医学
血压
糖尿病
中国
疾病
体质指数
风险因素
人口
人口老龄化
冲程(发动机)
内科学
人口学
环境卫生
老年学
内分泌学
机械工程
社会学
政治学
法学
工程类
作者
Andrew E. Moran,Dongfeng Gu,Dong Zhao,Pamela G. Coxson,Y. Claire Wang,Chung-Shiuan Chen,Jing Liu,Jun Cheng,Kirsten Bibbins‐Domingo,Yu-Ming Shen,Jiang He,Lee Goldman
出处
期刊:Circulation-cardiovascular Quality and Outcomes
[Ovid Technologies (Wolters Kluwer)]
日期:2010-05-01
卷期号:3 (3): 243-252
被引量:323
标识
DOI:10.1161/circoutcomes.109.910711
摘要
Background— The relative effects of individual and combined risk factor trends on future cardiovascular disease in China have not been quantified in detail. Methods and Results— Future risk factor trends in China were projected based on prior trends. Cardiovascular disease (coronary heart disease and stroke) in adults ages 35 to 84 years was projected from 2010 to 2030 using the Coronary Heart Disease Policy Model–China, a Markov computer simulation model. With risk factor levels held constant, projected annual cardiovascular events increased by >50% between 2010 and 2030 based on population aging and growth alone. Projected trends in blood pressure, total cholesterol, diabetes (increases), and active smoking (decline) would increase annual cardiovascular disease events by an additional 23%, an increase of approximately 21.3 million cardiovascular events and 7.7 million cardiovascular deaths over 2010 to 2030. Aggressively reducing active smoking in Chinese men to 20% prevalence in 2020 and 10% prevalence in 2030 or reducing mean systolic blood pressure by 3.8 mm Hg in men and women would counteract adverse trends in other risk factors by preventing cardiovascular events and 2.9 to 5.7 million total deaths over 2 decades. Conclusions— Aging and population growth will increase cardiovascular disease by more than a half over the coming 20 years, and projected unfavorable trends in blood pressure, total cholesterol, diabetes, and body mass index may accelerate the epidemic. National policy aimed at controlling blood pressure, smoking, and other risk factors would counteract the expected future cardiovascular disease epidemic in China.
科研通智能强力驱动
Strongly Powered by AbleSci AI