the countries of the Eastern Mediterranean Region (EMR) from 1990 to 2019. Data on IHD prevalence, disability-adjusted life years (DALYs), mortality, DALYs attributable to risk factors, healthcare access and quality index (HAQ), and universal health coverage (UHC) were extracted from the Global Burden of Disease (GBD) database for EMR countries. The data were stratified based on the social demographic index (SDI). Information on cardiac rehabilitation was obtained from publications by the International Council of Cardiovascular Prevention and Rehabilitation (ICCPR), and additional country-specific data were obtained through advanced search methods. Age standardization was performed using the direct method, applying the estimated age structure of the global population from 2019. Uncertainty intervals were calculated through 1000 iterations, and the 2.5th and 97.5th percentiles were derived from these calculations. The age-standardized prevalence of IHD in the EMR increased from 5.0% to 5.5% between 1990 and 2019, while it decreased at the global level. In the EMR, the age-standardized rates of IHD mortality and DALYs decreased by 11.4% and 15.4%, respectively, during the study period, although both rates remained higher than the global rates. The burden of IHD was found to be higher in males compared to females. Bahrain exhibited the highest decrease in age-standardized prevalence (-3.7%), mortality (-65.0%), and DALYs (-69.1%) rates among the EMR countries. Conversely, Oman experienced the highest increase in prevalence (14.5%), while Pakistan had the greatest increase in mortality (30.0%) and DALYs (32.0%) rates. The top three risk factors contributing to IHD DALYs in the EMR in 2019 were high systolic blood pressure, high low-density lipoprotein cholesterol, and particulate matter pollution. The trend analysis over the 29-year period (1990–2019) revealed that high fasting plasma glucose (64.0%) and high body mass index (23.4%) exhibited increasing trends as attributed risk factors for IHD DALYs in the EMR. Our findings indicate an increasing trend in the prevalence of IHD and a decrease in mortality and DALYs in the EMR. These results emphasize the need for well-planned prevention and treatment strategies to address the risk factors associated with IHD. It is crucial for the countries in this region to prioritize the development and implementation of programs focused on health promotion, education, prevention, and medical care. Public Library of Science 2023-09-05 /pmc/articles/PMC10479892/ /pubmed/37669274 http://dx.doi.org/10.1371/journal.pone.0290286 Text en © 2023 Sadeghi et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Sadeghi, Masoumeh
Jamalian, Marjan
Mehrabani-Zeinabad, Kamran
Turk-Adawi, Karam
Kopec, Jacek
AlMahmeed, Wael
Abdul Rahim, Hanan F.
Farhan, Hasan Ali
Anwar, Wagida
Manla, Yosef
Fadhil, Ibtihal
Lui, Michelle
Roohafza, Hamidreza
Islam, Sheikh Mohammed Shariful
Sulaiman, Kadhim
Bazargani, Nooshin
Saade, George
Hassen, Nejat
Alandejani, Amani
Abdin, Amr
Bokhari, Saira
Roth, Gregory A.
Johnson, Catherine
Stark, Benjamin
Sarrafzadegan, Nizal
Mokdad, Ali H.
The burden of ischemic heart disease and the epidemiologic transition in the Eastern Mediterranean Region: 1990–2019
title The burden of ischemic heart disease and the epidemiologic transition in the Eastern Mediterranean Region: 1990–2019
title_full The burden of ischemic heart disease and the epidemiologic transition in the Eastern Mediterranean Region: 1990–2019
title_fullStr The burden of ischemic heart disease and the epidemiologic transition in the Eastern Mediterranean Region: 1990–2019
title_full_unstemmed The burden of ischemic heart disease and the epidemiologic transition in the Eastern Mediterranean Region: 1990–2019
title_short The burden of ischemic heart disease and the epidemiologic transition in the Eastern Mediterranean Region: 1990–2019
title_sort burden of ischemic heart disease and the epidemiologic transition in the eastern mediterranean region: 1990–2019
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10479892/
https://www.ncbi.nlm.nih.gov/pubmed/37669274
http://dx.doi.org/10.1371/journal.pone.0290286
work_keys_str_mv AT sadeghimasoumeh theburdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT jamalianmarjan theburdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT mehrabanizeinabadkamran theburdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT turkadawikaram theburdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT kopecjacek theburdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT almahmeedwael theburdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT abdulrahimhananf theburdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT farhanhasanali theburdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT anwarwagida theburdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT manlayosef theburdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT fadhilibtihal theburdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT luimichelle theburdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT roohafzahamidreza theburdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT islamsheikhmohammedshariful theburdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT sulaimankadhim theburdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT bazarganinooshin theburdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT saadegeorge theburdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT hassennejat theburdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT alandejaniamani theburdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT abdinamr theburdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT bokharisaira theburdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT rothgregorya theburdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT johnsoncatherine theburdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT starkbenjamin theburdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT sarrafzadegannizal theburdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT mokdadalih theburdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT sadeghimasoumeh burdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT jamalianmarjan burdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT mehrabanizeinabadkamran burdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT turkadawikaram burdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT kopecjacek burdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT almahmeedwael burdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT abdulrahimhananf burdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT farhanhasanali burdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT anwarwagida burdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT manlayosef burdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT fadhilibtihal burdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT luimichelle burdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT roohafzahamidreza burdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT islamsheikhmohammedshariful burdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT sulaimankadhim burdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT bazarganinooshin burdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT saadegeorge burdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT hassennejat burdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT alandejaniamani burdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT abdinamr burdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT bokharisaira burdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT rothgregorya burdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT johnsoncatherine burdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT starkbenjamin burdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT sarrafzadegannizal burdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019
AT mokdadalih burdenofischemicheartdiseaseandtheepidemiologictransitionintheeasternmediterraneanregion19902019