Cardiovascular disease and risk factors in Asia: a selected review.
Hirotsugu Ueshima,Akira Sekikawa,Akira Sekikawa,Katsuyuki Miura,Tanvir Chowdhury Turin,Naoyuki Takashima,Yoshikuni Kita,Makoto Watanabe,Aya Kadota,Nagako Okuda,Takashi Kadowaki,Yasuyuki Nakamura,Yasuyuki Nakamura,Tomonori Okamura +13 more
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TLDR
The existence of higher stroke rates and lower CHD rates in Asian countries than in Western countries and the respective risk factors for this are discussed on the basis of extensive reviews of cohort studies and whether these risk factors differ from those of Western countries are discussed.Abstract:
Cardiovascular disease (CVD) prevention in Asia is an important issue for world health, because half of the world’s population lives in Asia. Asian countries and regions such as Japan, the Republic of Korea, the People’s Republic of China, Hong Kong, Taiwan, and the Kingdom of Thailand have greater mortality and morbidity from stroke than from coronary heart disease (CHD), whereas the opposite is true in Western countries.1 The reasons why this specific situation is observed in countries with rapid and early-phase westernization, such as Japan and South Korea, are very interesting.
The Seven Countries Study conducted by Keys et al2 in 1957 found that Japanese populations had lower fat intake, lower serum total cholesterol, and lower CHD than populations in the United States and Scandinavia, in spite of higher smoking rates. The serum total cholesterol level in Japan has increased rapidly since World War II in accordance with an increase in dietary fat intake from 10% of total energy intake per capita per day to 25%.1,2 Despite this increase, the specific characteristic of lower CHD incidence and mortality than that in Western countries has persisted.3,4 Whether Japanese people and certain other Asian populations have different risk factors for CHD than Western populations has been a subject of discussion for quite some time.
In this article, we discuss the existence of higher stroke rates and lower CHD rates in Asian countries than in Western countries and the respective risk factors for this on the basis of extensive reviews of cohort studies. We also discuss whether these risk factors differ from those of Western countries. Along with this, we examine the relationship between serum total cholesterol and total stroke and its subtypes. We also address the emerging problems and important issues for CVD prevention in Asia.
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Association between Alanine Aminotransferase and Intracerebral Hemorrhage in East Asian Populations
Hyeon Chang Kim,Sun Min Oh,Wen-Harn Pan,Hirotsugu Ueshima,Dongfeng Gu,Shao-Yuan Chuang,Akira Fujiyoshi,Ying Li,Liancheng Zhao,Il Suh +9 more
TL;DR: An elevated ALT level was independently and significantly associated with an increased risk of ICH in East Asian men, but the association was less prominent in women.
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2013 ACC/AHA versus 2004 NECP ATP III Guidelines in the Assignment of Statin Treatment in a Korean Population with Subclinical Coronary Atherosclerosis.
Chang Hee Jung,Min Jung Lee,Yu Mi Kang,Dong Hyun Yang,Joon-Won Kang,Eun Hee Kim,Duk-Woo Park,Joong-Yeol Park,Hong-Kyu Kim,Woo Je Lee +9 more
TL;DR: Compared to the previous ATP III guidelines, the 2013 ACC/AHA guidelines were more sensitive in identifying subjects with subclinical coronary atherosclerosis detected by CCTA in an Asian population.
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Association of combined genetic variations in PPARγ, PGC-1α, and LXRα with coronary artery disease and severity in Thai population
P. Yongsakulchai,Chatri Settasatian,Nongnuch Settasatian,Nantarat Komanasin,Upa Kukongwiriyapan,Michele L. Cote,Pongsak Intharapetch,Vichai Senthong +7 more
TL;DR: The combined PPARγ C1431T, PGC-1α G482S, and LXRα -115G/A polymorphisms increased the risk of CAD and predicted the severity of coronary atherosclerosis in Thais.
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Serum Taurine and Stroke Risk in Women: A Prospective, Nested Case-Control Study.
Fen Wu,Karen L. Koenig,Anne Zeleniuch-Jacquotte,Saran Jonas,Yelena Afanasyeva,Oktawia P. Wójcik,Max Costa,Yu Chen +7 more
TL;DR: No overall association was observed between serum taurine and stroke risk, although a protective effect was observed in never smokers, which requires further investigation.
Study protocol of EMPOWER Participatory Action Research (EMPOWER-PAR): a pragmatic cluster randomised controlled trial of multifaceted chronic disease management strategies to improve diabetes and hyp
Anis Safura Ramli,Sharmila Lakshmanan,Jamaiyah Haniff,Sharmini Selvarajah,Seng Fah Tong,Mohamad Adam Bujang,Suraya Abdul Razak,Asrul Akmal Shafie,Verna Kar Mun Lee,Thuhairah Hasrah Abdul Rahman,Maryam Hannah Daud,Kien Keat Ng,Farnaza Ariffin,Hasidah Abdul Hamid,Mazapuspavina Md Yasin,Nafiza Mat Nasir,Maizatullifah Miskan,Jaya Purany Stanley Ponniah,Mastura Ismail,Chun W. Chan,Yong R. Abdul Rahman,Boon How Chew,Wilson H H Low +22 more
TL;DR: In this paper, the authors evaluated the effectiveness of the EMPOWER-PAR intervention (multifaceted chronic disease management strategies based on the chronic care model) in improving outcomes for type 2 diabetes mellitus and hypertension using readily available resources in the Malaysian public primary care setting.
References
More filters
Journal ArticleDOI
Global Prevalence of Diabetes: Estimates for the year 2000 and projections for 2030
TL;DR: Findings indicate that the "diabetes epidemic" will continue even if levels of obesity remain constant, and given the increasing prevalence of obesity, it is likely that these figures provide an underestimate of future diabetes prevalence.
Journal ArticleDOI
Efficacy and safety of cholesterol-lowering treatment: prospective meta-analysis of data from 90,056 participants in 14 randomised trials of statins.
Colin Baigent,Anthony C Keech,Patricia M. Kearney,L Blackwell,Georgina Buck,Christine Pollicino,Adrienne Kirby,T Sourjina,Richard Peto,Rory Collins,R. J. Simes +10 more
TL;DR: Statin therapy can safely reduce the 5-year incidence of major coronary events, coronary revascularisation, and stroke by about one fifth per mmol/L reduction in LDL cholesterol, largely irrespective of the initial lipid profile or other presenting characteristics.
Journal ArticleDOI
Coronary calcium as a predictor of coronary events in four racial or ethnic groups.
Robert Detrano,Alan D. Guerci,J. Jeffrey Carr,Diane E. Bild,Gregory L. Burke,Aaron R. Folsom,Kiang Liu,Steven Shea,Moyses Szklo,David A. Bluemke,Daniel H. O'Leary,Russell P. Tracy,Karol E. Watson,Nathan D. Wong,Richard A. Kronmal +14 more
TL;DR: The coronary calcium score is a strong predictor of incident coronary heart disease and provides predictive information beyond that provided by standard risk factors in four major racial and ethnic groups in the United States.
Journal ArticleDOI
Myocardial infarction and coronary deaths in the World Health Organization MONICA Project. Registration procedures, event rates, and case-fatality rates in 38 populations from 21 countries in four continents.
TL;DR: An analysis of methods and results of coronary event registration in 1985 through 1987 provides data on the relation between CHD morbidity and mortality, and refute suggestions that high CHD mortality rates are associated with high case-fatality rates or a relative excess of sudden deaths.
Journal ArticleDOI
Blood cholesterol and vascular mortality by age, sex, and blood pressure: a meta-analysis of individual data from 61 prospective studies with 55,000 vascular deaths.
Sarah Lewington,Gary Whitlock,Robert Clarke,Paul Sherliker,Jonathan Emberson,Jim Halsey,Nawab Qizilbash,Richard Peto,Rory Collins +8 more
TL;DR: There is conclusive evidence from randomised trials that statins substantially reduce not only coronary event rates but also total stroke rates in patients with a wide range of ages and blood pressures.
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