Council on Middle East Studies, Yale University, New Haven, CT 06520-8206, USA.
Asia Pac J Public Health. 2010 Jul;22(3 Suppl):83S-89S. doi: 10.1177/1010539510373034.
Cardiovascular disease (CVD) is the leading cause of death worldwide and in most countries outside sub-Saharan Africa. The root causes of this modern epidemic are sedentary stressful urban lifestyles and high-calorie diets rich in saturated fats, salt, and simple sugars. Although the mortality from CVD has long peaked in most developed countries, its prevalence continues to rise because of improved survival and aging of the populations, placing tremendous strains on health care financing in some of these countries. In most Asian and Middle Eastern countries, outside East Asia, prevalence of CVD and its risk factors are high and still rising, while the rising mortality is among the highest in the world. As the predominantly young populations of these countries age, they face inadequate health care systems without assured financial coverage. Effective measures are therefore urgently needed to combat the epidemic of CVD. Comprehensive preventive measures are essential to curb the spread of this epidemic, while health care systems should be structured on the basis of locally derived data to provide adequate affordable care to the ever increasing pools of patients with CVD.
心血管疾病(CVD)是全球范围内以及撒哈拉以南非洲以外大多数国家的主要死亡原因。这种现代流行病的根本原因是久坐不动的紧张城市生活方式和富含饱和脂肪、盐和简单糖的高热量饮食。尽管 CVD 的死亡率在大多数发达国家早已达到峰值,但由于人口的生存和老龄化,其患病率仍在继续上升,这给其中一些国家的医疗保健融资带来了巨大压力。在东亚以外的大多数亚洲和中东国家,CVD 的患病率及其危险因素很高,且仍在上升,而死亡率上升幅度位居全球之首。随着这些国家的年轻人口逐渐老龄化,他们面临着不完善的医疗保健系统,没有可靠的财务保障。因此,迫切需要采取有效措施来应对 CVD 流行。综合预防措施对于遏制这种流行病的传播至关重要,而医疗保健系统应根据当地数据进行构建,以便为不断增加的 CVD 患者群体提供足够负担得起的护理。