Global burden of cardiovascular diseases attributed to low physical activity: An analysis of 204 countries and territories between 1990 and 2019

Background: Low physical activity is a major risk factor for cardiovascular diseases (CVDs). This study aimed to estimate the global, regional, national, and sex-age-specific burden of CVDs attributed to low physical activity from 1990 to 2019. Methods: We leveraged data from the Global Burden of Di...

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Main Authors: Yanfang Luo, Jinguang Liu, Jinshan Zeng, Hailin Pan
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:American Journal of Preventive Cardiology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666667724000011
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author Yanfang Luo
Jinguang Liu
Jinshan Zeng
Hailin Pan
author_facet Yanfang Luo
Jinguang Liu
Jinshan Zeng
Hailin Pan
author_sort Yanfang Luo
collection DOAJ
description Background: Low physical activity is a major risk factor for cardiovascular diseases (CVDs). This study aimed to estimate the global, regional, national, and sex-age-specific burden of CVDs attributed to low physical activity from 1990 to 2019. Methods: We leveraged data from the Global Burden of Disease Study 2019 to compute the number of fatalities, disability-adjusted life years (DALYs), age-adjusted mortality rates (ASMR), and age-adjusted DALY rates (ASDR) attributed to CVDs resulting from low physical activity. Furthermore, we scrutinized the trends and correlations of these metrics in connection with the socio-demographic index (SDI) across 21 regions and 204 countries and territories. Results: The global deaths and DALYs due to CVDs caused by low physical activity increased from 371,042.96 [95 % UI: 147,621.82–740,490] and 6,282,524.95 [95 % UI: 2,334,970.61–13,255,090.08] in 1990 to 639,174.92 [95 % UI: 272,011.34–1,216,528.4] and 9,996,080.17 [95 % UI: 4,130,111.16–20,323,339.89] in 2019, respectively. The corresponding ASMR and ASDR decreased from 12.55 [95 % UI: 5.12–24.23] and 181.64 [95 % UI: 71.59–374.01] in 1990 to 8.6 [95 % UI: 3.68–16.28] and 127.52 [95 % UI: 53.07–256.55] in 2019, respectively. Deaths and DALYs attributed to low physical activity were initially higher in males but shifted to females after 70–74 age group. Both genders had increasing death rates, peaking at 80–84 age group. Most CVDs deaths and DALYs number are caused by ischemic heart disease. The highest burden of CVDs attributed to low physical activity was observed in North Africa and the Middle East. The lowest burden was observed in Oceania and High-income Asia Pacific. There was a distinctive 'n-shape' relationship between the regional SDI and the ASDR of CVDs attributed to low physical activity from 1990 to 2019. Conclusion: The global impact of CVDs stemming from low physical activity remains substantial and demonstrates substantial regional disparities. As individuals age, this burden becomes more prominent, particularly among females. Efficacious interventions are imperative to promote physical activity and mitigate the risk of CVDs across diverse populations and regions.
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spelling doaj.art-84d9f19a22944f3b85730d24f3d402342024-03-28T06:39:11ZengElsevierAmerican Journal of Preventive Cardiology2666-66772024-03-0117100633Global burden of cardiovascular diseases attributed to low physical activity: An analysis of 204 countries and territories between 1990 and 2019Yanfang Luo0Jinguang Liu1Jinshan Zeng2Hailin Pan3Department of Cardiology, Huizhou Municipal People's Hospital, Huizhou, 516001, PR ChinaDepartment of Cardiology, Huizhou Municipal People's Hospital, Huizhou, 516001, PR ChinaDepartment of Cardiology, Huizhou Municipal People's Hospital, Huizhou, 516001, PR ChinaCorresponding author. Department of Cardiology, Huizhou Municipal People's Hospital, Huizhou, 516001, PR China.; Department of Cardiology, Huizhou Municipal People's Hospital, Huizhou, 516001, PR ChinaBackground: Low physical activity is a major risk factor for cardiovascular diseases (CVDs). This study aimed to estimate the global, regional, national, and sex-age-specific burden of CVDs attributed to low physical activity from 1990 to 2019. Methods: We leveraged data from the Global Burden of Disease Study 2019 to compute the number of fatalities, disability-adjusted life years (DALYs), age-adjusted mortality rates (ASMR), and age-adjusted DALY rates (ASDR) attributed to CVDs resulting from low physical activity. Furthermore, we scrutinized the trends and correlations of these metrics in connection with the socio-demographic index (SDI) across 21 regions and 204 countries and territories. Results: The global deaths and DALYs due to CVDs caused by low physical activity increased from 371,042.96 [95 % UI: 147,621.82–740,490] and 6,282,524.95 [95 % UI: 2,334,970.61–13,255,090.08] in 1990 to 639,174.92 [95 % UI: 272,011.34–1,216,528.4] and 9,996,080.17 [95 % UI: 4,130,111.16–20,323,339.89] in 2019, respectively. The corresponding ASMR and ASDR decreased from 12.55 [95 % UI: 5.12–24.23] and 181.64 [95 % UI: 71.59–374.01] in 1990 to 8.6 [95 % UI: 3.68–16.28] and 127.52 [95 % UI: 53.07–256.55] in 2019, respectively. Deaths and DALYs attributed to low physical activity were initially higher in males but shifted to females after 70–74 age group. Both genders had increasing death rates, peaking at 80–84 age group. Most CVDs deaths and DALYs number are caused by ischemic heart disease. The highest burden of CVDs attributed to low physical activity was observed in North Africa and the Middle East. The lowest burden was observed in Oceania and High-income Asia Pacific. There was a distinctive 'n-shape' relationship between the regional SDI and the ASDR of CVDs attributed to low physical activity from 1990 to 2019. Conclusion: The global impact of CVDs stemming from low physical activity remains substantial and demonstrates substantial regional disparities. As individuals age, this burden becomes more prominent, particularly among females. Efficacious interventions are imperative to promote physical activity and mitigate the risk of CVDs across diverse populations and regions.http://www.sciencedirect.com/science/article/pii/S2666667724000011Global burden of diseaseCardiovascular diseasesLow physical activityDisability-adjusted life years
spellingShingle Yanfang Luo
Jinguang Liu
Jinshan Zeng
Hailin Pan
Global burden of cardiovascular diseases attributed to low physical activity: An analysis of 204 countries and territories between 1990 and 2019
American Journal of Preventive Cardiology
Global burden of disease
Cardiovascular diseases
Low physical activity
Disability-adjusted life years
title Global burden of cardiovascular diseases attributed to low physical activity: An analysis of 204 countries and territories between 1990 and 2019
title_full Global burden of cardiovascular diseases attributed to low physical activity: An analysis of 204 countries and territories between 1990 and 2019
title_fullStr Global burden of cardiovascular diseases attributed to low physical activity: An analysis of 204 countries and territories between 1990 and 2019
title_full_unstemmed Global burden of cardiovascular diseases attributed to low physical activity: An analysis of 204 countries and territories between 1990 and 2019
title_short Global burden of cardiovascular diseases attributed to low physical activity: An analysis of 204 countries and territories between 1990 and 2019
title_sort global burden of cardiovascular diseases attributed to low physical activity an analysis of 204 countries and territories between 1990 and 2019
topic Global burden of disease
Cardiovascular diseases
Low physical activity
Disability-adjusted life years
url http://www.sciencedirect.com/science/article/pii/S2666667724000011
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AT jinshanzeng globalburdenofcardiovasculardiseasesattributedtolowphysicalactivityananalysisof204countriesandterritoriesbetween1990and2019
AT hailinpan globalburdenofcardiovasculardiseasesattributedtolowphysicalactivityananalysisof204countriesandterritoriesbetween1990and2019