4. Comparative Quantification of Mortality and Burden of Disease Attributable to Selected Risk Factors

Table 4.6: Individual and Joint Contributions of Risk Factors to Mortality and Burden of Disease from Cardiovascular Diseases

Individual and Joint Contributions of Risk Factors to Mortality and Burden of Disease from Cardiovascular Diseases
World
DiseaseDeathsProportion of global disease burden (%) [total: 1.54 billion DALYs(3,0)]PAFs for individual risk factors for mortality (first number) and disease burden (second number)Joint PAF - mortality (%)Joint PAF - disease burden (%)
Ischemic heart disease7,060,8515.5High blood pressure (47%; 45%), high cholesterol (45%; 48%), smoking (12%; 17%), overweight and obesity (15%; 18%), alcohol use (1%; 2%), physical inactivity (19%; 21%), low fruit and vegetable intake (25%; 28%), urban air pollution (3%; 2%)a7980
Stroke5,387,5004.7High blood pressure (54%; 54%), high cholesterol (13%; 16%), smoking (8%; 13%), overweight and obesity (8%; 12%), alcohol use (2%; 3%), physical inactivity (6%; 7%), low fruit and vegetable intake (9%; 11%), urban air pollution (3%; 2%)a6065
Hypertensive disease888,1440.7High blood pressure (79%; 75%), overweight and obesity (29%; 33%), alcohol use (15%; 15%), urban air pollution (3%; 2%)a8583
Selected other cardiovascular diseasesb2,335,5141.8High blood pressure (28%; 24%), smoking (14%; 12%)3733
All cardiovascular diseases16,386,53113.5High blood pressure (46%; 44%), high cholesterol (24%; 25%), smoking (10%; 13%), overweight and obesity (11%; 13%), alcohol use (2%; 3%), physical inactivity (10%; 11%), low fruit and vegetable intake (14%; 15%), urban air pollution (2%; 2%)a6364
Low- and middle-income countries
DiseaseDeathsProportion of regional disease burden (%) [total: 1.39 billion DALYs(3,0)]PAFs for individual risk factors for mortality (first number) and disease burden (second number)Joint PAF - mortality (%)Joint PAF - disease burden (%)
Ischemic heart disease5,696,8445.2High blood pressure (47%; 44%), high cholesterol (43%; 46%), smoking (11%; 15%), overweight and obesity (14%; 16%), alcohol use (4%; 4%), physical inactivity (20%; 21%), low fruit and vegetable intake (27%; 30%), urban air pollution (4%; 2%)a7880
Stroke4,606,4264.5High blood pressure (54%; 54%), high cholesterol (12%; 15%), smoking (8%; 12%), overweight and obesity (7%; 10%), alcohol use (5%; 5%), physical inactivity (6%; 6%), low fruit and vegetable intake (10%; 11%), urban air pollution (4%; 2%)a6164
Hypertensive disease759,4870.7High blood pressure (79%; 75%), overweight and obesity (28%; 31%), alcohol use (14%; 14%), urban air pollution (4%; 2%)a8482
Selected other cardiovascular diseasesb1,659,5701.6High blood pressure (27%; 23%), smoking (9%; 9%)3329
All cardiovascular diseases13,347,47112.9High blood pressure (47%; 44%), high cholesterol (23%; 24%), smoking (9%; 11%), overweight and obesity (10%; 12%), alcohol use (4%; 4%), physical inactivity (10%; 11%), low fruit and vegetable intake (15%; 16%), urban air pollution (3%; 2%)a6463
High-income countries
DiseaseDeathsProportion of regional disease burden (%) [total; 142.9 million DALYs(3,0)]PAFs for individual risk factors for mortality (first number) and disease burden (second number)Joint PAF - mortality (%)Joint PAF - disease burden (%)
Ischemic heart disease1,364,0078.3High blood pressure (49%; 48%), high cholesterol (52%; 57%), smoking (15%; 23%), overweight and obesity (19%; 27%), alcohol use (-12%; -13%), physical inactivity (19%; 21%), low fruit and vegetable intake (16%; 19%), urban air pollution (2%; 1%)a8084
Stroke781,0746.3High blood pressure (54%; 56%), high cholesterol (17%; 25%), smoking (10%; 21%), overweight and obesity (12%; 20%), alcohol use (-13%; -11%), physical inactivity (6%; 8%), low fruit and vegetable intake (6%; 9%), urban air pollution (2%; 1%)a5468
Hypertensive disease128,6570.8High blood pressure (84%; 82%), overweight and obesity (38%; 45%), alcohol use (23%; 24%), urban air pollution (2%; 1%)a9191
Selected other cardiovascular diseasesb675,9443.8High blood pressure (29%; 29%), smoking (26%; 25%)4846
All cardiovascular diseases3,039,06020.0High blood pressure (46%; 46%), high cholesterol (28%; 32%), smoking (15%; 21%), overweight and obesity (13%; 19%), alcohol use (-8%; -8%), physical inactivity (10%; 11%), low fruit and vegetable intake (9%; 11%), urban air pollution (1%; 1%)a6469

Source: Authors' calculations.

Note: Risk factors are those listed in table 4.1.

a. Affected by urban air pollution in the category "cardiopulmonary diseases." The PAFs for individual causes have large uncertainty.

b. This category includes ICD-9 three-digit codes 415-417, 423-424, 426-429, 440-448, 451-459.

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