Key result
The age-standardized Framingham 10-year cardiovascular disease risk is projected to increase by 32.2% in females and 19% in males from 2000 to 2030 in Iran.
Why the study?
CVD is the leading cause of death in developing countries, and CVD risk stratification is needed to guide health policy and evidence-based decision-making.
Does the estimated 10-year and 30-year risk of incident cardiovascular disease increase over time in the Iranian population?
Cross-Sectional (n=197,927)
Yes
Does the estimated 10-year and 30-year risk of incident cardiovascular disease increase over time in the Iranian population?
Answers are grounded in this paper and cite their sources.
The study highlights a continuous and concerning upward trend in population cardiovascular disease risk in Iran through 2030, emphasizing the need for targeted individual-level and population-wide risk factor modifications.
BACKGROUND: Cardiovascular Disease (CVD) is the leading cause of death in developing countries. CVD risk stratification guides the health policy to make evidence-based decisions. AIM: To provide current picture and future trend of CVD risk in the adult Iranian population. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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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Ebrahimi et al. (2023) conducted a cross-sectional in Cardiovascular Disease Risk (n=197,927). Temporal trend (2000 to 2030) was evaluated on 10-year and 30-year risk of incident cardiovascular disease. The age-standardized Framingham 10-year cardiovascular disease risk is projected to increase by 32.2% in females and 19% in males from 2000 to 2030 in Iran.
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