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June 24, 2025Diabetes Obesity and Metabolism

High systolic blood pressure was the leading metabolic risk factor for cardiovascular disease mortality globally in 2021, with an age-standardized death rate of 125.33 per 100,000 population.

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Why the study?

The study aimed to examine specific metabolic risk factors for various cardiovascular diseases from 1990 to 2021 by sex, age, and socio-demographic index, and predict trajectories up to 2050.

Population

Global population from 1990 to 2021 stratified by sex, age, and socio-demographic index levels

Comparison

Burden across specific metabolic risk factors and cardiovascular disease types

Design

Systematic analysis and Bayesian age-period-cohort forecasting study

Key result

High systolic blood pressure was the leading metabolic risk factor for cardiovascular disease mortality globally in 2021, with an age-standardized death rate of 125.33 per 100,000 population.

Authors

XDXin‐Jiang DongJWJia WangCWChao Wang

Discussion

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Overview

May prompt proactive metabolic risk control in practice; extends global CVD burden estimates to 2050.

Key Points

  • To examine and project the burden of metabolic risk factors on cardiovascular disease from 1990 to 2021, and predict trends until 2050.
  • Utilized data from the Global Health Data Exchange
  • Employed age-standardized death rates and annual percentage change for measurement
  • Forecasted future trends with a Bayesian age-period-cohort model
  • In 2021, the ASDR for high systolic blood pressure-related CVD was 125.33 per 100,000 population, primarily due to ischaemic heart disease (56.73)
  • Projected increases in CVD deaths related to all metabolic risks are expected by 2050, with variable trends across different demographics
  • The study noted increases in EAPCs for some conditions like high BMI-related hypertensive heart disease.

Study Design

Type

Observational

Multicenter

Yes

Structured PICO

P
Population
Global population data from 1990 to 2021 analyzing the burden of metabolic risk-related cardiovascular disease.
O
Outcome
Age-standardized death rate (ASDR) and estimated annual percentage change (EAPC) of metabolic risk-related cardiovascular diseasehard clinical

Metabolic risk factors, particularly high systolic blood pressure and high LDL cholesterol, continue to drive a substantial global burden of cardiovascular disease mortality, with projected increases by 2050.

Cite This Study

Dong et al. (2025) conducted an observational in Cardiovascular disease. Metabolic risk factors (high SBP, high BMI, high FPG, high LDL-c, kidney dysfunction) was evaluated on Age-standardized death rate (ASDR) and estimated annual percentage change (EAPC). High systolic blood pressure was the leading metabolic risk factor for cardiovascular disease mortality globally in 2021, with an age-standardized death rate of 125.33 per 100,000 population.

synapsesocial.com/papers/6a61995f2004386bc7d0b931https://doi.org/10.1111/dom.16529
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