Burden of cardiovascular disease among elderly: based on the Global Burden of Disease Study 2019.

IF 5.4 3区材料科学 Q2 CHEMISTRY, PHYSICAL

ACS Applied Energy Materials Pub Date : 2024-03-01 DOI:10.1093/ehjqcco/qcad033

Chunrun Qu, Sheng Liao, Jingdan Zhang, Hui Cao, Hao Zhang, Nan Zhang, Luzhe Yan, Gaoyuan Cui, Peng Luo, Qingwei Zhang, Quan Cheng

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Abstract

Background: The burden of elderly cardiovascular disease (CVD) has received increasing attention with population ageing worldwide.

Aims: We reported on the global CVD burden in elderly individuals over 70, 1990-2019.

Methods and results: Based on the Global Burden of Disease Study 2019, elderly CVD burden data were analysed. Temporal burden trends were analysed with the joinpoint model. The slope index and concentration index were used to evaluate health inequality. From 1990 to 2019, the global elderly CVD incidence, prevalence, death, and disability-adjusted life year rates generally decreased. However, the current burden remains high. The rapid growth in burden in parts of sub-Saharan Africa and Asia is a cause for concern. Countries with a higher socio-demographic index (SDI) have generally seen a greater decrease in burden, while countries with a lower SDI have generally experienced increases or smaller declines in burden. Health inequality analysis confirmed that the burden was gradually concentrating towards countries with a low SDI. Among the different CVDs, ischaemic heart disease causes the greatest burden in elderly individuals. Most CVD burdens increase with age, but stroke and peripheral vascular disease show markedly different distributional characteristics. In addition, the burden of hypertensive heart disease shows an unusual shift towards high-SDI countries. High systolic blood pressure was consistently the leading risk factor for CVD among elderly individuals.

Conclusion: The burden of CVD in older people remains severe and generally tends to shift to lower-SDI countries. Policymakers need to take targeted measures to reduce its harm.

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老年人心血管疾病负担：基于《2019 年全球疾病负担研究》。

背景：目的：我们报告了 1990-2019 年全球 70 岁以上老年人心血管疾病负担情况：基于《2019 年全球疾病负担研究》，分析了老年人心血管疾病负担数据。采用连接点模型分析了时间负担趋势。斜率指数和集中指数用于评估健康不平等。从 1990 年到 2019 年，全球老年人心血管疾病发病率、患病率、死亡率和残疾调整生命年率普遍下降。然而，目前的负担仍然很高。撒哈拉以南非洲和亚洲部分地区负担的快速增长令人担忧。社会人口指数（SDI）较高的国家的负担普遍下降较多，而社会人口指数较低的国家的负担普遍增加或下降较少。健康不平等分析证实，负担正逐渐向社会人口指数较低的国家集中。在各种心血管疾病中，缺血性心脏病给老年人造成的负担最大。大多数心血管疾病的负担随着年龄的增长而增加，但中风和外周血管疾病显示出明显不同的分布特征。此外，高血压性心脏病的负担异常地向高收缩压指数国家转移。高收缩压一直是老年人心血管疾病的主要风险因素：结论：老年人心血管疾病的负担仍然很重，而且一般倾向于向低 SDI 国家转移。决策者需要采取有针对性的措施来减少其危害。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACS Applied Energy Materials Materials Science-Materials Chemistry

CiteScore

10.30

自引率

6.20%

发文量

1368

期刊介绍： ACS Applied Energy Materials is an interdisciplinary journal publishing original research covering all aspects of materials, engineering, chemistry, physics and biology relevant to energy conversion and storage. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrate knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important energy applications.