Burden of cardiovascular disease among elderly: based on the Global Burden of Disease Study 2019.
cardiovascular disease
disease burden
elder
epidemiology
health inequality
Journal
European heart journal. Quality of care & clinical outcomes
ISSN: 2058-1742
Titre abrégé: Eur Heart J Qual Care Clin Outcomes
Pays: England
ID NLM: 101677796
Informations de publication
Date de publication:
09 Jun 2023
09 Jun 2023
Historique:
medline:
10
6
2023
pubmed:
10
6
2023
entrez:
9
6
2023
Statut:
aheadofprint
Résumé
The burden of elderly cardiovascular disease (CVD) has received increasing attention with population aging worldwide. We reported on the global CVD burden in elderly individuals over 70, 1990-2019. Based on the Global Burden of Disease Study 2019, elderly CVD burden data were analysed. Temporal burden trends were analysed with the joinpoint model. The slope index and concentration index were used to evaluate health inequality.From 1990 to 2019, the global elderly CVD incidence, prevalence, death, and disability-adjusted life year (DALY) rates generally decreased. However, the current burden remains high. The rapid growth in burden in parts of Sub-Saharan Africa and Asia is a cause for concern. Countries with a higher socio-demographic index (SDI) have generally seen a greater decrease in burden, while countries with a lower SDI have generally experienced increases or smaller declines in burden. Health inequality analysis confirmed that the burden was gradually concentrating towards countries with a low SDI. Among the different CVDs, ischaemic heart disease causes the greatest burden in elderly individuals. Most CVD burdens increase with age, but stroke and peripheral vascular disease show markedly different distributional characteristics. In addition, the burden of hypertensive heart disease shows an unusual shift towards high SDI countries. High systolic blood pressure was consistently the leading risk factor for CVD among elderly individuals. The burden of CVD in older people remains severe and generally tends to shift to lower SDI countries. Policymakers need to take targeted measures to reduce its harm.
Sections du résumé
BACKGROUND
BACKGROUND
The burden of elderly cardiovascular disease (CVD) has received increasing attention with population aging worldwide.
AIMS
OBJECTIVE
We reported on the global CVD burden in elderly individuals over 70, 1990-2019.
METHODS AND RESULTS
RESULTS
Based on the Global Burden of Disease Study 2019, elderly CVD burden data were analysed. Temporal burden trends were analysed with the joinpoint model. The slope index and concentration index were used to evaluate health inequality.From 1990 to 2019, the global elderly CVD incidence, prevalence, death, and disability-adjusted life year (DALY) rates generally decreased. However, the current burden remains high. The rapid growth in burden in parts of Sub-Saharan Africa and Asia is a cause for concern. Countries with a higher socio-demographic index (SDI) have generally seen a greater decrease in burden, while countries with a lower SDI have generally experienced increases or smaller declines in burden. Health inequality analysis confirmed that the burden was gradually concentrating towards countries with a low SDI. Among the different CVDs, ischaemic heart disease causes the greatest burden in elderly individuals. Most CVD burdens increase with age, but stroke and peripheral vascular disease show markedly different distributional characteristics. In addition, the burden of hypertensive heart disease shows an unusual shift towards high SDI countries. High systolic blood pressure was consistently the leading risk factor for CVD among elderly individuals.
CONCLUSION
CONCLUSIONS
The burden of CVD in older people remains severe and generally tends to shift to lower SDI countries. Policymakers need to take targeted measures to reduce its harm.
Identifiants
pubmed: 37296238
pii: 7193370
doi: 10.1093/ehjqcco/qcad033
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology.