Diabetes, Hypertension, Atrial Fibrillation and Subsequent Stroke-Shift towards Young Ages in Brunei Darussalam

Bibliographic Data

ID15477254
AuthorsB Bassa (0000-0002-5945-4336, Krankenhaus Nordwest), Fatma Gunturkun (0000-0002-0948-0413, University of Tennessee Health Science Center), Eva Maria Craemer (Krankenhaus Nordwest), Uta Meyding‐Lamadé (0000-0003-4692-8843, Krankenhaus Nordwest), Uta Meyding-Lamadé (Krankenhaus Nordwest), Christian Jacobi (0000-0002-3112-8459, Krankenhaus Nordwest), Alp Bassa (0000-0002-9685-7361, Bogaziçi University), Heiko Becher (0000-0002-8808-6667, University Medical Center Hamburg-Eppendorf, corresponding author)
Year2022
Volume19
Issue14
Pages8455-8455
Publication date2022-07-11
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19148455
PMID35886301
OpenAlexW4285043572
LanguageEN
References cited22

Southeast Asia harbors a young population of more than 600 million people. Socioeconomic transition within the last decades, driven by globalization and rapid economic growth, has led to significant changes in lifestyle and nutrition in many countries of this region. Hence, an increase in the number of non-communicable diseases is seen in most populations of Southeast Asia. Brunei Darussalam is the smallest country in this region, with a population of around 400,000 inhabitants. Vast hydrocarbon resources have transformed Brunei into a wealthy industrialized country within the last few decades. We compared the age distribution and prevalence of cardiovascular risk factors in ischemic stroke patients between the only stroke unit in Brunei Darussalam and a tertiary stroke center from Frankfurt/Germany. Between 2011 and 2016, a total number of 3877 ischemic stroke patients were treated in both institutions. Even after adjusting for age due to different population demographics, stroke patients in Brunei were younger compared to their German counterparts. The prevalence of hypertension and diabetes mellitus was significantly higher in young age groups in Brunei, whereas no difference was observed for older patients. The rapid socioeconomic transition might be a significant risk factor for the development of non-communicable diseases, including stroke

Atrial fibrillation · Diabetes mellitus · Environmental health · Population · Risk factor · Socioeconomic status · Stroke (engine · Young adult · Acute Ischemic Stroke Management · Cardiac Health and Mental Health · Cardiovascular Health and Risk Factors · Demography · Medicine · Gerontology · Internal Medicine · Pediatrics

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