Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Epidemiological Trends in Cardiovascular Disease Mortality Attributable to Modifiable Risk Factors and Its Association with Sociodemographic Transition across BRICS-Plus

Nawsherwan ---
* ,
Sumaira Mubarik
ORCID logo ,
Wang Bin
,
Zhang Le
,
Mangmang Sang
,
Yijun Lin
,
Jinrong Zheng
,
Yan Wang
Version 1 : Received: 25 July 2023 / Approved: 25 July 2023 / Online: 25 July 2023 (11:32:10 CEST)

A peer-reviewed article of this Preprint also exists.

Nawsherwan; Mubarik, S.; Bin, W.; Le, Z.; Sang, M.; Lin, Y.; Zheng, J.; Wang, Y. Epidemiological Trends in Cardiovascular Disease Mortality Attributable to Modifiable Risk Factors and Its Association with Sociodemographic Transitions across BRICS-Plus Countries. Nutrients 2023, 15, 3757. Nawsherwan; Mubarik, S.; Bin, W.; Le, Z.; Sang, M.; Lin, Y.; Zheng, J.; Wang, Y. Epidemiological Trends in Cardiovascular Disease Mortality Attributable to Modifiable Risk Factors and Its Association with Sociodemographic Transitions across BRICS-Plus Countries. Nutrients 2023, 15, 3757.

Abstract

BRICS-Plus (Brazil, Russia, India, China, South Africa, and 30 other countries) is a group of 35 countries with emerging economies making up more than half of the world’s population. We explored epidemiological trends of cardiovascular disease (CVD) mortality attributable to modifiable risk factors and its association with period and birth cohort effects and sociodemographic index (SDI) across BRICS-Plus by using joinpoint regression and age-period-cohort (APC) modeling from 1990 to 2019. Between 1990 and 2019, the all-ages CVD deaths increased by 85.2% (6.1 million to 11.3 million) across BRICS-Plus. The CVD ASMR attributable to dietary risks and smoking significantly decreased across BRIC-Plus countries, with some exceptions. However, four-fifth of BRIC-Plus countries observed a remarkable increasing trend of high body mass-index (BMI)-related CVD deaths in particular among younger adults (25-49 years). Early birth cohorts and individuals aged greater than 50 years showed a higher risk of CVD mortality. Both China-ASEAN FTA and Mercosur regions stand out for their successful sociodemographic transition, with a significant reduction in CVD mortality over the study period. Singapore and Brazil achieved great progress in CVD mortality reduction and the other BRICS-Plus countries should follow their lead in adopting public health policies and initiatives into practice.

Keywords

Cardiovascular diseases; mortality; modifiable risk factors; sociodemographic index; BRICS-Plus

Subject

Public Health and Healthcare, Public Health and Health Services

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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