Descriptive Epidemiology of Cardiovascular Risk Factors and Diabetes in Sub-Saharan Africa

Mensah, George A.

doi:10.1016/j.pcad.2013.10.014

Cited by 56 publications

(53 citation statements)

References 24 publications

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“…Injuries and communicable diseases account for much higher proportions of adult deaths than in other LMICs. 41 Among CVDs, hypertensive heart disease and cardiomyopathy represent a much larger proportion of total death than in other regions of the world (Figure 7). Reflecting higher all-cause mortality and shorter lifespans overall, the mean age of death attributable to CVD in Sub-Saharan Africa in 2010 was the youngest in the world at 64.9 years (95% UI, 64.4-65.4) compared with 67.6 to 81.2 years for the rest of the world.…”

Section: Sub-saharan Africamentioning

confidence: 99%

Global and Regional Patterns in Cardiovascular Mortality From 1990 to 2013

Huffman²,

et al. 2015

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Abstract-There is a global commitment to reduce premature cardiovascular diseases (CVDs) 25% by 2025. CVD mortality rates have declined dramatically over the past 2 decades, yet the number of life years lost to premature CVD deaths is increasing in low-and middle-income regions. Ischemic heart disease and stroke remain the leading causes of premature death in the world; however, there is wide regional variation in these patterns. Some regions, led by Central Asia, face particularly high rates of premature death from ischemic heart disease. Sub-Saharan Africa and Asia suffer disproportionately from death from stroke. The purpose of the present report is to (1) describe global trends and regional variation in premature mortality attributable to CVD, (2) review past and current approaches to the measurement of these trends, and (3) describe the limitations of existing models of epidemiological transitions for explaining the observed distribution and trends of CVD mortality. We describe extensive variation both between and within regions even while CVD remains a dominant cause of death. Policies and health interventions will need to be tailored and scaled for a broad range of local conditions to achieve global goals for the improvement of cardiovascular health.

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Section: Sub-saharan Africamentioning

confidence: 99%

Global and Regional Patterns in Cardiovascular Mortality From 1990 to 2013

Huffman²,

et al. 2015

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“…Although there are huge data gaps6,7 and time lags between original data gathering and publication on the current burden of CVD in Africa, recent evidence suggests that the burden of stroke and other CVDs is rising on the continent 3,8-12. Stroke is the second leading cause of death globally, with 70.9% of deaths due to stroke, and 77.7% of the disability-adjusted life years lost occurring in low- and middle-income countries, many of which are in Africa 8…”

Section: Introductionmentioning

confidence: 99%

“…This is possibly because most African countries are in stage two or three of their epidemiological transition 14. This epidemiological transition is due to a combination of lifestyle and dietary changes, urbanisation, and demographic transition (increasing life expectancy and population growth),7,14,15 against a background of unique patterns of genomic variation.…”

Section: Introductionmentioning

confidence: 99%

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Understanding the rise in cardiovascular diseases in Africa : harmonising H3Africa genomic epidemiological teams and tools : cardiovascular topic

Owolabi

Mensah

Kimmel

et al. 2014

CVJA

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SummaryAbstractCardiovascular diseases, principally ischaemic heart disease and stroke, are the leading causes of global mortality and morbidity. Together with other non-communicable diseases, they account for more than 60% of global deaths and pose major social, economic and developmental challenges worldwide. In Africa, there is now compelling evidence that the major cardiovascular disease (CVD) risk factors are on the rise, and so are the related fatal and non-fatal sequelae, which occur at significantly younger ages than seen in high-income countries. In order to tackle this rising burden of CVD, the H3Africa Cardiovascular Working Group will hold an inaugural workshop on 30 May 2014 in Cape Town, South Africa. The primary workshop objectives are to enhance our understanding of the genetic underpinnings of the common major CVDs in Africa and strengthen collaborations among the H3Africa teams and other researchers using novel genomic and epidemiological tools to contribute to reducing the burden of CVD on the continent.

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“…1 This phenomenon is driven largely by population-wide changes in demographic, social, and economic status, with associated changes in lifestyle habits. [2][3][4] Nonetheless, the incidence of communicable CVD is sustained and fueled by the epidemics of the HIV/AIDS, rheumatic heart disease, tuberculosis, and parasitic infections with cardiac involvement. [5][6][7] In parallel, the rapid and marked increase in the prevalence of cardiovascular risk factors raises the spectrum of a potential epidemic of noncommunicable CVDs in an environment characterized by limited resources and infrastructure to combat these threats.…”

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confidence: 99%

Impact of Socioeconomic Status, Ethnicity, and Urbanization on Risk Factor Profiles of Cardiovascular Disease in Africa

et al. 2016

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Abstract-Africa is a continent characterized by marked ethnic, sociodemographic, and economic diversity, with profound changes in many regions over the past 2 decades. This diversity has an impact on cardiovascular disease presentation and outcomes. Within Africa and within the individual countries, one can find regions having predominantly communicable diseases such as rheumatic heart disease, tuberculous pericarditis, or cardiomyopathy and others having a marked increase in noncommunicable disease such as hypertension and hypertensive heart disease. Ischemic heart disease remains rare in most countries. Difficulties in the planning and implementation of effective health care in most African countries are compounded by a paucity of studies and a low rate of investment in research and data acquisition. The fiduciary responsibilities of companies working in Africa should include the effective and efficient use of natural resources to promote the overall health of populations.

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Descriptive Epidemiology of Cardiovascular Risk Factors and Diabetes in Sub-Saharan Africa

Cited by 56 publications

References 24 publications

Global and Regional Patterns in Cardiovascular Mortality From 1990 to 2013

Global and Regional Patterns in Cardiovascular Mortality From 1990 to 2013

Understanding the rise in cardiovascular diseases in Africa : harmonising H3Africa genomic epidemiological teams and tools : cardiovascular topic

Impact of Socioeconomic Status, Ethnicity, and Urbanization on Risk Factor Profiles of Cardiovascular Disease in Africa

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