The emergence of cardiovascular disease during urbanisation of Africans.

摘要: Objective To review the available data on risk factors for cardiovascular disease (CVD), influence of urbanisation Africans these factors, and to examine why stroke emerges as a higher than ischaemic heart (IHD) in health transition black South Africans. Design A published mortality from CVD Setting Africa. Subjects African population groups communities. Methods The contribution IHD Africa are briefly reviewed, followed by comparison prevalence and/or levels different groups. impact is assessed comparing rural urban who participated Transition Health during Urbanisation (THUSA) study. Results conclusions rates confirmed that major public problem amongst Africans, possibly because an increase hypertension, obesity, smoking habit hyperfibrinogenaemia various stages urbanisation. further suggest may be protected against favourable serum lipid profiles (low cholesterol high ratios high-density lipoprotein cholesterol) low homocysteine values. However, increases total fat animal protein intake affluent can afford Western diets, associated with body mass indices men women cholesterol. These exposures future.