ESTIMATING THE CONTRIBUTION OF CENTRAL OBESITY TO THE BURDEN OF CARDIOVASCULAR DISEASES IN WEST AZERBAIJAN PROVINCE

Jalilzadeh, M and Khadem Vatani, K and Khalkhali, H.R and Salarilak, S (2015) ESTIMATING THE CONTRIBUTION OF CENTRAL OBESITY TO THE BURDEN OF CARDIOVASCULAR DISEASES IN WEST AZERBAIJAN PROVINCE. The Journal of Urmia University of Medical Sciences, 26 (5). pp. 370-379.

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Abstract

Cardiovascular diseases are the most common cause of death in West Azerbaijan province. This study was conducted to estimate the contribution to the burden of modification risk factor of central obesity and determine the effect of reducing its prevalence on cardiovascular diseases in this province. Materials & Methods: To calculate the Potential Impact Fraction (PIF), the World Health Organization comparative risk assessment (CRA) methodology was used. The prevalence of risk factor was obtained from provincial data of the sixth steps survey of non-communicable risk factors which was conducted in 2011 and the effect size of risk factor was extracted from Tehran Lipid and Glucose Study. Results: By reducing the percent of women with central obesity from %19.1 to the theoretical (zero level) and the feasible minimum risk level i.e.% 12, respectively 9.5% and 3.5% of attributable Disability Adjusted Life Years (DALYs) to cardiovascular disease were avoidable, also with the decrease in the prevalence of obesity in men from 18% to the theoretical risk (zero) and feasible minimum risk (12%) the corresponding value were 7.4% and 2.5%, respectively. Conclusion: According to the considerable contribution of central obesity on attributable burden of cardiovascular disease in West Azerbaijan province and considering this fact that central obesity has important role in increasing hypertension, cholesterol, triglycerides and blood sugar, prevention and control of central obesity will be an essential approach to reducing morbidity and mortality from cardiovascular diseases

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