The burden of cardiovascular disease attributable to high body mass index-an observational study.

Eur Heart J Qual Care Clin Outcomes

Department of Special Need Medicine, Shanxi Cancer Hospital, No. 3, Gongren New Street, Xinghualing District, Taiyuan 030013, China.

Published: March 2024

AI Article Synopsis

  • The study estimates the current and historical impact of cardiovascular disease (CVD) linked to high body mass index (HBMI) over the years.
  • The analysis reveals that while total cases of CVD-related disability-adjusted life years (DALYs) and deaths due to HBMI have significantly increased since 1990, the age-standardized rates for these metrics show a slight decline, especially in high socio-demographic index (SDI) regions.
  • The findings emphasize the need for tailored strategies from policymakers to effectively combat the CVD burden associated with HBMI, particularly in regions experiencing a growing impact.

Article Abstract

Aim: This study aims to provide a timely and comprehensive estimate of the current burden and temporal trend of cardiovascular disease (CVD) attributable to high body mass index (HBMI).

Methods: We systematically assessed the current burden and temporal trend of CVD attributable to HBMI by calendar year, age, sex, region, nation, socioeconomic status, and specific CVD based on the most recent Global Burden of Disease Study (GBD) 2019.

Results: Globally, the numbers of CVD-related disability-adjusted life years (DALYs) and deaths attributable to HBMI has more than doubled from 1990 to 2019. Conversely, the age-standardized rates (ASRs) of CVD-related DALYs and deaths attributable to HBMI showed a slight downward trend, with estimated annual percentage change (EAPC) of -0.18 and -0.43, respectively. The ASRs of CVD-related DALYs and deaths attributable to HBMI were lower in low and high Socio-demographic Index (SDI) regions in 2019, but higher in middle and high-middle SDI regions. The ASRs of CVD-related DALYs and deaths attributable to HBMI showed a downward trend in the high SDI regions from 1990 to 2019, but showed an upward trend in the low and low-middle SDI regions. The leading causes of CVD burden attributable to HBMI were ischemic heart disease, stroke, hypertensive heart disease, and atrial fibrillation/flutter in 2019.

Conclusion: The CVD burden attributable to HBMI remains a challenging global health concern. Policymakers in high and increasing burden regions can learn from some valuable experiences of low and decreasing burden regions and develop more targeted and specific strategies to prevent and reduce CVD burden attributable to HBMI.

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http://dx.doi.org/10.1093/ehjqcco/qcad044DOI Listing

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