Global, regional and national burden of ischemic stroke attributed to high low-density lipoprotein cholesterol, 1990-2019:A decomposition analysis and age-period-cohort analysis

High levels of low-density lipoprotein cholesterol (LDL-C) have been associated with an augmented mortality of ischemic stroke. The yearly deaths and mortality data of IS-hLDL-C were derived from the global burden of disease 2019 dataset. The joinpoint, age-period-cohort and decomposition analysis were utilized to evaluate the long-term patterns in the disease burden of IS-hLDL-C, and the effects of population growth and aging. Globally, in 2019, 0.61 million ischemic stroke-related deaths were attributable to high LDL-C, with the highest death burden in the high-middle socio-demographic index (SDI) region. From 1990 to 2019, the age-standardized death rate (ASDR) for IS-hLDL-C exhibited a downward trend, with an average annual percentage change of -1.69 [95% confidence interval: -1.90, -1.48)]. The fastest decreasing trends in ASDR were experienced in the high SDI region. In 119 (58.33%) countries, aging increased the disease burden of hLDL-IS, and population growth increased the disease burden of IS-hLDL-C in 163 (79.90%) countries. The trend in disease burden of IS-hLDL-C exhibited variation across countries and regions, particularly in territories with high to middle high SDI. Aging in upper to middle-income countries and population growth in low to middle-income countries further offset endeavors to reduce the burden of ischemic stroke deaths.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:44

Enthalten in:

Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism - 44(2024), 4 vom: 25. Apr., Seite 527-541

Sprache:

Englisch

Beteiligte Personen:

Zhang, Jian [VerfasserIn]
Zhu, Shijie [VerfasserIn]
Liu, Chunlong [VerfasserIn]
Hu, Yaofeng [VerfasserIn]
Yang, Aoran [VerfasserIn]
Zhang, Yonghui [VerfasserIn]
Hong, Yang [VerfasserIn]

Links:

Volltext

Themen:

Age-period-cohort analysis
Cholesterol, HDL
Cholesterol, LDL
Decomposition analysis
Epidemiology
High low-density lipoprotein cholesterol
Ischemic stroke
Joinpoint analysis
Journal Article

Anmerkungen:

Date Completed 28.03.2024

Date Revised 01.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1177/0271678X231211448

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363835261