Burden of cardiovascular diseases in the Eastern Mediterranean Region, 1990-2015: findings from the Global Burden of Disease 2015 study

Int J Public Health. 2018 May;63(Suppl 1):137-149. doi: 10.1007/s00038-017-1012-3. Epub 2017 Aug 3.

Abstract

Objectives: To report the burden of cardiovascular diseases (CVD) in the Eastern Mediterranean Region (EMR) during 1990-2015.

Methods: We used the 2015 Global Burden of Disease study for estimates of mortality and disability-adjusted life years (DALYs) of different CVD in 22 countries of EMR.

Results: A total of 1.4 million CVD deaths (95% UI: 1.3-1.5) occurred in 2015 in the EMR, with the highest number of deaths in Pakistan (465,116) and the lowest number of deaths in Qatar (723). The age-standardized DALY rate per 100,000 decreased from 10,080 in 1990 to 8606 in 2015 (14.6% decrease). Afghanistan had the highest age-standardized DALY rate of CVD in both 1990 and 2015. Kuwait and Qatar had the lowest age-standardized DALY rates of CVD in 1990 and 2015, respectively. High blood pressure, high total cholesterol, and high body mass index were the leading risk factors for CVD.

Conclusions: The age-standardized DALY rates in the EMR are considerably higher than the global average. These findings call for a comprehensive approach to prevent and control the burden of CVD in the region.

Keywords: Burden of disease; Cardiovascular disease; Eastern Mediterranean Region.

MeSH terms

  • Adult
  • Body Mass Index
  • Cardiovascular Diseases / economics
  • Cardiovascular Diseases / epidemiology*
  • Cholesterol / blood
  • Female
  • Global Burden of Disease / statistics & numerical data*
  • Global Health
  • Humans
  • Hypertension / epidemiology
  • Mediterranean Region / epidemiology
  • Middle Aged
  • Middle East / epidemiology
  • Quality-Adjusted Life Years
  • Risk Factors

Substances

  • Cholesterol