Rehman Hasan, Samad Zainab, Mishra Shiva Raj, Merchant Anwar T, Narula Jagat P, Mishra Sundeep, Virani Salim S
Houston Methodist Hospital, Houston, TX, USA.
Division of Cardiology, Department of Medicine, Duke University Medical Center, Durham, NC, USA.
Indian Heart J. 2018 Sep-Oct;70(5):721-730. doi: 10.1016/j.ihj.2018.01.029. Epub 2018 Jan 31.
South Asia has experienced a 73% increase in healthy life years lost due to ischemic heart disease between 1990 and 2010. There is a lack of quality data relating to cardiovascular risk factors and disease from this region. Several observational and prospective cohorts in South Asia have been established in recent times to evaluate the burden of cardiovascular disease and their risk factors. The Prospective Rural Urban Epidemiology (PURE) study is the largest of these studies that has provided data on social, environmental, behavioral and biologic risk factors that influence heart disease and diabetes. Some studies have also borrowed data from large datasets to provide meaningful insights. These studies have allowed a better understanding of cardiovascular disease risk factors indigenous to the South Asian population along with conventional risk factors. Culturally sensitive interventions geared towards treating risk factors identified in these studies are needed to fully realize the true potential of these epidemiologic studies.
1990年至2010年间,南亚因缺血性心脏病导致的健康生命年损失增加了73%。该地区缺乏与心血管危险因素和疾病相关的高质量数据。近年来,南亚建立了几个观察性和前瞻性队列,以评估心血管疾病的负担及其危险因素。前瞻性城乡流行病学(PURE)研究是这些研究中规模最大的一项,它提供了有关影响心脏病和糖尿病的社会、环境、行为和生物危险因素的数据。一些研究还从大型数据集中借用数据,以提供有意义的见解。这些研究有助于更好地了解南亚人群特有的心血管疾病危险因素以及传统危险因素。需要采取针对这些研究中确定的危险因素的文化敏感干预措施,以充分实现这些流行病学研究的真正潜力。