1
|
Ostovar A, Sepanlou S, Shariati M, Mahdavi Hezaveh A, Yousefi E, Hodjatzadeh A, Afkar M, Pariani A, Moghisi A, Khalagi K, Najmi M, Bashti S, Aghamohammadi S, Bagherzade yazdi M, Atefi A, Joneidi A, Barakati H, Heshmat R, Peykari N, Ranjbar M, Hammelman C, Mendis S, Pariyanzeitooni M, Mohammadi N, Noemani K, Barati H, Alborzinia R, Mirshfiee P, Khaligh N, Anvari M, Morsali A, Shirzadian A, Hasani M, Zakeri M, Alizadeh Barzian K, Azadmehr H, Ghasemi A, Delshad A, Hajiuni R, Shafieinia MA, Dolatabad M, Soltani M, Azizi A, Izadi M, Rokhshad H, Sadeghi G, Rahmani MH, Sedaghat SM, Sadeghzade H, Mirmoieni R, Golmohammadi A, Najafi Moghadam T, Ehsanzadeh A, Parvin A, Ahmadian M, Hosseinkhani R, Shadmand S, Shahrokhi F, Panje Shahi M, Shafiei bafti M, Shahabadi S, Shaddel S, Bayat Asghari A, Talebi E, Sharafi S, Kooshki M, Asadiyan F, Sadeghi MJ, Eghbali B, Norouzinezhad G, Farrokhzad S, Mirheidari M, Nejadghaderi M, Iran nezhad N, Mehri SM, Rahimzadeh A, Etminanbakhsh H, Dalili A, Aminforghani H, Rahbar MN, Rostampour S, Fateh M, Moradi F, Mousavi SA, Pourabazari G, Sharbafi J, Aminmanesh A, Karimi A, Sarbazi M, Farbakhsh F, Alinezhad J, Parishan Kordiani T, Dalili N, Parisay Z, Sadeghian MR, Bazishad A, Sartipi M, Seydi A, Raeisi A. The Iranian blood pressure measurement campaign, 2019: study protocol and preliminary results. J Diabetes Metab Disord 2023; 22:899-911. [PMID: 37255819 PMCID: PMC10225367 DOI: 10.1007/s40200-022-01126-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Revised: 07/05/2022] [Accepted: 09/06/2022] [Indexed: 06/01/2023]
Abstract
Purpose Hypertension is one of the most important risk factors for premature mortality and morbidity in Iran. The objective of the Iranian blood pressure (BP) measurement campaign was to identify individuals with raised blood pressure and providing appropriate care and increase the awareness among the public and policymakers of the importance of tackling hypertension. Methods The campaign was conducted in two phases. The first (communication) phase started on May 17th (International Hypertension Day). The second phase started on June 8th, 2019, and lasted up to July 7th during which, blood pressures were measured. The target population was Iranians aged ≥ 30 years. Participants voluntarily referred to health houses in rural and health posts and comprehensive health centers in urban areas in the setting of the Primary Health Care network. Additionally, over 13,700 temporary stations were set up in highly visited places in urban areas. Volunteer healthcare staff interviewed the participants, measured their BP, and provided them with lifestyle advice and knowledge of the risks and consequences of high blood pressure. They referred participants to physicians in case their BP was high. Participants immediately received a text message containing the relevant advice based on their measured BP and their past history. Results Blood pressure was measured for a total of 26,678,394 participants in the campaign. A total of 13,722,148 participants (51.4%) were female. The mean age was 46 ± 14.1 years. Among total participants, 15,012,693 adults (56.3%) with no past history of hypertension had normal BP, 7,959,288 participants had BP in the prehypertension range (29.8%), and finally, 3,706,413 participants (13.9%) had either past medical history of hypertension, used medications, or had high BP measured in the campaign. Conclusion The campaign was feasible with the objective to increase the awareness among the public and policymakers of the importance of tackling hypertension in Iran.
Collapse
Affiliation(s)
- Afshin Ostovar
- Osteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute,, Tehran University of Medical Sciences, 1411713137, No 10, Jalale Al Ahmad St., next to Dr. Shariati Hospital Complex, Tehran, Iran
- Center for Non-communicable Disease Control & Prevention, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran
| | - Sadaf Sepanlou
- Digestive Disease Research institute, Tehran University of Medical Sciences, Tehran, Iran
| | | | - Alireza Mahdavi Hezaveh
- Center for Non-communicable Disease Control & Prevention, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran
| | - Elham Yousefi
- Center for Non-communicable Disease Control & Prevention, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran
| | - Alieh Hodjatzadeh
- Center for Non-communicable Disease Control & Prevention, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran
| | - Mehdi Afkar
- Center for Non-communicable Disease Control & Prevention, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran
| | - Abbas Pariani
- Center for Non-communicable Disease Control & Prevention, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran
| | - Alireza Moghisi
- Center for Non-communicable Disease Control & Prevention, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran
| | - Kazem Khalagi
- Osteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute,, Tehran University of Medical Sciences, 1411713137, No 10, Jalale Al Ahmad St., next to Dr. Shariati Hospital Complex, Tehran, Iran
- Obesity and Eating Habits Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Mehdi Najmi
- Center for Non-communicable Disease Control & Prevention, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran
| | - Shahnaz Bashti
- Center for Non-communicable Disease Control & Prevention, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran
| | - Saeideh Aghamohammadi
- Center for Health Network Management, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran
| | | | - Azizollah Atefi
- Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran
| | - Ahmad Joneidi
- Center for Environmental & Occupational Health, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran
| | - Hamed Barakati
- Center for Population, Family, and School Health, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran
| | - Ramin Heshmat
- Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Niloofar Peykari
- Iranian Non-communicable Diseases Committee (INCDC), Deputy for Education, Ministry of Health and Medical Education, Tehran, Iran
| | - Mansour Ranjbar
- WHO Country Office for Iran (Islamic Republic of), Tehran, Iran
| | | | | | | | - Nahid Mohammadi
- Deputy of Public Health, Abadan University of Medical Sciences, Abadan, Iran
| | - Kourosh Noemani
- Deputy of Public Health, Jondishapour Ahwaz University of Medical Sciences, Ahwaz, Iran
| | - Hojatollah Barati
- Deputy of Public Health, Alborz University of Medical Sciences, Karaj, Iran
| | - Reza Alborzinia
- Deputy of Public Health, Alborz University of Medical Sciences, Karaj, Iran
| | - Pari Mirshfiee
- Deputy of Public Health, Arak University of Medical Sciences, Arak, Iran
| | - Naghmeh Khaligh
- Deputy of Public Health, Ardabil University of Medical Sciences, Ardabil, Iran
| | - Mostafa Anvari
- Deputy of Public Health, Asadabad University of Medical Sciences, Asadabad, Iran
| | - Ali Morsali
- Deputy of Public Health, Asadabad University of Medical Sciences, Asadabad, Iran
| | | | - Mahnaz Hasani
- Deputy of Public Health, Bam University of Medical Sciences, Bam, Iran
| | - Maryam Zakeri
- Deputy of Public Health, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | | | - Hamid Azadmehr
- Deputy of Public Health, Birjand University of Medical Sciences, Birjand, Iran
| | - Ali Ghasemi
- Deputy of Public Health, Birjand University of Medical Sciences, Birjand, Iran
| | - Afshin Delshad
- Deputy of Public Health, North Khorasan University of Medical Sciences, Bojnourd, Iran
| | - Razieh Hajiuni
- Deputy of Public Health, Bushehr University of Medical Sciences, Bushehr, Iran
| | | | - Mostafa Dolatabad
- Deputy of Public Health, Esfarayen University of Medical Sciences, Esfarayen, Iran
| | - Maryam Soltani
- Deputy of Public Health, Esfarayen University of Medical Sciences, Esfarayen, Iran
| | - Abdollah Azizi
- Deputy of Public Health, Fasa University of Medical Sciences, Fasa, Iran
| | - Mohsen Izadi
- Deputy of Public Health, Gerash University of Medical Sciences, Gerash, Iran
| | - Hasan Rokhshad
- Deputy of Public Health, Guilan University of Medical Sciences, Rasht, Iran
| | - Gholamreza Sadeghi
- Deputy of Public Health, Guilan University of Medical Sciences, Rasht, Iran
| | | | | | - Hamide Sadeghzade
- Deputy of Public Health, Golestan University of Medical Sciences, Gorgan, Iran
| | | | - Ali Golmohammadi
- Deputy of Public Health, Iran University of Medical Sciences, Tehran, Iran
| | | | - Asad Ehsanzadeh
- Deputy of Public Health, Ilam University of Medical Sciences, Ilam, Iran
| | - Abdolmohsen Parvin
- Deputy of Public Health, Iranshahr University of Medical Sciences, Iranshahr, Iran
| | - Mahshid Ahmadian
- Deputy of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Ramesh Hosseinkhani
- Deputy of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Shapour Shadmand
- Deputy of Public Health, Jahrom University of Medical Sciences, Jahrom, Iran
| | - Fateme Shahrokhi
- Deputy of Public Health, Jiroft University of Medical Sciences, Jiroft, Iran
| | - Morteza Panje Shahi
- Deputy of Public Health, Kashan University of Medical Sciences, Kashan, Iran
| | - Mehdi Shafiei bafti
- Deputy of Public Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Sara Shahabadi
- Deputy of Public Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Soleiman Shaddel
- Deputy of Public Health, Khalkhal University of Medical Sciences, Khalkhal, Iran
| | - Abbas Bayat Asghari
- Deputy of Public Health, Khomeyn University of Medical Sciences, Khomeyn, Iran
| | - Esmaeel Talebi
- Deputy of Public Health, Khoy University of Medical Sciences, Khoy, Iran
| | - Sajjad Sharafi
- Deputy of Public Health, Larestan University of Medical Sciences, Larestan, Iran
| | - Maryam Kooshki
- Deputy of Public Health, Lorestan University of Medical Sciences, Khoramabad, Iran
| | - Faeghe Asadiyan
- Deputy of Public Health, Maragheh University of Medical Sciences, Maragheh, Iran
| | | | - Babak Eghbali
- Deputy of Public Health, Khorasan Razavi University of Medical Sciences, Mashhad, Iran
| | | | - Solmaz Farrokhzad
- Non-Communicable Diseases Research Institute, Qazvin University of Medical Sciences, Qazvin, Iran
- Deputy of Public Health, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Mahdi Mirheidari
- Deputy of Public Health, Qom University of Medical Sciences, Qom, Iran
| | - Mohsen Nejadghaderi
- Deputy of Public Health, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
| | - Najme Iran nezhad
- Deputy of Public Health, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
| | - Seyed Mohsen Mehri
- Deputy of Public Health, Sabzevar University of Medical Sciences, Sabzevar, Iran
| | - Ardeshir Rahimzadeh
- Deputy of Public Health, Kurdistan University of Medical Sciences, Sanandaj, Iran
| | | | - Azita Dalili
- Deputy of Public Health, Mazandaran University of Medical Sciences, Sari, Iran
| | | | | | - Sepinood Rostampour
- Deputy of Public Health, Shahrekord University of Medical Sciences, Shahrekord, Iran
| | - Mansoureh Fateh
- Deputy of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran
- Center for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran
| | - Fariba Moradi
- Deputy of Public Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Seyed Ali Mousavi
- Deputy of Public Health, Shushtar University of Medical Sciences, Shushtar, Iran
| | | | - Jabraeil Sharbafi
- Deputy of Public Health, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Alireza Aminmanesh
- Deputy of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Azita Karimi
- Deputy of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mohammadreza Sarbazi
- Deputy of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Farzaneh Farbakhsh
- Deputy of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Javad Alinezhad
- Deputy of Public Health, Torbat Heydarieh University of Medical Sciences, Torbat Heydarieh, Iran
| | | | - Nourieh Dalili
- Deputy of Public Health, Urmia University of Medical Sciences, Urmia, Iran
| | - Zafar Parisay
- Deputy of Public Health, Kohkilouye Boyerahmad University of Medical Sciences, Yasouj, Iran
| | | | - Amir Bazishad
- Deputy of Public Health, Zabol University of Medical Sciences, Zabol, Iran
| | - Majid Sartipi
- Deputy of Public Health, Zahedan University of Medical Sciences, Zahedan, Iran
- Health Promotion Research Center, School of Public Health, Zahedan University of Medical Sciences, Zahedan, Iran
| | - Ali Seydi
- Deputy of Public Health, Zanjan University of Medical Sciences, Zanjan, Iran
| | - Alireza Raeisi
- School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| |
Collapse
|
2
|
Hejazi E, Emamat H, Sharafkhah M, Saidpour A, Poustchi H, Sepanlou S, Sotoudeh M, Dawsey S, Boffetta P, Abnet CC, Kamangar F, Etemadi A, Pourshams A, Malekshah AF, Berennan P, Malekzadeh R, Hekmatdoost A. Dietary acid load and mortality from all causes, CVD and cancer: results from the Golestan Cohort Study. Br J Nutr 2022; 128:237-243. [PMID: 34392847 DOI: 10.1017/s0007114521003135] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Given the limited studies and controversial results on association between dietary acid load and mortality from CVD and cancers, we aimed to investigate this association in a large population cohort study in Middle East, with a wide range of dietary acid load. The study was conducted on the platform of the Golestan Cohort Study (GCS), which enrolled 50 045 participants in 2004-2008. Dietary intake was assessed using a validated FFQ. Dietary potential renal acid load (PRAL) score was calculated from nutrient intake. Death and its causes were identified and confirmed by two or three physicians. Cox proportional hazards regression was used to estimate hazard ratio (HR) and 95 % CI for total and cause-specific mortalities. Then, the associations were modelled using restricted cubic splines. PRAL range was -57·36 to +53·81 mEq/d for men and -76·70 to +49·08 for women. During 555 142 person-years of follow-up, we documented 6830 deaths, including 3070 cardiovascular deaths, 1502 cancer deaths and 2258 deaths from other causes. For overall deaths, in final model after adjustment for confounders, participants in the first and fifth quintiles of PRAL had a higher risk of mortality compared with the second quintile of PRAL (HR: 1·08; 95 % CI1·01, 1·16 and HR: 1·07; 95 % CI 1·01, 1·15, respectively); Pfor trend < 0·05). Participants in the first and fifth quintiles of PRAL had a 12 % higher risk of CVD mortality compared with the Q2 of PRAL (HR: 1·12; 95 % CI 1·01-1·25 and HR: 1·12; 95 % CI 1·01, 1·26, respectively; Pfor trend < 0·05). We found that all-cause and CVD mortality rates were higher in the lowest and highest PRAL values, in an approximately U-shaped relation (P-values for the overall association and the non-linear association of energy-adjusted PRAL with total mortality were < 0·001 and < 0·001, and with CVD mortality were 0·008 and 0·003, respectively). Our results highlight unfavourable associations of high acidity and alkalinity of diet with the increased total and CVD mortality risk. It may be important to consider a balanced acid-base diet as a protective strategy to prevent pre-mature death, especially from CVD.
Collapse
Affiliation(s)
- Ehsan Hejazi
- Department of Clinical Nutrition and Dietetics, Faculty of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran
- Digestive Oncology Research Center, Digestive Diseases Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Hadi Emamat
- Student Research Committee, Department and Faculty of Nutrition Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Maryam Sharafkhah
- Digestive Oncology Research Center, Digestive Diseases Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Atoosa Saidpour
- Department of Clinical Nutrition and Dietetics, Faculty of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Hossein Poustchi
- Liver and Pancreaticobiliary Disease Research Center, Digestive Diseases Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Sadaf Sepanlou
- Liver and Pancreaticobiliary Disease Research Center, Digestive Diseases Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Masoud Sotoudeh
- Digestive Disease Research Center, Digestive Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Sanford Dawsey
- Metabolic Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA
| | - Paolo Boffetta
- Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Christian C Abnet
- Metabolic Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA
| | - Farin Kamangar
- Department of Biology, School of Computer, Mathematical, and Natural Sciences, Morgan State University, Baltimore, MD, USA
| | - Arash Etemadi
- Metabolic Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA
| | - Akram Pourshams
- Digestive Oncology Research Center, Digestive Diseases Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Akbar Fazeltabar Malekshah
- Digestive Oncology Research Center, Digestive Diseases Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Paul Berennan
- Genetic Epidemiology Group, International Agency for Research on Cancer (IARC/WHO), Lyon, France
| | - Reza Malekzadeh
- Digestive Oncology Research Center, Digestive Diseases Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Azita Hekmatdoost
- Department of Clinical Nutrition and Dietetics, Faculty of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran
- Digestive Oncology Research Center, Digestive Diseases Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
| |
Collapse
|
3
|
Sepanlou S, Najafi F, Poustchi H, Parsaeian M, Ahmadi A, Somi M, Moradpour F, Alizadeh-Navaei R, Gohari A, Zamani B, Esmaeilinadimi A, Rezaianzadeh A, Mansour-Ghanaei F, Bahramali E, Ansari-Moghaddam A, Hamzeh B, Zanganeh Yousefabadi E, Zare Sakhvidi MJ, Mohebbi I, Fattahi MR, Nejatizadeh A, Marioryad H, Motamed-Gorji N, Roozafzai F, Eghtesad S, Mohammadi Z, Shayanrad A, Sharafkhah M, Etemadi A, Kamangar F, Juraschek SP, Malekzadeh R. Prevalence, awareness, treatment, and control of hypertension based on ACC/AHA versus JNC7 guidelines in the PERSIAN cohort study. Sci Rep 2022; 12:4057. [PMID: 35260709 PMCID: PMC8904851 DOI: 10.1038/s41598-022-07896-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2021] [Accepted: 02/28/2022] [Indexed: 02/08/2023] Open
Abstract
In this cross-sectional population-based study, we used the baseline data of the Prospective Epidemiologic Research Studies in IrAN cohort study collected in Iran from 2014 to 2020. The main outcomes were the prevalence of hypertension and proportion of awareness, treatment, and control based on the 2017 ACC/AHA guideline compared to the seventh report of the Joint National Committee (JNC7). Of the total of 163,770 participants, aged 35-70 years, 55.2% were female. The sex-age standardized prevalence of hypertension was 22.3% (95% CI 20.6, 24.1) based on the JNC7 guideline and 36.5% (31.1, 41.8) based on the ACC/AHA guideline. A total of 24,312 participants [14.1% (10.1, 18.1)] were newly diagnosed based on the ACC/AHA guideline. Compared to adults diagnosed with hypertension based on the JNC7 guideline, the newly diagnosed participants were mainly young literate males who had low levels of risk factors and were free from conventional comorbidities of hypertension. About 30.7% (25.9, 35.4) of them (4.3% of the entire population) were eligible for pharmacologic intervention based on the ACC/AHA guideline. Implementation of the new guideline may impose additional burden on health systems. However, early detection and management of elevated blood pressure may reduce the ultimate burden of hypertension in Iran.
Collapse
Affiliation(s)
- Sadaf Sepanlou
- Digestive Disease Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Farid Najafi
- Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Hossein Poustchi
- Liver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Mahboubeh Parsaeian
- Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Ali Ahmadi
- Department of Epidemiology and Biostatistics, Modeling in Health Research Center, School of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran
| | - Mohammadhossein Somi
- Liver and Gastrointestinal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Farhad Moradpour
- Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
| | - Reza Alizadeh-Navaei
- Gastrointestinal Cancer Research Center, Non-Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran
| | - Ali Gohari
- Non-Communicable Diseases Research Center, Sabzevar University of Medical Sciences, Sabzevar, Iran
| | - Bijan Zamani
- Digestive Disease Research Center, Ardabil University of Medical Sciences, Ardabil, Iran
| | - Ali Esmaeilinadimi
- Non-Communicable Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
| | - Abbas Rezaianzadeh
- Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Fariborz Mansour-Ghanaei
- Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran
| | - Ehsan Bahramali
- Noncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran
| | | | - Behrooz Hamzeh
- Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Elham Zanganeh Yousefabadi
- Department of Internal Medicine, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Mohammad Javad Zare Sakhvidi
- Occupational Health Research Centre, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Iraj Mohebbi
- Social Determinants of Health Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran
| | - Mohammad Reza Fattahi
- Gastroenterohepatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Azim Nejatizadeh
- Molecular Medicine Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | | | - Nazgol Motamed-Gorji
- Liver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Farzin Roozafzai
- Liver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Sareh Eghtesad
- Liver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Zahra Mohammadi
- Liver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Amaneh Shayanrad
- Liver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Maryam Sharafkhah
- Liver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Arash Etemadi
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA
| | - Farin Kamangar
- Department of Biology, School of Computer, Mathematical, and Natural Sciences, Morgan State University, Baltimore, MD, USA
| | - Stephen P Juraschek
- Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
| | - Reza Malekzadeh
- Digestive Oncology Research Center, Digestive Diseases Research Institute, Shariati Hospital, Tehran University of Medical Sciences, North Kargar Ave., Tehran, 14117-13135, Iran.
| |
Collapse
|
4
|
Akinyemiju T, Abera S, Ahmed M, Alam N, Alemayohu MA, Allen C, Al-Raddadi R, Alvis-Guzman N, Amoako Y, Artaman A, Ayele TA, Barac A, Bensenor I, Berhane A, Bhutta Z, Castillo-Rivas J, Chitheer A, Choi JY, Cowie B, Dandona L, Dandona R, Dey S, Dicker D, Phuc H, Ekwueme DU, Zaki MES, Fischer F, Fürst T, Hancock J, Hay SI, Hotez P, Jee SH, Kasaeian A, Khader Y, Khang YH, Kumar A, Kutz M, Larson H, Lopez A, Lunevicius R, Malekzadeh R, McAlinden C, Meier T, Mendoza W, Mokdad A, Moradi-Lakeh M, Nagel G, Nguyen Q, Nguyen G, Ogbo F, Patton G, Pereira DM, Pourmalek F, Qorbani M, Radfar A, Roshandel G, Salomon JA, Sanabria J, Sartorius B, Satpathy M, Sawhney M, Sepanlou S, Shackelford K, Shore H, Sun J, Mengistu DT, Topór-Mądry R, Tran B, Ukwaja KN, Vlassov V, Vollset SE, Vos T, Wakayo T, Weiderpass E, Werdecker A, Yonemoto N, Younis M, Yu C, Zaidi Z, Zhu L, Murray CJL, Naghavi M, Fitzmaurice C. The Burden of Primary Liver Cancer and Underlying Etiologies From 1990 to 2015 at the Global, Regional, and National Level: Results From the Global Burden of Disease Study 2015. JAMA Oncol 2019; 3:1683-1691. [PMID: 28983565 PMCID: PMC5824275 DOI: 10.1001/jamaoncol.2017.3055] [Citation(s) in RCA: 1250] [Impact Index Per Article: 250.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Importance Objective Design, Settings, and Participants Main Outcomes and Measures Results Conclusions and Relevance Question Findings Meaning
Collapse
Affiliation(s)
| | - Tomi Akinyemiju
- School of Public Health, Birmingham, University of Alabama at Birmingham
| | - Semaw Abera
- Mekelle University, School of Public Health, College of Health Sciences, Mekelle, Tigray, Ethiopia,University of Hohenheim, Institute of Biological Chemistry and Nutrition, Stuttgart, Baden Württemberg, Germany
| | - Muktar Ahmed
- Jimma University Institute of Health, Department of Epidemiology, Jimma, Oromiya, Ethiopia
| | - Noore Alam
- Department of Health, Queensland Government, Herston, QLD, Australia,University of Queensland, School of Public Health, Herston, QLD, Australia
| | | | - Christine Allen
- University of Washington, Institute for Health Metrics and Evaluation, Seattle
| | | | - Nelson Alvis-Guzman
- Universidad de Cartagena, Grupo de Investigación en Economía de la Salud, Cartagena, Bolivar, Colombia
| | - Yaw Amoako
- Komfo Anokye Teaching Hospital, Department of Medicine, Bantama, Ghana
| | - Al Artaman
- University of Manitoba, Community Health Sciences, Winnipeg, Manitoba, Canada
| | | | - Aleksandra Barac
- Clinical Center of Serbia, Clinic for Infectious and Tropic Diseases, Belgrade, Serbia
| | - Isabela Bensenor
- Hospital Universitário, University of São Paulo Division of Internal Medicine, São Paulo, São Paulo, Brazil
| | - Adugnaw Berhane
- Debre Berhan University, College of Health Sciences, Debre Berhan, Amhara, Ethiopia
| | - Zulfiqar Bhutta
- Aga Khan University, Centre of Excellence in Women & Child, Karachi, Sindh, Pakistan,The Hospital for Sick Children, Centre for Global Child Health, Toronto, Ontario, Canada
| | - Jacqueline Castillo-Rivas
- Caja Costarricense de Seguro Social, Dirección Actuarial y Economica, San Jose, San Jose, Costa Rica
| | | | - Jee-Young Choi
- Seoul National University, College of Medicine Medical Library, Seoul, South Korea
| | - Benjamin Cowie
- Doherty Institute, WHO Collaborating Centre for Viral Hepatitis, Melbourne, Victoria, Australia
| | - Lalit Dandona
- University of Washington, Institute for Health Metrics and Evaluation, Seattle,Public Health Foundation of India, Research, Gurgaon, NCR, India
| | - Rakhi Dandona
- University of Washington, Institute for Health Metrics and Evaluation, Seattle,Public Health Foundation of India, Research, Gurgaon, NCR, India
| | - Subhojit Dey
- Indian Institute of Public Health-Delhi, Environmental and Occupational Health, Gurgaon, Haryana, India
| | - Daniel Dicker
- University of Washington, Institute for Health Metrics and Evaluation, Seattle
| | - Huyen Phuc
- Duy Tan University, Institute for Global Health Innovations, Da Nang, Vietnam
| | - Donatus U. Ekwueme
- Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia
| | | | - Florian Fischer
- Bielefeld University, School of Public Health, Bielefeld, Germany
| | - Thomas Fürst
- Swiss Tropical and Public Health Institute, Epidemiology and Public Health, Basel, Switzerland,University of Basel, Switzerland,Imperial College London, School of Public Health, London, England
| | - Jamie Hancock
- University of Washington, Institute for Health Metrics and Evaluation, Seattle
| | - Simon I. Hay
- University of Washington, Institute for Health Metrics and Evaluation, Seattle
| | - Peter Hotez
- Baylor College of Medicine, National School of Tropical Medicine, Houston, Texas,Sabin Vaccine Institute & Texas Children's Hospital Center for Vaccine Development, Houston
| | - Sun Ha Jee
- Graduate School of Public Health, Yonsei University, Epidemiology and Health Promotion, Seoul, South Korea
| | - Amir Kasaeian
- Tehran University of Medical Sciences, Hematology-Oncology and Stem Cell Transplantation Research Center, Tehran, Tehran, Iran
| | - Yousef Khader
- Jordan University of Science and Technology, Public Health, Irbid, Irbid, Jordan
| | - Young-Ho Khang
- Seoul National University College of Medicine, Institute of Health Policy and Management, Seoul, Seoul Metropolitan City, South Korea
| | - Anil Kumar
- Public Health Foundation of India Research, Gurgaon (NCR), Haryana, India
| | - Michael Kutz
- University of Washington, Institute for Health Metrics and Evaluation, Seattle
| | - Heidi Larson
- Department Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, England
| | - Alan Lopez
- University of Washington, Institute for Health Metrics and Evaluation, Seattle,University of Melbourne, Melbourne School of Population and Global Health, Melbourne, VIC, Australia
| | - Raimundas Lunevicius
- Aintree University Hospital NHS Foundation Trust, General Surgery Department, Liverpool, England,School of Medicine, University of Liverpool, Liverpool, England
| | - Reza Malekzadeh
- Tehran University of Medical Sciences, Digestive Diseases Research Institute, Tehran, Tehran, Iran
| | - Colm McAlinden
- University Hospitals Bristol, Department of Medicine, Bristol, England
| | - Toni Meier
- Martin Luther University Halle-Wittenberg, Institute for Agricultural and Nutritional Sciences, Halle (Saale), Germany
| | | | - Ali Mokdad
- University of Washington, Institute for Health Metrics and Evaluation, Seattle
| | - Maziar Moradi-Lakeh
- Iran University of Medical Sciences, Gastrointestinal and Liver Disease Research Center, Tehran, Tehran, Iran,Iran University of Medical Sciences, Preventive Medicine and Public Health Research Center, Tehran, Tehran, Iran
| | - Gabriele Nagel
- Ulm University, Institute of Epidemiology and Medical Biometry, Ulm, Germany
| | - Quyen Nguyen
- Duy Tan University, Institute for Global Health Innovations, Da Nang, Vietnam
| | - Grant Nguyen
- University of Washington, Institute for Health Metrics and Evaluation, Seattle
| | - Felix Ogbo
- Western Sydney University, Centre for Health Research, School of Medicine, Penrith, NSW, Australia,Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia
| | - George Patton
- University of Melbourne, Paediatrics, Melbourne, Victoria, Australia
| | - David M. Pereira
- REQUIMTE/LAQV, Laboratório de Farmacognosia, Departamento de Química, Faculdade de Farmácia, Universidade do Porto, Porto, Portugal
| | - Farshad Pourmalek
- Department of Urology, University of British Columbia, Vancouver, British Columbia, Canada
| | - Mostafa Qorbani
- Alborz University of Medical Sciences, Noncommunicable Diseases Research Center, Karaj, Alborz, Iran
| | - Amir Radfar
- A. T. Still University, College of Graduate Health Studies, Mesa, Arizona
| | - Gholamreza Roshandel
- Golestan University of Medical Sciences, Golestan Research Center of Gastroenterology and Hepatology, Gorgan, Iran
| | - Joshua A Salomon
- Harvard T.H. Chan School of Public Health, Department of Global Health and Population, Boston, Massachusetts
| | - Juan Sanabria
- Marshall University School of Medicine, Surgery, Huntington, West Virginia,Case Western Reserve University, Nutrition and Preventive Medicine, Ohio
| | - Benn Sartorius
- University of KwaZulu-Natal, Public Health Medicine, Durban, KwaZulu-Natal, South Africa
| | - Maheswar Satpathy
- Utkal University, Centre for Advanced Study in Psychology, Bhubaneswar, Odisha, India,AIIMS New Delhi, JPN Apex Trauma Centre, New Delhi, Delhi, India
| | - Monika Sawhney
- Marshall University Public Health, Huntington, West Virginia
| | - Sadaf Sepanlou
- Tehran University of Medical Sciences, Digestive Diseases Research Institute, Tehran, Tehran, Iran
| | - Katya Shackelford
- University of Washington, Institute for Health Metrics and Evaluation, Seattle
| | - Hirbo Shore
- Haramaya University School of Public Health, Harari, Harari, Ethiopia
| | - Jiandong Sun
- Queensland University of Technology, School of Public Health and Social Work, Brisbane, Queensland, Australia
| | | | - Roman Topór-Mądry
- Faculty of Health Sciences Jagiellonian University Medical College, Institute of Public Health, Kraków, Poland,Faculty of Health Sciences Wroclaw Medical University, Wroclaw, Poland
| | - Bach Tran
- Hanoi Medical University, Institute for Preventive Medicine and Public Health, Hanoi, Vietnam,Johns Hopkins University, Bloomberg School of Public Health, Baltimore, Maryland
| | | | - Vasiliy Vlassov
- Department of Health Care Administration and Economy, National Research University Higher School of Economics, Moscow, Russia
| | - Stein Emil Vollset
- Norwegian Institute of Public Health, Centre for Disease Burden, Bergen, Norway,University of Bergen, Department of Global Public Health and Primary Care, Bergen, Norway
| | - Theo Vos
- University of Washington, Institute for Health Metrics and Evaluation, Seattle
| | - Tolassa Wakayo
- Jimma University, Population and Family Health, Oromia, Ethiopia
| | - Elisabete Weiderpass
- Cancer Registry of Norway, Institute of Population Based Cancer Research, Oslo, Norway,University of Tromsø, The Arctic University of Norway, Department of Community Medicine, Faculty of Health Sciences, Tromsø, Norway,Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
| | - Andrea Werdecker
- Federal Institute for Population Research, Competence Center Mortality-Follow-Up of the National Cohort, Wiesbaden, Hesse, Germany
| | - Naohiro Yonemoto
- Kyoto University, School of Public Health Biostatistics, Sakyo, Kyoto, Japan
| | - Mustafa Younis
- Jackson State University, Health Policy & Management, Jackson, Mississippi,Harvard Asia Aging Center, Harvard Medical School, Boston, Massachuetts
| | - Chuanhua Yu
- Department of Epidemiology and Biostatistics, Wuhan University, Wuhan, Hubei Province, China
| | - Zoubida Zaidi
- Department of Epidemiology, University Hospital of Setif, Setif, Algeria,University Ferhat Abbas, Faculty of Medicine, Setif, Algeria
| | - Liguo Zhu
- Jiangsu Provincial Center for Disease Control and Prevention, Major Project Execution Office, Nanjing, Jiangsu, China
| | | | - Mohsen Naghavi
- University of Washington, Institute for Health Metrics and Evaluation, Seattle
| | - Christina Fitzmaurice
- University of Washington, Institute for Health Metrics and Evaluation, Seattle,Division of Hematology, Department of Medicine, University of Washington, Seattle
| |
Collapse
|
5
|
Roth GA, Johnson C, Abajobir A, Abd-Allah F, Abera SF, Abyu G, Ahmed M, Aksut B, Alam T, Alam K, Alla F, Alvis-Guzman N, Amrock S, Ansari H, Ärnlöv J, Asayesh H, Atey TM, Avila-Burgos L, Awasthi A, Banerjee A, Barac A, Bärnighausen T, Barregard L, Bedi N, Belay Ketema E, Bennett D, Berhe G, Bhutta Z, Bitew S, Carapetis J, Carrero JJ, Malta DC, Castañeda-Orjuela CA, Castillo-Rivas J, Catalá-López F, Choi JY, Christensen H, Cirillo M, Cooper L, Criqui M, Cundiff D, Damasceno A, Dandona L, Dandona R, Davletov K, Dharmaratne S, Dorairaj P, Dubey M, Ehrenkranz R, El Sayed Zaki M, Faraon EJA, Esteghamati A, Farid T, Farvid M, Feigin V, Ding EL, Fowkes G, Gebrehiwot T, Gillum R, Gold A, Gona P, Gupta R, Habtewold TD, Hafezi-Nejad N, Hailu T, Hailu GB, Hankey G, Hassen HY, Abate KH, Havmoeller R, Hay SI, Horino M, Hotez PJ, Jacobsen K, James S, Javanbakht M, Jeemon P, John D, Jonas J, Kalkonde Y, Karimkhani C, Kasaeian A, Khader Y, Khan A, Khang YH, Khera S, Khoja AT, Khubchandani J, Kim D, Kolte D, Kosen S, Krohn KJ, Kumar GA, Kwan GF, Lal DK, Larsson A, Linn S, Lopez A, Lotufo PA, El Razek HMA, Malekzadeh R, Mazidi M, Meier T, Meles KG, Mensah G, Meretoja A, Mezgebe H, Miller T, Mirrakhimov E, Mohammed S, Moran AE, Musa KI, Narula J, Neal B, Ngalesoni F, Nguyen G, Obermeyer CM, Owolabi M, Patton G, Pedro J, Qato D, Qorbani M, Rahimi K, Rai RK, Rawaf S, Ribeiro A, Safiri S, Salomon JA, Santos I, Santric Milicevic M, Sartorius B, Schutte A, Sepanlou S, Shaikh MA, Shin MJ, Shishehbor M, Shore H, Silva DAS, Sobngwi E, Stranges S, Swaminathan S, Tabarés-Seisdedos R, Tadele Atnafu N, Tesfay F, Thakur JS, Thrift A, Topor-Madry R, Truelsen T, Tyrovolas S, Ukwaja KN, Uthman O, Vasankari T, Vlassov V, Vollset SE, Wakayo T, Watkins D, Weintraub R, Werdecker A, Westerman R, Wiysonge CS, Wolfe C, Workicho A, Xu G, Yano Y, Yip P, Yonemoto N, Younis M, Yu C, Vos T, Naghavi M, Murray C. Global, Regional, and National Burden of Cardiovascular Diseases for 10 Causes, 1990 to 2015. J Am Coll Cardiol 2017; 70:1-25. [PMID: 28527533 PMCID: PMC5491406 DOI: 10.1016/j.jacc.2017.04.052] [Citation(s) in RCA: 2297] [Impact Index Per Article: 328.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/08/2017] [Revised: 04/19/2017] [Accepted: 04/21/2017] [Indexed: 02/05/2023]
Abstract
Background The burden of cardiovascular diseases (CVDs) remains unclear in many regions of the world. Objectives The GBD (Global Burden of Disease) 2015 study integrated data on disease incidence, prevalence, and mortality to produce consistent, up-to-date estimates for cardiovascular burden. Methods CVD mortality was estimated from vital registration and verbal autopsy data. CVD prevalence was estimated using modeling software and data from health surveys, prospective cohorts, health system administrative data, and registries. Years lived with disability (YLD) were estimated by multiplying prevalence by disability weights. Years of life lost (YLL) were estimated by multiplying age-specific CVD deaths by a reference life expectancy. A sociodemographic index (SDI) was created for each location based on income per capita, educational attainment, and fertility. Results In 2015, there were an estimated 422.7 million cases of CVD (95% uncertainty interval: 415.53 to 427.87 million cases) and 17.92 million CVD deaths (95% uncertainty interval: 17.59 to 18.28 million CVD deaths). Declines in the age-standardized CVD death rate occurred between 1990 and 2015 in all high-income and some middle-income countries. Ischemic heart disease was the leading cause of CVD health lost globally, as well as in each world region, followed by stroke. As SDI increased beyond 0.25, the highest CVD mortality shifted from women to men. CVD mortality decreased sharply for both sexes in countries with an SDI >0.75. Conclusions CVDs remain a major cause of health loss for all regions of the world. Sociodemographic change over the past 25 years has been associated with dramatic declines in CVD in regions with very high SDI, but only a gradual decrease or no change in most regions. Future updates of the GBD study can be used to guide policymakers who are focused on reducing the overall burden of noncommunicable disease and achieving specific global health targets for CVD.
Collapse
Affiliation(s)
| | | | | | | | | | - Gebre Abyu
- Mekelle University, Addis Ababa, Ethiopia
| | | | | | - Tahiya Alam
- University of Washington, Seattle, Washington
| | - Khurshid Alam
- University of Melbourne, Melbourne, Victoria, Australia
| | | | | | | | | | | | | | | | | | - Ashish Awasthi
- Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
| | | | | | | | | | - Neeraj Bedi
- College of Public Health and Tropical Medicine, Jazan University, Jazan, Saudi Arabia
| | | | | | | | | | | | - Jonathan Carapetis
- The University of Western Australia, Perth, Western Australia, Australia
| | | | | | | | | | - Ferrán Catalá-López
- University of València/INCLIVA Health Research Institute and CIBERSAM, València, Spain
| | | | | | | | | | | | | | | | - Lalit Dandona
- University of Washington, Seattle, Washington; Public Health Foundation of India, New Delhi, India
| | - Rakhi Dandona
- University of Washington, Seattle, Washington; Public Health Foundation of India, New Delhi, India
| | - Kairat Davletov
- Republican Institute of Cardiology and Internal Diseases, Almaty, Kazakhstan
| | | | | | - Manisha Dubey
- International Institute for Population Sciences, Mumbai, India
| | | | | | | | | | - Talha Farid
- University of Louisville, Louisville, Kentucky
| | | | - Valery Feigin
- Auckland University of Technology, Auckland, New Zealand
| | | | - Gerry Fowkes
- University of Edinburgh, Edinburgh United Kingdom
| | | | | | - Audra Gold
- University of Washington, Seattle, Washington
| | - Philimon Gona
- University of Massachusetts Boston, Boston, Massachusetts
| | - Rajeev Gupta
- Eternal Heart Care Center and Research Institute, Jaipur, India
| | | | | | | | | | - Graeme Hankey
- The University of Western Australia, Perth, Western Australia, Australia
| | | | | | | | - Simon I Hay
- University of Washington, Seattle, Washington; University of Oxford, Oxford, United Kingdom
| | - Masako Horino
- Nevada Division of Public and Behavioral Health, Carson City, Nevada
| | | | | | - Spencer James
- Denver Health/University of Colorado, Denver, Colorado
| | | | | | - Denny John
- International Center for Research on Women, New Delhi, India
| | - Jost Jonas
- Ruprecht-Karls Universitaet Heidelberg, Heidelberg, Germany
| | - Yogeshwar Kalkonde
- Society for Education, Action and Research in Community Health, Gadchiroli, India
| | | | | | - Yousef Khader
- Jordan University of Science and Technology, Irbid, Jordan
| | - Abdur Khan
- University of Louisville, Louisville, Kentucky
| | | | - Sahil Khera
- New York Medical College, Valhalla, New York
| | - Abdullah T Khoja
- Al-Imam Muhammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia
| | | | - Daniel Kim
- Northeastern University, Boston, Massachusetts
| | | | - Soewarta Kosen
- Health Policy and Humanities, National Institute of Health Research and Development, Jakarta, Indonesia
| | | | - G Anil Kumar
- Public Health Foundation of India, New Delhi, India
| | - Gene F Kwan
- Boston University School of Medicine, Boston, Massachusetts
| | | | | | | | - Alan Lopez
- University of Melbourne, Melbourne, Victoria, Australia
| | | | | | | | | | - Toni Meier
- Martin Luther University Halle-Wittenberg, Halle, Germany
| | | | | | - Atte Meretoja
- University of Melbourne, Melbourne, Victoria, Australia
| | | | - Ted Miller
- Pacific Institute for Research & Evaluation, Beltsville, Maryland
| | | | | | | | | | | | - Bruce Neal
- The George Institute for Global Health, Newtown, New South Wales, Australia
| | - Frida Ngalesoni
- Ministry of Health and Social Welfare, Dar es Salaam, Tanzania
| | | | | | - Mayowa Owolabi
- College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - George Patton
- University of Melbourne, Melbourne, Victoria, Australia
| | | | - Dima Qato
- University of Illinois at Chicago, Chicago, Illinois
| | | | | | | | | | - Antônio Ribeiro
- Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Saeid Safiri
- Maragheh University of Medical Sciences, Maragheh, Iran
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - J S Thakur
- Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | | | | | | | | | | | | | - Tommi Vasankari
- UKK Institute for Health Promotion Research, Tampere, Finland
| | - Vasiliy Vlassov
- National Research University Higher School of Economics, Moscow, Russia
| | | | | | | | | | | | - Ronny Westerman
- Federal Institute for Population Research, Wiesbaden, Germany
| | | | | | | | - Gelin Xu
- Nanjing University School of Medicine, Nanjing, China
| | | | - Paul Yip
- University of Hong Kong, Pokfulam, Hong Kong
| | | | | | | | - Theo Vos
- University of Washington, Seattle, Washington
| | | | | |
Collapse
|
6
|
Fazel-Tabar Malekshah A, Zaroudi M, Etemadi A, Islami F, Sepanlou S, Sharafkhah M, Keshtkar AA, Khademi H, Poustchi H, Hekmatdoost A, Pourshams A, Feiz Sani A, Jafari E, Kamangar F, Dawsey SM, Abnet CC, Pharoah PD, Berennan PJ, Boffetta P, Esmaillzadeh A, Malekzadeh R. The Combined Effects of Healthy Lifestyle Behaviors on All-Cause Mortality: The Golestan Cohort Study. Arch Iran Med 2016; 19:752-761. [PMID: 27845543 DOI: 0161911/aim.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
BACKGROUND Most studies that have evaluated the association between combined lifestyle factors and mortality outcomes have been conducted in populations of developed countries. OBJECTIVES The aim of this study was to examine the association between combined lifestyle scores and risk of all-cause and cause-specific mortality for the first time among Iranian adults. METHODS The study population included 50,045 Iranians, 40 - 75 years of age, who were enrolled in the Golestan Cohort Study, between 2004 and 2008. The lifestyle risk factors used in this study included cigarette smoking, physical inactivity, and Alternative Healthy Eating Index. The lifestyle score ranged from zero (non-healthy) to 3 (most healthy) points. From the study baseline up to analysis, a total of 4691 mortality cases were recorded. Participants with chronic diseases at baseline, outlier reports of calorie intake, missing data, and body mass index of less than 18.5 were excluded from the analyses. Cox regression models were fitted to establish the association between combined lifestyle scores and mortality outcomes. RESULTS After implementing the exclusion criteria, data from 40,708 participants were included in analyses. During 8.08 years of follow-up, 3,039 cases of all-cause mortality were recorded. The adjusted hazard ratio of a healthy lifestyle score, compared with non-healthy lifestyle score, was 0.68 (95% CI: 0.54, 0.86) for all-cause mortality, 0.53 (95% CI: 0.37, 0.77) for cardiovascular mortality, and 0.82 (95% CI: 0.53, 1.26) for mortality due to cancer. When we excluded the first two years of follow up from the analysis, the protective association between healthy lifestyle score and cardiovascular death did not change much 0.55 (95% CI: 0.36, 0.84), but the inverse association with all-cause mortality became weaker 0.72 (95% CI: 0.55, 0.94), and the association with cancer mortality was non-significant 0.92 (95% CI: 0.58, 1.48). In the gender-stratified analysis, we found an inverse strong association between adherence to healthy lifestyle and mortality from all causes and cardiovascular disease in either gender, but no significant relationship was seen with mortality from cancer in men or women. Stratified analysis of BMI status revealed an inverse significant association between adherence to healthy lifestyle and mortality from all causes, cardiovascular disease and cancer among non-obese participants. CONCLUSION We found evidence indicating that adherence to a healthy lifestyle, compared to non-healthy lifestyle, was associated with decreased risk of all-cause mortality and mortality from cardiovascular diseases in Iranian adults.
Collapse
Affiliation(s)
- Akbar Fazel-Tabar Malekshah
- Digestive Oncology Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Marsa Zaroudi
- Digestive Oncology Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Arash Etemadi
- Digestive Oncology Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland, USA
| | - Farhad Islami
- Digestive Oncology Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran, Surveillance and Health Services Research, American Cancer Society, Atlanta, USA
| | - Sadaf Sepanlou
- Digestive Oncology Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Maryam Sharafkhah
- Digestive Oncology Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Abbas-Ali Keshtkar
- Endocrinology and Metabolism Research Center, Tehran University of Medical Sciences, Tehran, Iran
| | - Hooman Khademi
- Digestive Oncology Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Hossein Poustchi
- Digestive Oncology Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Azita Hekmatdoost
- Department of Clinical Nutrition and Dietetics, Faculty of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Akram Pourshams
- Digestive Oncology Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Akbar Feiz Sani
- Digestive Oncology Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Elham Jafari
- Digestive Oncology Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Farin Kamangar
- Digestive Oncology Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran, Department of Public Health Analysis, School of Community Health and Policy, Morgan State University, Baltimore, Maryland, USA
| | - Sanford M Dawsey
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland, USA
| | - Christian C Abnet
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland, USA
| | - Paul D Pharoah
- Departments of Oncology and Public Health and Primary Care, University of Cambridge, UK
| | | | - Paolo Boffetta
- The Tisch Cancer Institute and Institute for Translational Epidemiology, Mount Sinai School of Medicine, New York, USA
| | - Ahmad Esmaillzadeh
- Obesity and Eating Habits Research Center, Endocrinology and Metabolism Molecular-Cellular Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran, Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran, Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran, Food Security Research Center, Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Reza Malekzadeh
- Digestive Oncology Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
| |
Collapse
|
7
|
Sadeghi M, Shiri M, Roohafza H, Rakhshani F, Sepanlou S, Sarrafzadegan N. Developing an appropriate model for self-care of hypertensive patients: first experience from EMRO. ARYA Atheroscler 2013; 9:232-40. [PMID: 23970918 PMCID: PMC3746943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/18/2013] [Accepted: 04/22/2013] [Indexed: 12/03/2022]
Abstract
BACKGROUND Cardiovascular diseases (CVDs) constitute 53% of deaths above the age of 30; 54% of these deaths are attributed to high blood pressure. Coronary artery disease (CAD) is the main cause of mortality in the world. Hypertension accounts for 13% of mortalities and 6% of morbidities and is one of the main risk factors that cause loss of healthy life years. Blood pressure is not optimally controlled even among those who are aware of their disease. Previous studies showed that apart from pharmacological treatment, lifestyle improvement can also play a significant role in the prevention of high blood pressure CVDs. Self-care among them has been addressed in several previous studies. There are few self-care programs in Iran, but no study has been conducted on blood pressure. METHODS In this study the primary model is designed and then revised, and in the pilot study the feasibility of the project was approved and the final model presented. RESULTS The current project proposes a model for self-care of hypertensive patients and their families, and is based on education of health care providers and patients in such a way that patients can control their illness. CONCLUSION The model can be implemented at a national scale.
Collapse
Affiliation(s)
- Masoumeh Sadeghi
- Associate Professor, Cardiac Rehabilitation Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mansoor Shiri
- Vice-chancellery for Health, Department of Health Education, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Hamidreza Roohafza
- Assistant Professor, Department of Mental Health AND Isfahan Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Fatemeh Rakhshani
- Professor, Health Education and Promotion Bureau, Ministry of Health, Tehran, Iran
| | - Sadaf Sepanlou
- PhD Candidate, Tehran University of Medical Sciences, Tehran, Iran
| | - Nizal Sarrafzadegan
- Professor, Isfahan Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
| |
Collapse
|