NCD Countdown 2030: efficient pathways and strategic investments to accelerate progress towards the Sustainable Development Goal target 3.4 in low-income and middle-income countries

Watkins, David; Msemburi, William; Pickersgill, Sarah; Kawakatsu, Yoshito; Gheorghe, Adrian; Dain, Katie; Johansson, Kjell; Said, Sanaa; Renshaw, Nina; Tolla, Mieraf Taddese; Twea, Pakwanja; Varghese, Cherian; Chalkidou, Kalipso; Ezzati, Majid; Norheim, Ole Frithjof

doi:10.1016/s0140-6736(21)02347-3

Cited by 97 publications

(55 citation statements)

References 53 publications

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“…In addition, little is known about the population effects of CVD interventions on outcomes other than mortality or on the distribution of these outcomes across populations. Here we present a range of cardiovascular health metrics that might be considered as part of an expanded post-Sustainable Development Goal NCD agenda 36 . Such a CVD dashboard (https://dcp-uw.shinyapps.io/bp-targets/) might include trends in the proportion of the population in ideal cardiovascular health (Fig.…”

Section: Discussionmentioning

confidence: 99%

Modeling global 80-80-80 blood pressure targets and cardiovascular outcomes

Msemburi

Cobb²,

Ide³

et al. 2022

Nat Med

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As the leading cause of death worldwide, cardiovascular diseases (CVDs) present major challenges for health systems. In this study, we analyzed the effects of better population blood pressure control in the context of a proposed 80-80-80 target: 80% of individuals with hypertension are screened and aware of their diagnosis; 80% of those who are aware are prescribed treatment; and 80% of those on treatment have achieved guideline-specified blood pressure targets. We developed a population CVD model using country-level evidence on CVD rates, blood pressure levels and hypertension intervention coverage. Under realistic implementation conditions, most countries could achieve 80-80-80 targets by 2040, reducing all-cause mortality by 4–7% (76–130 million deaths averted over 2022–2050) and slowing the rise in CVD expected from population growth and aging (110–200 million cases averted). Although populous middle-income countries would account for most of the reduced CVD cases and deaths, low-income countries would experience the largest reductions in disease rates.

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Section: Discussionmentioning

confidence: 99%

Modeling global 80-80-80 blood pressure targets and cardiovascular outcomes

Msemburi

Cobb²,

Ide³

et al. 2022

Nat Med

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“…The increase in chronic disease worldwide has generated new priorities for health systems. If they do not address this situation, the consequences could be catastrophic for the quality of life of people and for sustainable development, especially in middle- and low-income countries [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Preliminary Effectiveness of a Strategy to Promote Healthy Lifestyle Habits in Schoolchildren

et al. 2022

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Purpose: To measure the preliminary effectiveness of a strategy to promote healthy lifestyle habits in schoolchildren, aged 6 to 12 years, living in the Andean region of Colombia, 2018–2021. Design and Methods: This is a Nursing Methodological Research, developed in phases: (1) Context and schoolchildren characterization; (2) Strategy design guided by the Whittemore and Grey criteria and the Bronfenbrenner ecological conceptual model; (3) Strategy validation with 11 experts; (4) Trial to evaluate preliminary effectiveness. We applied the strategy in seven different schools with the educational community including 955 schoolchildren between 6 and 12 years of age, 551 parents, 130 teachers and 7 members of the food staff. Results: Our health promotion strategy “Prosalud” has five components: citizenship feeding and nutrition, physical activity, and rest; environment protection, and directing one’s own life. It includes all the participants of the educational community. Conclusions: According to experts, the health promotion strategy “Prosalud” is valid to help promoting healthy lifestyle habits among schoolchildren. This strategy demonstrates its preliminary effectiveness in a group of school children from 6 to 12 years of age, their parents, teachers, and school food staff, in the Andean region of Colombia.

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“…In addition, preventative strategies targeting high CVD risk individuals are inherently limited to the high-risk individuals, while the majority of stroke and acute CVD disease occur among persons with low-to moderate CVD risk. 6,15,16 To address these issues, the National Institute for Stroke and Applied Neurosciences of Auckland University of Technology, New Zealand, in collaboration with national and international experts in stroke and CVD, including general practice clinicians, neurologists, public health experts, and consumer groups, has developed and validated two unique award winning digital tools: (1) 17−19 The stroke prediction algorithm in both tools was derived from the Framingham Stroke Risk Score prediction algorithm 20 and enhanced to include several additional major (mainly lifestyle) risk factors shown to be important for stroke and CVD occurrence. 3,4 Inclusion of additional risk factors is also justified from a public health perspective because their control allows reduction of the risk of not only stroke and CVD but also other major NCDs sharing the risk factors, such as diabetes mellitus, renal vascular disease, vascular dementia and some types of cancer.…”

mentioning

confidence: 99%