ANALYSIS OF THE BURDEN OF CARDIOVASCULAR DISEASES IN UKRAINE IN 1990-2019

The aim: To analyze the burden of cardiovascular diseases (CVD) and their modified risk factors in Ukraine to substantiate ways of prevention.

Materials and methods: The burden of CVD was estimated by DALYs (Disability-Adjusted Life Years). The statistical method was used to analyze the data obtained from the statistical database of the international epidemiological study «Global Burden of Disease», updated for 2019. The analysis was carried out in the dynamics for 1990-2019 in Ukraine in comparison with European and EU countries.

Results: Age-standardized DALYs per 100,000 population in Ukraine are 2.6 times higher than the average in European countries and 4 times higher than in the EU. Over the 1991-2019 the gap in DALYs increased due to a significant decrease in the burden of CVD in Europe, against the consistently high level in Ukraine. The burden of CVD in Ukraine can be reduced on 54.2% by normalizing blood pressure, on 42.1% by improving diet, on 37.3% by lowering low-density lipoprotein cholesterol, on 28.1% by lowering body mass index, and on 22.9% by quitting smoking.

Conclusions: The Ukrainian strategy of reducing the burden of CVD should be intersectoral, comprehensive, combine population and individual (for high-risk groups) approaches to the control of modified CVD risk factors with modern methods of secondary and tertiary prevention of CVD, which have proven their efficiency in European countries.