Hypertension and cardiovascular disease in developing countries
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bookPart
Data de publicação
2013
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HUMANA PRESS INC.
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Citação
Koch, V. H.. Hypertension and cardiovascular disease in developing countries. In: . PEDIATRIC HYPERTENSION: THIRD EDITION: HUMANA PRESS INC., 2013. p.475-488.
Resumo
Hypertension is a major global chronic noncommunicable disease (NCD). One-quarter of the world's adult population has hypertension, and this is likely to increase to 29 % by 2025. Due to epidemiologic shifts, the absolute numbers of patients affected by hypertension in low- and middleincome countries are likely to grow, as increased globalization and economic improvement lead to urbanization and longer life expectancy. Increasing longevity provides longer periods of exposure to the risk factors of cardiovascular disease (CVD), resulting in a greater probability of clinically manifest CVD events. Compounding this high burden of hypertension is a lack of awareness and insufficient treatment in those with hypertension. The survivors of an economic transition period are more likely to present the phenotype of lower birth weight coupled with either stunting or a higher body mass index in childhood or adulthood which appears to be associated with the highest risks of morbid cardiovascular, renal, and metabolic outcomes into adulthood. The combination of population-wide and individual interventions may save millions of lives and considerably reduce human suffering from NCDs. © Springer Science+Business Media New York 2013.
Palavras-chave
Developing world, Early or fetal origins of adult disease, Epidemiological transition, Global disease burden, Hypertension, Low birth weight, Malnutrition, Noncommunicable diseases
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