Cardiovascular Risk Factor Burden in Africa and the Middle East: The Africa Middle East Cardiovascular Epidemiological (ACE) Study

摘要: Background Increased urbanization in the developing world parallels a rising burden of chronic diseases. Developing countries account for ∼80% global cardiovascular (CV) deaths, but contribute paucity systematic epidemiological data on CV risk factors. Objective To estimate prevalence factors rural and urban cohorts attending general practice clinics Africa Middle East (AfME) region. Methods In cross-sectional study, presence (hypertension, diabetes mellitus (diabetes), dyslipidemia, obesity, smoking abdominal obesity) were evaluated stable adult outpatients primary care clinics. A population was defined as isolated (>50 km or lack easy access to commuter transportation) from centers. Results 4,378 systematically recruited 94 across 14 AfME countries. Mean age 46±14 years 52% female. high dyslipidemia (70%) obesity (68%) observed, followed by hypertension (43%) (25%). The vast majority (92%) had at least one modifiable factor, many (74%) more than one, half (53%) 3 more. These findings observed both genders centers. Among with pre-existing not their target blood pressure LDL-cholesterol goals. Conclusion Cardiovascular are highly prevalent among relatively young, AfME. support opportunistic screening whenever visit practitioner provide an opportunity early identification management factors, including lifestyle interventions.