Risk of incident cardiovascular diseases at national and subnational levels in Iran from 2000 to 2016 and projection through 2030: Insights from Iran STEPS surveys.

<h4>Background</h4>Cardiovascular Disease (CVD) is the leading cause of death in developing countries. CVD risk stratification guides the health policy to make evidence-based decisions.<h4>Aim</h4>To provide current picture and future trend of CVD risk in the adult Iranian po...

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Main Authors: Hedyeh Ebrahimi, Masoud Masinaei, Arya Aminorroaya, Zahra Aryan, Parinaz Mehdipour, Yasna Rostam-Abadi, Naser Ahmadi, Sahar Saeedi Moghaddam, Farhad Pishgar, Ali Ghanbari, Nazila Rezaei, Amirhossein Takian, Farshad Farzadfar
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0290006&type=printable
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author Hedyeh Ebrahimi
Masoud Masinaei
Arya Aminorroaya
Zahra Aryan
Parinaz Mehdipour
Yasna Rostam-Abadi
Naser Ahmadi
Sahar Saeedi Moghaddam
Farhad Pishgar
Ali Ghanbari
Nazila Rezaei
Amirhossein Takian
Farshad Farzadfar
author_facet Hedyeh Ebrahimi
Masoud Masinaei
Arya Aminorroaya
Zahra Aryan
Parinaz Mehdipour
Yasna Rostam-Abadi
Naser Ahmadi
Sahar Saeedi Moghaddam
Farhad Pishgar
Ali Ghanbari
Nazila Rezaei
Amirhossein Takian
Farshad Farzadfar
author_sort Hedyeh Ebrahimi
collection DOAJ
description <h4>Background</h4>Cardiovascular Disease (CVD) is the leading cause of death in developing countries. CVD risk stratification guides the health policy to make evidence-based decisions.<h4>Aim</h4>To provide current picture and future trend of CVD risk in the adult Iranian population.<h4>Methods</h4>Nationally representative datasets of 2005, 2006, 2007, 2008, 2009, 2011, and 2016 STEPwise approach to non-communicable diseases risk factor surveillance (STEPS) studies were used to generate the 10-year and 30-year risks of CVD based on Framingham, Globorisk, and World Health Organization (WHO) risk estimation models. Trend of CVD risk was calculated from 2000 until 2016 and projected to 2030.<h4>Results</h4>In 2016, based on Framingham model, 14.0% of the Iranian, aged 30 to 74, were at great risk (≥20%) of CVD in the next 10 years (8.0% among females, 20.7% among males). Among those aged 25 to 59, 12.7% had ≥45% risk of CVD in the coming 30 years (9.2% among females, 16.6 among males). In 2016, CVD risk was higher among urban area inhabitants. Age-standardized Framingham 10-year CVD risk will increase 32.2% and 19%, from 2000 to 2030, in females and males, respectively. Eastern provinces had the lowest and northern provinces had the greatest risk.<h4>Conclusions</h4>This study projected that CVD risk has increased from 2000 to 2016 in Iran. Without further risk factor modification, this trend will continue until 2030. We have identified populations at higher risks of CVD to guide future intervention.
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spelling doaj.art-87f8e2117d4f41238beb25ff406aeb802024-02-18T05:31:32ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01188e029000610.1371/journal.pone.0290006Risk of incident cardiovascular diseases at national and subnational levels in Iran from 2000 to 2016 and projection through 2030: Insights from Iran STEPS surveys.Hedyeh EbrahimiMasoud MasinaeiArya AminorroayaZahra AryanParinaz MehdipourYasna Rostam-AbadiNaser AhmadiSahar Saeedi MoghaddamFarhad PishgarAli GhanbariNazila RezaeiAmirhossein TakianFarshad Farzadfar<h4>Background</h4>Cardiovascular Disease (CVD) is the leading cause of death in developing countries. CVD risk stratification guides the health policy to make evidence-based decisions.<h4>Aim</h4>To provide current picture and future trend of CVD risk in the adult Iranian population.<h4>Methods</h4>Nationally representative datasets of 2005, 2006, 2007, 2008, 2009, 2011, and 2016 STEPwise approach to non-communicable diseases risk factor surveillance (STEPS) studies were used to generate the 10-year and 30-year risks of CVD based on Framingham, Globorisk, and World Health Organization (WHO) risk estimation models. Trend of CVD risk was calculated from 2000 until 2016 and projected to 2030.<h4>Results</h4>In 2016, based on Framingham model, 14.0% of the Iranian, aged 30 to 74, were at great risk (≥20%) of CVD in the next 10 years (8.0% among females, 20.7% among males). Among those aged 25 to 59, 12.7% had ≥45% risk of CVD in the coming 30 years (9.2% among females, 16.6 among males). In 2016, CVD risk was higher among urban area inhabitants. Age-standardized Framingham 10-year CVD risk will increase 32.2% and 19%, from 2000 to 2030, in females and males, respectively. Eastern provinces had the lowest and northern provinces had the greatest risk.<h4>Conclusions</h4>This study projected that CVD risk has increased from 2000 to 2016 in Iran. Without further risk factor modification, this trend will continue until 2030. We have identified populations at higher risks of CVD to guide future intervention.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0290006&type=printable
spellingShingle Hedyeh Ebrahimi
Masoud Masinaei
Arya Aminorroaya
Zahra Aryan
Parinaz Mehdipour
Yasna Rostam-Abadi
Naser Ahmadi
Sahar Saeedi Moghaddam
Farhad Pishgar
Ali Ghanbari
Nazila Rezaei
Amirhossein Takian
Farshad Farzadfar
Risk of incident cardiovascular diseases at national and subnational levels in Iran from 2000 to 2016 and projection through 2030: Insights from Iran STEPS surveys.
PLoS ONE
title Risk of incident cardiovascular diseases at national and subnational levels in Iran from 2000 to 2016 and projection through 2030: Insights from Iran STEPS surveys.
title_full Risk of incident cardiovascular diseases at national and subnational levels in Iran from 2000 to 2016 and projection through 2030: Insights from Iran STEPS surveys.
title_fullStr Risk of incident cardiovascular diseases at national and subnational levels in Iran from 2000 to 2016 and projection through 2030: Insights from Iran STEPS surveys.
title_full_unstemmed Risk of incident cardiovascular diseases at national and subnational levels in Iran from 2000 to 2016 and projection through 2030: Insights from Iran STEPS surveys.
title_short Risk of incident cardiovascular diseases at national and subnational levels in Iran from 2000 to 2016 and projection through 2030: Insights from Iran STEPS surveys.
title_sort risk of incident cardiovascular diseases at national and subnational levels in iran from 2000 to 2016 and projection through 2030 insights from iran steps surveys
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0290006&type=printable
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