Epidemiology and causation of coronary heart disease and stroke in India

Gupta, R and Joshi, P and Mohan, V and Reddy, K S and Yusuf, S (2008) Epidemiology and causation of coronary heart disease and stroke in India. Heart, 94 (1). pp. 16-26. ISSN 1355-6037

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Cardiovascular diseases are major causes of mortality and disease in the Indian subcontinent, causing more than 25% of deaths. It has been predicted that these diseases will increase rapidly in India and this country will be host to more than half the cases of heart disease in the world within the next 15 years. Coronary heart disease and stroke have increased in both urban and rural areas. Case–control studies indicate that tobacco use, obesity with high waist:hip ratio, high blood pressure, high LDL cholesterol, low HDL cholesterol, abnormal apolipoprotein A-1:B ratio, diabetes, low consumption of fruits and vegetables, sedentary lifestyles and psychosocial stress are important determinants of cardiovascular diseases in India. These risk factors have increased substantially over the past 50 years and to control further escalation it is important to prevent them. National interventions such as increasing tobacco taxes, labelling unhealthy foods and trans fats, reduction of salt in processed foods and better urban design to promote physical activity may have a wide short-term impact. The World Health Organisation (WHO) rep

Item Type:Article
Official URL/DOI:http://dx.doi.org/10.1136/hrt.2007.132951
Uncontrolled Keywords:Epidemiology;coronary heart disease ;stroke;India
Subjects:Diabetes Epidemiology
Diabetology > Cardiovascular Diabetology
Divisions:Department of Epidemiology
Department of Diabetology
ID Code:78
Deposited On:21 Oct 2009 15:22
Last Modified:21 Oct 2009 15:22

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