The burden of cardiovascular disease associated with high body mass index in the Asia-Pacific region

Studying obesity in the Asia-Pacific region is difficult because of the diverse ethnic background and different stages of economic and nutrition transition. The burden of cardiovascular disease associated with overweight (defined as body mass index =25kgm-2) was previously estimated for countries wi...

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Main Authors: Lee, Crystal, Colagiuri, S., Ezzati, M., Woodward, M.
Format: Journal Article
Published: Wiley-Blackwell Publishing Ltd. 2011
Online Access:http://hdl.handle.net/20.500.11937/24621
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author Lee, Crystal
Colagiuri, S.
Ezzati, M.
Woodward, M.
author_facet Lee, Crystal
Colagiuri, S.
Ezzati, M.
Woodward, M.
author_sort Lee, Crystal
building Curtin Institutional Repository
collection Online Access
description Studying obesity in the Asia-Pacific region is difficult because of the diverse ethnic background and different stages of economic and nutrition transition. The burden of cardiovascular disease associated with overweight (defined as body mass index =25kgm-2) was previously estimated for countries within the region. However, using the conventional cut-point of 25kgm-2 ignores the continuous association between body mass index and cardiovascular disease from approximately 20kgm-2. By estimating the proportion of cardiovascular disease that would be prevented if the theoretical mean body mass index in the population was shifted to 21kgm-2, nationally representative data from 15 countries suggested the population attributable fractions for cardiovascular disease were approximately three times higher than the previous estimates. Coronary heart disease attributable to body mass index other than 21kgm-2 ranged from 2% in India to 58% in American Samoa. Similarly, the population attributable fraction for ischaemic stroke ranged from 3% in India to 64% in American Samoa. If cardiovascular risk increases from 21kgm-2 applies to all populations, most countries in the region will need to aim towards substantially reducing their current population mean body mass index in order to lower the burden of cardiovascular disease associated with excess weight. © 2011 The Authors. obesity reviews
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spelling curtin-20.500.11937-246212017-09-13T15:10:45Z The burden of cardiovascular disease associated with high body mass index in the Asia-Pacific region Lee, Crystal Colagiuri, S. Ezzati, M. Woodward, M. Studying obesity in the Asia-Pacific region is difficult because of the diverse ethnic background and different stages of economic and nutrition transition. The burden of cardiovascular disease associated with overweight (defined as body mass index =25kgm-2) was previously estimated for countries within the region. However, using the conventional cut-point of 25kgm-2 ignores the continuous association between body mass index and cardiovascular disease from approximately 20kgm-2. By estimating the proportion of cardiovascular disease that would be prevented if the theoretical mean body mass index in the population was shifted to 21kgm-2, nationally representative data from 15 countries suggested the population attributable fractions for cardiovascular disease were approximately three times higher than the previous estimates. Coronary heart disease attributable to body mass index other than 21kgm-2 ranged from 2% in India to 58% in American Samoa. Similarly, the population attributable fraction for ischaemic stroke ranged from 3% in India to 64% in American Samoa. If cardiovascular risk increases from 21kgm-2 applies to all populations, most countries in the region will need to aim towards substantially reducing their current population mean body mass index in order to lower the burden of cardiovascular disease associated with excess weight. © 2011 The Authors. obesity reviews 2011 Journal Article http://hdl.handle.net/20.500.11937/24621 10.1111/j.1467-789X.2010.00849.x Wiley-Blackwell Publishing Ltd. unknown
spellingShingle Lee, Crystal
Colagiuri, S.
Ezzati, M.
Woodward, M.
The burden of cardiovascular disease associated with high body mass index in the Asia-Pacific region
title The burden of cardiovascular disease associated with high body mass index in the Asia-Pacific region
title_full The burden of cardiovascular disease associated with high body mass index in the Asia-Pacific region
title_fullStr The burden of cardiovascular disease associated with high body mass index in the Asia-Pacific region
title_full_unstemmed The burden of cardiovascular disease associated with high body mass index in the Asia-Pacific region
title_short The burden of cardiovascular disease associated with high body mass index in the Asia-Pacific region
title_sort burden of cardiovascular disease associated with high body mass index in the asia-pacific region
url http://hdl.handle.net/20.500.11937/24621