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Cardiovascular risk factor trends in the Eastern Mediterranean region: evidence from four countries is alarming

Abstract

Objectives

Many Eastern Mediterranean countries are undergoing dramatic socioeconomic, demographic and life style changes and face noncommunicable disease (NCD) epidemics. We evaluated recent trends in major NCD risk factors in occupied Palestinian territories (OPT), Turkey, Syria and Tunisia.

Methods

We searched published and unpublished sources for systolic blood pressure (SBP), diabetes, smoking, body mass index (BMI), and cholesterol trends for both men and women aged 35–84 in each country from 1995 to 2009.

Results

Smoking prevalence was stable over time in Tunisia and Syria, but decreasing in Turkey (annual change −0.9 %) and OPT (annual change −0.7 %). Mean BMI (annual change of 0.1 % for Turkey, 0.2 % for OPT and Tunisia and 0.3 % in Syria) and diabetes (annual change of 0.3 % for Turkey, 0.4 % for OPT and Tunisia and 0.7 % in Syria) prevalence increased in each country. SBP levels increased slightly in Tunisia and Syria but decreased in OPT and Turkey.

Conclusions

Recent risk factor trends are worrying. Good quality data on the extent and determinants of NCDs are essential to respond the changing health needs of populations with burgeoning NCD epidemics.

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Acknowledgments

This work was completed as part of the MedCHAMPS project (EC FP7 grant number 223075).

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Correspondence to Kaan Sözmen.

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On behalf of the MedCHAMPS Project team.

This article is part of the supplement “The rising burden of noncommunicable diseases in four Mediterranean countries and potential solutions”.

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Sözmen, K., Ünal, B., Saidi, O. et al. Cardiovascular risk factor trends in the Eastern Mediterranean region: evidence from four countries is alarming. Int J Public Health 60, 3–11 (2015). https://doi.org/10.1007/s00038-014-0610-6

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Keywords

  • Trend
  • Risk factors
  • Cardiovascular diseases
  • Diabetes
  • Obesity
  • Smoking