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The emergence of cardiovascular disease during urbanisation of Africans

Dados Bibliográficos

ID15091635
AutoresHH Vorster (North-West University, autor correspondente)
Ano2002
Volume5
Fascículo1a
Páginas239-243
Data de publicação2002-02-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoPublic Health Nutrition (JOURNAL)
Identificadores do periódicoISSN: 1368-9800 • E-ISSN: 1475-2727
EditoraCambridge University Press (CUP) (PUBLISHER)
DOI10.1079/phn2001299
PMID12027290
OpenAlexW1986931990
IdiomaEN
Citações recebidas34
Referências citadas7

Objective: To review the available data on risk factors for cardiovascular disease (CVD), the influence of urbanisation of Africans on these risk factors, and to examine why stroke emerges as a higher risk than ischaemic heart disease (IHD) in the health transition of black South Africans. Design: A review of published data on mortality from and risk factors of CVD in South Africans. Setting: South Africa. Subjects: South African population groups and communities. Methods: The available data on the contribution of stroke and IHD to CVD mortality in South Africa are briefly reviewed, followed by a comparison of published data on the prevalence and/or levels of CVD risk factors in the different South African population groups. The impact of urbanisation of black South Africans on these risk factors is assessed by comparing rural and urban Africans who participated in the Transition and Health during Urbanisation of South Africans (THUSA) study. Results and conclusions: The mortality rates from CVD confirmed that stroke is a major public health problem amongst black South Africans, possibly because of an increase in hypertension, obesity, smoking habit and hyperfibrinogenaemia during various stages of urbanisation. The available data further suggest that black South Africans may be protected against IHD because of favourable serum lipid profiles (low cholesterol and high ratios of high-density lipoprotein cholesterol) and low homocysteine values. However, increases in total fat and animal protein intake of affluent black South Africans, who can afford Western diets, are associated with increases in body mass indices of men and women and in total serum cholesterol. These exposures may increase IHD risk in the future

Black african · Disease · Economic growth · Environmental health · Obesity · Pathology · Population · Public health · Risk factor · Urbanization · Acute Ischemic Stroke Management · Demography · Diabetes, Cardiovascular Risks, and Lipoproteins · Medicine · Sodium Intake and Health · Gerontology · Internal Medicine

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Obras citantes distintas34
Citações por ano1,42
Intervalo de citações2002 - 2023 (22)
Velocidade de citaçãohistorical
Altamente citadoNão
Tipos de citaçãoNeutras: 32
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