Cardiovascular diseases in the developing countries: dimensions, determinants, dynamics and directions for public health action
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The global burden of disease due to cardiovascular diseases (CVDs) is escalating, principally due to a sharp rise in the developing countries which are experiencing rapid health transition. Contributory causes include: demographic shifts with altered population age profiles; lifestyle changes due to recent urbanisation, delayed industrialisation and overpowering globalisation; probable effects of foetal undernutrition on adult susceptibility to vascular disease and possible gene-environment interactions influencing ethnic diversity. Altered diets and diminished physical activity are critical factors contributing to the acceleration of CVD epidemics, along with tobacco use. The pace of health transition, however, varies across developing regions with consequent variations in the relative burdens of the dominant CVDs. A comprehensive public health response must integrate policies and programmes that effectively impact on the multiple determinants of these diseases and provide protection over the life span through primordial, primary and secondary prevention. Populations as well as individuals at risk must be protected through initiatives that espouse and enable nutrition-based preventive strategies to protect and promote cardiovascular health. An empowered community, an enlightened policy and an energetic coalition of health professionals must ensure that development is not accompanied by distorted nutrition and disordered health.
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In Asia, white rice became dominant as a staple over legumes and coarse grains, with a more recent trend being rapidly rising consumption of instant noodles as a staple.
“In Asia, white rice became dominant as a staple over legumes and coarse grains, with a more recent trend being rapidly rising consumption of instant noodles as a staple (52,53).”
From Food Consumption and its Impact on Cardiovascular Disease: Importance of Solutions Focused on the Globalized Food System (2015) · cites this paper as [52]
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- Authors
- Reddy, K. S.
- Affiliations
- All India Institute of Medical Sciences (IN)
- Corresponding author
- Reddy, K Srinath
- ORCID
- Reddy, K Srinath
- Venue
- Public Health Nutrition
- Publisher
- Cambridge University Press (CUP)
- Published
- 2002-02
- Volume
- 5
- Issue
- 1a
- Pages
- 231-237
- ISSN
- 1368-9800 (ISSN-L)
- 1475-2727
- OpenAlex
- W2172270141
- Cited by
- 314
- References
- 29
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 8 · 2023: 12 · 2022: 9 · 2021: 8 · 2020: 11 · 2019: 22 · 2018: 15 · 2017: 12 · 2016: 13 · 2015: 13 · 2014: 21 · 2013: 23 · 2012: 23
- FWCI
- 1.54
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Public Health Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
- Health Sciences › Medicine › Epidemiology › Healthcare Systems and Public Health
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Global Public Health Policies and Epidemiology
- Keywords
- cardiovascular disease, developing countries, health transition, global burden of disease, lifestyle modification, urbanization, gene-environment interaction, ethnic diversity, diet, physical inactivity, tobacco use, population aging, cardiovascular disease prevention, public health policy
- MeSH terms
- Cardiovascular Diseases, Developing Countries, Humans, Life Style, Preventive Medicine, Public Health, Risk Factors, Smoking, Health Behavior, Age Distribution, Health Transition, Genetic Predisposition to Disease
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