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China facing public health crisis with projected increase in cardiovascular disease by 2030
Date:5/5/2010

Annual heart disease and stroke rates in China will rise by up to 73 percent by 2030, given an aging population and other increased risk factors, without policies and prevention efforts aimed at controlling blood pressure and smoking, according to research from Columbia University Medical Center published in Circulation: Cardiovascular Quality and Outcomes, an American Heart Association journal.

"China's standard of living and life expectancy have improved for many, but aging, dietary changes and reduced physical activity are leading to more heart disease and stroke," said lead author Andrew Moran, M.D., M.P.H., assistant professor of medicine at Columbia University Medical Center, and an attending physician in general internal medicine at NewYork-Presbysterian Hospital. "Our study used a computer model to forecast future cardiovascular disease (CVD) in Chinese adults, and is the first to project the individual and combined effects of major risk factor trends on a national scale."

Dr. Moran and colleagues reviewed risk-factor surveys of Chinese adults, ages 35-84, since economic reforms in the 1980s, and used them to project future trends in blood pressure, cholesterol, smoking, diabetes and body weight. Although smoking prevalence has declined in men by more than 10 percent since the mid-1980s, 62 percent of Chinese men still smoke, and 49 percent of nonsmokers, mostly women, are exposed to passive smoke, researchers said.

Dr. Moran and his colleagues, including Lee Goldman, M.D., dean of the faculties of health sciences and medicine and professor of medicine and of epidemiology at Columbia University, and the senior author on the paper, projected that annual rates of cardiovascular disease in China will increase by more than 50 percent due to aging and growth of the population alone between 2010 and 2030. And projected trends of increased blood pressure, cholesterol and diabetes may result in an additional 23 percent increase
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Contact: Alex Lyda
alyda@columbia.edu
212-305-0820
Columbia University Medical Center
Source:Eurekalert

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