Divergent fifteen-year trends in traditional and cardiometabolic risk factors of cardiovascular diseases in the Seychelles Export

@article{citeulike:5014632, abstract = {ObjectiveFew studies have assessed secular changes in the levels of cardiovascular risk factors (CV-RF) in populations of low or middle income countries. The systematic collection of a broad set of both traditional and metabolic CV-RF in 1989 and 2004 in the population of the Seychelles islands provides a unique opportunity to examine trends at a fairly early stage of the "diabesity" era in a country in the African region.\&\#10;Methods:\&\#10;Two examination surveys were conducted in independent random samples of the population aged 25-64 years in 1989 and 2004, attended by respectively 1081 and 1255 participants (participation rates >80\%). All results are standardized for age.\&\#10;Results:\&\#10;In 2004 vs. 1989, the levels of the main traditional CV-RF have either decreased, e.g. smoking (17\% vs. 30\%, p10; 11\% vs. 13\%, ns), whereas the prevalence of the metabolic syndrome (which integrates several cardiometabolic CVD-RF) nearly doubled (36\% vs. 20\%, p<0.001). Data on physical activity and on intake of alcohol, fruit and vegetables are also provided. Awareness and treatment rates improved substantially for hypertension and diabetes, but control rates improved for the former only. Median levels of the cardiometabolic CVD-RF increased between 1989 and 2004 within all BMI strata, suggesting that the worsening levels of cardiometabolic CVD-RF in the population were not only related to increasing BMI levels in the interval.\&\#10;Conclusion:\&\#10;The levels of several traditional CVD-RF improved over time, while marked detrimental trends were observed for obesity, diabetes and several cardiometabolic factors. Thus, in this population, the rapid health transition was characterized by substantial changes in the patterns of CVD-RF. More generally, this analysis suggests the importance of surveillance systems to identify risk factor trends and the need for preventive strategies to promote healthy lifestyles and nutrition.}, author = {Bovet, Pascal and Romain, Sarah and Shamlaye, Conrad and Mendis, Shanthi and Darioli, Roger and Riesen, Walter and Tappy, Luc and Paccaud, Fred}, citeulike-article-id = {5014632}, citeulike-linkout-0 = {http://dx.doi.org/10.1186/1475-2840-8-34}, doi = {10.1186/1475-2840-8-34}, issn = {1475-2840}, journal = {Cardiovascular Diabetology}, month = {June}, pages = {34+}, posted-at = {2009-06-29 18:13:14}, title = {Divergent fifteen-year trends in traditional and cardiometabolic risk factors of cardiovascular diseases in the Seychelles}, url = {http://dx.doi.org/10.1186/1475-2840-8-34}, volume = {8}, year = {2009} }

TY - JOUR ID - citeulike:5014632 L3 - citeulike-article-id:5014632 N2 - ObjectiveFew studies have assessed secular changes in the levels of cardiovascular risk factors (CV-RF) in populations of low or middle income countries. The systematic collection of a broad set of both traditional and metabolic CV-RF in 1989 and 2004 in the population of the Seychelles islands provides a unique opportunity to examine trends at a fairly early stage of the "diabesity" era in a country in the African region.&#10;Methods:&#10;Two examination surveys were conducted in independent random samples of the population aged 25-64 years in 1989 and 2004, attended by respectively 1081 and 1255 participants (participation rates >80%). All results are standardized for age.&#10;Results:&#10;In 2004 vs. 1989, the levels of the main traditional CV-RF have either decreased, e.g. smoking (17% vs. 30%, p10; 11% vs. 13%, ns), whereas the prevalence of the metabolic syndrome (which integrates several cardiometabolic CVD-RF) nearly doubled (36% vs. 20%, p<0.001). Data on physical activity and on intake of alcohol, fruit and vegetables are also provided. Awareness and treatment rates improved substantially for hypertension and diabetes, but control rates improved for the former only. Median levels of the cardiometabolic CVD-RF increased between 1989 and 2004 within all BMI strata, suggesting that the worsening levels of cardiometabolic CVD-RF in the population were not only related to increasing BMI levels in the interval.&#10;Conclusion:&#10;The levels of several traditional CVD-RF improved over time, while marked detrimental trends were observed for obesity, diabetes and several cardiometabolic factors. Thus, in this population, the rapid health transition was characterized by substantial changes in the patterns of CVD-RF. More generally, this analysis suggests the importance of surveillance systems to identify risk factor trends and the need for preventive strategies to promote healthy lifestyles and nutrition. JF - Cardiovascular Diabetology SN - 1475-2840 TI - Divergent fifteen-year trends in traditional and cardiometabolic risk factors of cardiovascular diseases in the Seychelles VL - 8 SP - 34 AU - Bovet, Pascal AU - Romain, Sarah AU - Shamlaye, Conrad AU - Mendis, Shanthi AU - Darioli, Roger AU - Riesen, Walter AU - Tappy, Luc AU - Paccaud, Fred PY - 2009/06/26/ UR - http://dx.doi.org/10.1186/1475-2840-8-34 ER -