Risk Factors of Cardiovascular Diseases in Southeast Asia

Authors

  • Cat Tuong Vy (Vicky) Nguyen Matthew McNair Secondary School
  • Dr. Thi Thien Huong Nguyen McMaster University

DOI:

https://doi.org/10.47611/jsrhs.v12i3.4813

Keywords:

risk factors, cardiovascular diseases, Southeast Asia

Abstract

Cardiovascular diseases, which include coronary heart disease, cerebrovascular disease, peripheral artery disease, and aortic atherosclerosis, constitute the leading cause of death worldwide. In Southeast Asia, the annual mortality rate from cardiovascular diseases is increasing. As there is limited review literature on the risk factors of these diseases in the region, an examination of articles, periodicals, and reports from online databases worldwide can deepen our insights into the risk factors pertaining to Southeast Asian populations. The review finds two main types of factors of cardiovascular diseases that are mainly responsible for the high mortality rates of cardiovascular diseases in Southeast Asia: biological and environmental. Among biological factors, high sodium intake and tobacco consumption account for increased risks of high blood pressure and atherosclerosis, while environmental factors - air pollution and noise pollution - contribute to vasoconstriction, thrombosis, and coronary heart disease. From the findings in this review, an emphasis on regulations and guidelines to address these risk factors can thus reduce the prevalence of cardiovascular disease and solidify the wellbeing of millions in Southeast Asia. 

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References or Bibliography

World Health Organization. (n.d.). Cardiovascular diseases. Retrieved May 19, 2023, from https://www.who.int/health-topics/cardiovascular-diseases

Wang, S., Petzold, M., Cao, J., Zhang, Y.; Wang, W. (2015). Direct medical costs of hospitalizations for cardiovascular diseases in Shanghai, China. Medicine, 94(20). https://doi.org/10.1097/md.0000000000000837

Centers for Disease Control and Prevention. (2023, March 23). Health and economic costs of chronic diseases. Retrieved May 19, 2023, from https://www.cdc.gov/chronicdisease/about/costs/index.htm

Zhao, D. (2021). Epidemiological features of cardiovascular disease in Asia. Journal of the American College of Cardiology: Asia, 1(1), 1–13. https://doi.org/10.1016/j.jacasi.2021.04.007

Pan American Health Organization. Cardiovascular disease burden in the Region of the Americas, 2000-2019. (2021). https://www.paho.org/en/enlace/cardiovascular-disease-burden

Ueshima, H., Sekikawa, A., Miura, K., Turin, T. C., Takashima, N., Kita, Y., Watanabe, M., Kadota, A., Okuda, N., Kadowaki, T., Nakamura, Y., & Okamura, T. (2008). Cardiovascular disease and risk factors in Asia: a selected review. Circulation, 118(25), 2702–2709. https://doi.org/10.1161/CIRCULATIONAHA.108.790048

Olvera Lopez, E., Ballard, B. D., & Jan, A. (2022). Cardiovascular Disease. StatsPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK535419/#_NBK535419_pubdet_

Khaku AS, Tadi P. (2023). Cerebrovascular Disease. StatsPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK430927/#_NBK430927_pubdet_

Olin, J. W., & Sealove, B. A. (2010). Peripheral artery disease: Current insight into the disease and its diagnosis and management. Mayo Clinic Proceedings, 85(7), 678–692. https://doi.org/10.4065/mcp.2010.0133

Kronzon, I., & Tunick, P. A. (2006). Aortic Atherosclerotic Disease and Stroke. Circulation, 114(1), 63–75. https://doi.org/10.1161/circulationaha.105.593418

Peltzer, K., & Pengpid, S. (2018). Prevalence, risk awareness and health beliefs of biological risk factors for cardiovascular disease among university students in nine ASEAN countries. BMC Public Health, 18(1). https://doi.org/10.1186/s12889-018-5142-1

Aminde, L. N., Phung, H. N., Phung, D., Cobiac, L. J., & Veerman, J. L. (2021). Dietary salt reduction, the prevalence of hypertension and avoidable burden of stroke in Vietnam: Modelling the Health and Economic Impacts. Frontiers in Public Health, 9. https://doi.org/10.3389/fpubh.2021.682975

Nguyen, H. N., Fujiyoshi, A., Abbott, R. D., & Miura, K. (2013). Epidemiology of Cardiovascular Risk Factors in Asian Countries. Circulation Journal, 77(12), 2851–2859. https://doi.org/10.1253/circj.cj-13-1292

Amarra, M. S., & Khor, G. L. (2015). Sodium Consumption in Southeast Asia: An Updated Review of Intake Levels and Dietary Sources in Six countries. Preventive Nutrition, 765–792. https://doi.org/10.1007/978-3-319-22431-2_36

Helbe, M., & Francisco, K. (2017). The Upcoming Obesity Crisis in Asia and the Pacific: First Cost Estimates. ADBI Working Paper 743. Asian Development Bank Institute. https://www.adb.org/publications/imminent-obesity-crisis-asia-and-pacific-first-cost-estimates

Lee, Z. V., Llanes, E. J., Sukmawan, R., Thongtang, N., Ho, H. Q. T., Barter, P. Cardiovascular RISk Prevention (CRISP) in Asia Network (2021). Prevalence of plasma lipid disorders with an emphasis on LDL cholesterol in selected countries in the Asia-Pacific region. Lipids in health and disease, 20(1), 33. https://doi.org/10.1186/s12944-021-01450-8

Vardell, E. (2020). Global health observatory data repository. Medical reference services quarterly, 39(1), 67-74. https://doi.org/10.1080/02763869.2019.1693231

International Diabetes Federation. (2021). Diabetes in South-East Asia. https://www.idf.org/our-network/regions-members/south-east-asia/diabetes-in-sea/

Roglic, G., Varghese, C., & Thamarangsi, T. (2016). Diabetes in South-East Asia: burden, gaps, challenges and ways forward. South-East Asia. https://apps.who.int/iris/

Amarra, M. S., Chong, M. F. F., Titapant, V., Somprasit, C., Rogacion, J., Irwinda, R., ... & Nalliah, S. (2021). ILSI Southeast Asia symposium: prevalence, risk factors, and actions to address gestational diabetes in selected Southeast Asian countries. European Journal of Clinical Nutrition, 75(9), 1303-1308. https://doi.org/10.1038/s41430-020-00838-6

Saeedi, P., Petersohn, I., Salpea, P., Malanda, B., Karuranga, S., Unwin, N., ... & IDF Diabetes Atlas Committee. (2019). Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas. Diabetes research and clinical practice, 157, 107843.

Amarra, M. S., & Khor, G. L. (2015). Sodium Consumption in Southeast Asia: An Updated Review of Intake Levels and Dietary Sources in Six countries. Preventive Nutrition, 765–792. https://doi.org/10.1007/978-3-319-22431-2_36

Garg, Renu. (2014). Importance of population salt reduction. World Health Organization. https://apps.who.int/iris/bitstream/handle/10665/154549/SEA-Nut-193.pdf?

Wu, C. Y., Hu, H. Y., Chou, Y. J., Huang, N., Chou, Y. C., & Li, C. P. (2015). High Blood Pressure and All-Cause and Cardiovascular Disease Mortalities in Community-Dwelling Older Adults. Medicine, 94(47), e2160. https://doi.org/10.1097/MD.0000000000002160

Wang, Y. J., Yeh, T. L., Shih, M. C., Tu, Y. K., & Chien, K. L. (2020). Dietary Sodium Intake and Risk of Cardiovascular Disease: A Systematic Review and Dose-Response Meta-Analysis. Nutrients, 12(10), 2934. https://doi.org/10.3390/nu12102934

Salt reduction. (2020, April 29). World Health Organization. Retrieved May 19, 2023, from https://www.who.int/news-room/fact-sheets/detail/salt-reduction/

Batcagan-Abueg, A. P., Lee, J. J., Chan, P., Rebello, S. A., & Amarra, M. S. (2013). Salt intakes and salt reduction initiatives in Southeast Asia: a review. Asia Pacific Journal of Clinical Nutrition, 22(4), 490–504. https://doi.org/10.6133/apjcn.2013.22.4.04

World Health Organization. The fatal link between tobacco and cardiovascular diseases in the WHO South-East Asia Region. (2018). https://apps.who.int/iris/handle/10665/273186

Murray, C. J., Vos, T., Lozano, R., Naghavi, M., Flaxman, A. D., Michaud, C., Ezzati, M., Shibuya, K., Salomon, J. A., Abdalla, S., Aboyans, V., Abraham, J., Ackerman, I., Aggarwal, R., Ahn, S. Y., Ali, M. K., AlMazroa, M. A., Alvarado, M., Anderson, H. R., … Lopez, A. D. (2012). Disability-adjusted life years (Dalys) for 291 diseases and injuries in 21 regions, 1990–2010: A systematic analysis for the global burden of disease study 2010. The Lancet, 380(9859), 2197–2223. https://doi.org/10.1016/s0140-6736(12)61689-4

Sreeramareddy, C. T., Pradhan, P. M., Mir, I. A., & Sin, S. (2014). Smoking and smokeless tobacco use in nine South and Southeast Asian countries: Prevalence estimates and social determinants from demographic and Health Surveys. Population Health Metrics, 12(1). https://doi.org/10.1186/s12963-014-0022-0

World Health Organization. World Health Statistics 2020: Monitoring Health for the SDGs, Sustainable Development Goals. (2020). https://www.who.int/publications/i/item/9789240005105

Centers for Disease Control and Prevention. (2010). How Tobacco Smoke Causes Disease: The Biology and Biological Basis for Smoking-Attributable Disease: A Report of the Surgeon General. Centers for Disease Control and Prevention (US). https://www.ncbi.nlm.nih.gov/books/NBK53021/?report=classic

Salahuddin, S., Prabhakaran, D., & Roy, A. (2012). Pathophysiological Mechanisms of Tobacco-Related CVD. Global Heart, 7(2), 113. https://doi.org/10.1016/j.gheart.2012.05.003

Lee, J., & Cooke, J. P. (2011). The role of nicotine in the pathogenesis of atherosclerosis. Atherosclerosis, 215(2), 281–283. https://doi.org/10.1016/j.atherosclerosis.2011.01.003

Irawati, S., Wasir, R., Floriaan Schmidt, A., Islam, A., Feenstra, T., Buskens, E., Wilffert, B., & Hak, E. (2018). Long-term incidence and risk factors of cardiovascular events in Asian populations: Systematic review and meta-analysis of population-based cohort studies. Current Medical Research and Opinion, 35(2), 291–299. https://doi.org/10.1080/03007995.2018.1491149

Biswas, T., Townsend, N., Gupta, R. D., Ghosh, A., Rawal, L. B., Mørkrid, K., & Mamun, A. (2023). Clustering of metabolic and behavioural risk factors for cardiovascular diseases among the adult population in South and Southeast Asia: findings from WHO STEPS data. The Lancet Regional Health-Southeast Asia, 12. https://doi.org/10.1016/j.lansea.2023.100164

Lindstrom, M., DeCleene, N., Dorsey, H., Fuster, V., Johnson, C. O., LeGrand, K. E., Mensah, G. A., Razo, C., Stark, B., Varieur Turco, J., & Roth, G. A. (2022). Global burden of cardiovascular diseases and risks collaboration, 1990-2021. Journal of the American College of Cardiology, 80(25), 2372–2425. https://doi.org/10.1016/j.jacc.2022.11.001

World Health Organization. (n.d.). Air Pollution. https://www.who.int/health-topics/air-pollution#tab=tab_1

Lee, H.-H., Bar-Or, R. Z., & Wang, C. (2017). Biomass burning aerosols and the low-visibility events in Southeast Asia. Atmospheric Chemistry and Physics, 17(2), 965–980. https://doi.org/10.5194/acp-17-965-2017

Cheong, K. H., Ngiam, N. J., Morgan, G. G., Pek, P. P., Tan, B. Y.-Q., Lai, J. W., Koh, J. M., Ong, M. E. H., & Ho, A. F. W. (2019). Acute health impacts of the southeast asian transboundary haze problem—A Review. International Journal of Environmental Research and Public Health, 16(18), 3286. https://doi.org/10.3390/ijerph16183286

Air Quality Life Index. (2022). Southeast Asia Fact Sheet. https://aqli.epic.uchicago.edu/wp-content/uploads/2021/09/SE-Asia-2022.pdf

World Health Federation. (n.d.). South-East Asia. https://world-heart-federation.org/where-we-work/south-east-asia/

Bhatnagar A. (2017). Environmental Determinants of Cardiovascular Disease. Circulation research, 121(2), 162–180. https://doi.org/10.1161/CIRCRESAHA.117.306458

Zhao, C., Liu, B., Piao, S., Wang, X., Lobell, D. B., Huang, Y., Huang, M., Yao, Y., Bassu, S., Ciais, P., Durand, J.-L., Elliott, J., Ewert, F., Janssens, I. A., Li, T., Lin, E., Liu, Q., Martre, P., Müller, C., … Asseng, S. (2017). Temperature increase reduces global yields of major crops in four independent estimates. Proceedings of the National Academy of Sciences, 114(35), 9326–9331. https://doi.org/10.1073/pnas.1701762114

Suwa, T., Hogg, J. C., Quinlan, K. B., Ohgami, A., Vincent, R., & van Eeden, S. F. (2002). Particulate air pollution induces progression of atherosclerosis. Journal of the American College of Cardiology, 39(6), 935–942. https://doi.org/10.1016/s0735-1097(02)01715-1

Gray, A. (2017, March 27). These are the cities with the worst noise pollution. World Economic Forum. https://www.weforum.org/agenda/2017/03/these-are-the-cities-with-the-worst-noise-pollution/

Schwela, D. (2007). Noise policies in Southeast Asia. Noise News International, 15(1), 14–21. https://doi.org/10.3397/1.3703078

Gelb, J., & Apparicio, P. (2019). Noise exposure of cyclists in Ho Chi Minh City: A spatio-temporal analysis using non-linear models. Applied Acoustics, 148, 332–343. https://doi.org/10.1016/j.apacoust.2018.12.031

Moreyra, A. E., Subramanian, K., Mi, Z., Cosgrove, N. M., Kostis, W. J., Ke, F., Kostis, J. B., & Ananth, C. (2022). The impact of exposure to transportation noise on the rates of myocardial infarction in New Jersey. Journal of the American College of Cardiology, 79(9), 1148. https://doi.org/10.1016/s0735-1097(22)02139-8

Centers for Disease Control and Prevention. (2018, December 11). Loud Noise Can Cause Hearing Loss. https://www.cdc.gov/nceh/hearing_loss/public_health_scientific_info.html

Hahad, O., Kröller-Schön, S., Daiber, A., & Münzel, T. (2019). The Cardiovascular Effects of Noise. Deutsches Arzteblatt international, 116(14), 245–250. https://doi.org/10.3238/arztebl.2019.0245

Münzel, T., Sørensen, M., & Daiber, A. (2021). Transportation noise pollution and cardiovascular disease. Nature Reviews Cardiology, 18(9), 619–636. https://doi.org/10.1038/s41569-021-00532-5

Supornsilaphachaii. (2013). Evolution of salt reduction initiatives in Thailand: lessons for other countries in the South-East Asia Region. Regional Health Forum: WHO South-East Asia Region, 17(1), 61–71. https://apps.who.int/iris/bitstream/handle/10665/205784/B4954.pdf

Nurwidya, F., Takahashi, F., Baskoro, H., Hidayat, M., Yunus, F., & Takahashi, K. (2014). Strategies for an effective tobacco harm reduction policy in Indonesia. Epidemiology and health, 36, e2014035. https://doi.org/10.4178/epih/e2014035

World Health Organization. (2021, November 17). Persistent efforts by countries driving steep decline in tobacco use in South-East Asia Region: WHO. https://www.who.int/southeastasia/news/detail/17-11-2021-persistent-efforts-by-countries-driving-steep-decline-in-tobacco-use-in-south-east-asia-region-who

Levy, D. T., Chaloupka, F., & Gitchell, J. (2004). The effects of tobacco control policies on smoking rates: a tobacco control scorecard. Journal of public health management and practice : JPHMP, 10(4), 338–353. https://doi.org/10.1097/00124784-200407000-00011

Morrow, M., & Barraclough, S. (2003). Tobacco control and gender in south-East Asia. part II: Singapore and Vietnam. Health Promotion International, 18(4), 373–380. https://doi.org/10.1093/heapro/dag403

Ministry of Natural Resources and Environment (Thailand). (1992). Enhancement and Conservation of National Environmental Quality Act, B.E. 2535. Food and Agriculture Organization of the United Nations. https://faolex.fao.org/docs/pdf/tha19415.pdf

Government of Singapore. (2022, April 28). Noise regulations and guidelines in Singapore. Municipal Services Office. https://www.mnd.gov.sg/mso/infosheet-on-noise-regulations-in-singapore

Published

08-31-2023

How to Cite

Nguyen, V., & Nguyen, T. T. H. (2023). Risk Factors of Cardiovascular Diseases in Southeast Asia. Journal of Student Research, 12(3). https://doi.org/10.47611/jsrhs.v12i3.4813

Issue

Section

HS Review Articles