Cardiovascular disease trends in Nepal – An analysis of global burden of disease data 2017

International Journal of Cardiology: Heart & Vasculature

Phanindra Baral¹  Soniya Shrestha²  Abhinav Vaidya³  Bhim Prasad Sapkota⁴  Anjani Kumar Jha⁵  Annette Fitzpatrick⁶  Manita Pyakurel⁷  Niharika Jha⁸  Archana Shrestha⁹  Swornim Bajracharya^1,10  Natalia Oli^1,10  Anu Aryal^1,10  Sanju Bhattarai^1,10  David Citrin^1,10  Prajjwal Pyakurel^1,10  Donna Spiegelman^1,10  Rajeev Shrestha^1,11  Rajendra Koju^1,12  Biraj Man Karmacharya^1,13  Rashmi Maharjan^1,13  Helen Cox^1,14  Meghnath Dhimal^1,15 

[1] Central University of Nicaragua Managua, Nicaragua;Dean, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal;Department of Nursing and Midwifery, Kathmandu University School of Medical Sciences Hospital, Dhulikhel, Nepal;Department of Public Health, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal;Departments of Global Health and Anthropology, University of Washington, Seattle, WA, USA;Icahn School of Medicine at Mount Sinai, Arnhold Institute for Global Health, New York, NY, USA;Nyaya Health Nepal, Kathmandu, Nepal;Center for Translation Research and Implementation Science, National Heart, Lung, and Blood Institute, National Institutes of Health, Department of Health and Human Services, Bethesda, MD, USA;Department of Community Medicine, Kathmandu Medical College and Teaching Hospital, Kathmandu, Nepal;Department of Community Programs, Dhulikhel Hospital Kathmandu University Hospital, Dhulikhel, Nepal;Department of Medicine (Cardiology), Dhulikhel Hospital Kathmandu University Hospital, Dhulikhel, Nepal;Departments of Family Medicine, Epidemiology, and Global Health, University of Washington, Seattle, USA;Nepal Health Research Council, Kathmandu, Nepal;Non Communicable Diseases and Mental Health Section, Epidemiology and Disease Control Division, Department of Health Services, Ministry of Health and Population, Government of Nepal, Nepal;Nyaya Health Nepal, Kathmandu, Nepal;

关键词: Prevalence;    Health system;    Mortality;    Cardiovascular disease;    Incidence;    Nepal;   

DOI  :  

来源: DOAJ

【 摘 要 】

Cardiovascular diseases (CVDs) are the leading cause of disease burden globally, disproportionately affecting low and middle-income countries. The continued scarcity of literature on CVDs burden in Nepal has thwarted efforts to develop population-specific prevention and management strategies. This article reports the burden of CVDs in Nepal including, prevalence, incidence, and disability basis as well as trends over the past two decades by age and gender. We used the Institute of Health Metrics and Evaluation’s Global Burden of Diseases database on cardiovascular disease from Nepal to describe the most recent data available (2017) and trends by age, gender and year from 1990 to 2017. Data are presented as percentages or as rates per 100,000 population. In 2017, CVDs contributed to 26·9% of total deaths and 12·8% of total DALYs in Nepal. Ischemic heart disease was the predominant CVDs, contributing 16·4% to total deaths and 7·5% to total DALYs. Cardiovascular disease incidence and mortality rates have increased from 1990 to 2017, with the burden greater among males and among older age groups. The leading risk factors for CVDs were determined to be high systolic blood pressure, high low density lipoprotein cholesterol, smoking, air pollution, a diet low in whole grains, and a diet low in fruit. CVDs are a major public health problem in Nepal contributing to the high DALYs with unacceptable numbers of premature deaths. There is an urgent need to address the increasing burden of CVDs and their associated risk factors, particularly high blood pressure, body mass index and unhealthy diet.

【 授权许可】

Unknown