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The burden of cardiovascular disease attributable to high body mass index-an observational study

Xin-Jiang Dong1, Xiao-Qi Zhang2, Bei-Bei Wang3

  • 1Department of Cardiology, Shanxi Cardiovascular Hospital, No. 18 Yifen Street, Wanbailin District, Taiyuan 030024, China.

European Heart Journal. Quality of Care & Clinical Outcomes
|July 23, 2023
PubMed

Insights

Cardiovascular disease (CVD) deaths and disability linked to high body mass index (HBMI) have doubled globally since 1990. However, age-standardized rates are declining, with varying trends across regions and socioeconomic statuses.

Area of Science:

  • Epidemiology
  • Public Health
  • Cardiology

Background:

  • High body mass index (HBMI) is a significant risk factor for cardiovascular diseases (CVD).
  • Understanding the global burden and trends of CVD attributable to HBMI is crucial for public health interventions.

Purpose of the Study:

  • To estimate the current burden and temporal trends of CVD attributable to HBMI globally.
  • To analyze these trends by various demographic and socioeconomic factors.

Main Methods:

  • Systematic assessment using Global Burden of Disease Study (GBD) 2019 data.
  • Analysis by calendar year, age, sex, region, nation, socioeconomic status, and specific CVDs.
  • Calculation of disability-adjusted life years (DALYs) and deaths, and age-standardized rates (ASRs).

Main Results:

  • Global CVD DALYs and deaths attributed to HBMI more than doubled between 1990 and 2019.
  • Age-standardized rates (ASRs) showed a slight downward trend (-0.18% for DALYs, -0.43% for deaths annually).
  • Higher burden in middle/high-middle SDI regions, with downward ASR trends in high SDI and upward trends in low/low-middle SDI regions. Leading causes: ischemic heart disease, stroke, hypertensive heart disease, atrial fibrillation/flutter.

Conclusions:

  • CVD burden attributable to HBMI is a persistent global health challenge.
  • Targeted strategies are needed, with lessons from regions experiencing decreasing burdens.
  • Policymakers should focus on high and increasing burden regions for tailored prevention efforts.
Abstract

Keywords:
Cardiovascular DiseaseGlobal Burden of Disease studyHigh Body Mass IndexObservational Study

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