Search published articles


Showing 5 results for Cardiovascular Diseases
Estimating the Contribution of Diabetes on the Attributable Burden of Cardiovascular Diseases in Kermanshah, West of Iran
M Karami, F Khosravi Shadmani , F Najafi,
Volume 8, Issue 3 (12-2012)
Abstract

Background & Objectives: Knowledge of the magnitude of attributable burden of cardiovascular diseases (CVDs) due to diabetes is necessary for health policy, priority setting and preventing CVD deaths. Our study aimed at estimating the attribute of proportion of diabetes to the burden of cardiovascular diseases in Kermanshah, West of Iran.

Methods: World Health Organization Comparative Risk Assessment methodology was used to calculating Potential Impact Fraction (PIF). Data on the Prevalence of newly diagnosed diabetes mellitus (People who have fasting plasma glucose (FPG) equal or greater than 126 mg/dl) were obtained from 3rd Iranian surveillance of risk factors of non- communicable diseases and data on corresponding measures of effect were derived from a national- specific study with age and multivariate adjusted hazard ratios.

Results: Based on multivariate- adjusted hazard ratios, by reducing the percent of women with diabetes from 8.1 percent to the zero level and the feasible minimum risk level i.e. 4 percent, 11.2% and 5.7% of attributable Disability Adjusted Life Years (DALYs) to CVD are avoidable, respectively. The corresponding value for men at the theoretical (zero level) and feasible minimum risk level (3 percent) were 5.6% and 2.9%, respectively.

Conclusion: To better planning, decision making and priority setting, PIF should be applied to updated and revised burden of CVDs in Iranian Health system.


Potential Impact Fraction of Ischemic Heart Disease Associated with Diabetes Mellitus in Yazd- Iran
M Mohammadi, M Mirzaei, M Karami,
Volume 13, Issue 4 (3-2018)
Abstract
Background and Objectives: Ischemic heart disases are the main cause of mortality and morbidity in Iran. Diabetes mellitus (DM) is one of the most prevalent diseases in Yazd. However, little is known about the share of CHD associated with DM in Yazd.This study aimed to determine the potential impact fraction of ischemic heart disease associated with diabetes mellitus in Yazd-Iran.
Methods: The potential impact fraction (PIF) equation was used to calculate the estimates of CHD associated with DM in Yazd. Prevalence diabetes in Yazd were calculated from Yazd Health Study (YAHS) data, conducted in 2013- 2014 in Yazd Greater Area. The relative risk eof IHD associated with DM was extracted from Tehran Lipid and Glucose study.
Results: According to this study, by hypothetical reduction of DM prevalence in women from the 20.6 percent to null or optimistically to a minimum risk level of 20.3 percent, 23.6% and 0.3% of IHD will be reduced consequently. The corresponding value for men considering the DM prevalence of 15.9 percent at the theoretical zero level and feasible minimum prevalence of 17.7 percent, were 10.6% and -1.2%, respectively.
Conclusion: Given the high prevalence of DM and CHD in Yazd, more interventions to control DM is needed in Yazd by the health section.
Changes in Cause of Death among the Older Adults and Its Effect on Increasing Life Expectancy in Iran
N Zanjari, M Sasanipour,
Volume 18, Issue 1 (5-2022)
Abstract
Background and Objectives: The rate of the increase in life expectancy has slowed down during the last two or three decades in Iran. In this study, we examined the role of change in thecause of death older adults in increasing life expectancy in Iran between 2006 and 2016.
Methods: Death data by age, sex, and cause in Iran between 2006 and 2016 were obtained from the death registration and classification system of the Ministry of Health and Medical Education. Using the Brass-Trussell and generalized Benett-Horiuchi method, underreporting of child and adult death registration was corrected. Then, using the Arriaga decomposition method, the role of age groups and causes of death of Iranian older adults in increasing life expectancy at birth was calculated.
Results: Men’s life expectancy at birth increased by 3.7 years during 2006 to 2016, and the contribution of older adult’s death changes on this increase was estimated at 2 years. Out of the total increase of 3.1 years in women’s life expectancy, 1.57 years was related to changes in the older adults’ cause of death. Furthermore, 74% and 57% of the role of change in the cause of death among older men and women in increasing the life expectancy was related to cardiovascular diseases.
Conclusion: Considering the transition of age structure in the coming decades, transition of death trend to older ages is expected to continue. The results of this study showed that it is necessary to pay more attention to diseases that affect older people in policy priorities.

Comparison of Framingham Risk Score and Native Model of Cardiovascular Risk Prediction Among Residents of Mashhad Metropolis, Iran, 2015
Mohammad Khajedaluee, Maliheh Dadgar Moghaddam, Amir-Reza Khajedaluee, Hiva Sharebiani, Hamidreza Bahrami Taghanaki, Maryam Ziadi Lotfabadi, Zeinab Shateri Amiri,
Volume 18, Issue 4 (3-2023)
Abstract
Background and Objectives: Cardiovascular diseases are the leading cause of adult mortality in many developing countries. This study aims to compare the estimation of the ten-year relative risk of cardiovascular events using the Framingham criteria with a native model.
Methods: This population-based cross-sectional study was conducted in 2014, focusing on the adult population (≥16 years) of Mashhad. Stratified random cluster sampling was employed to gather participants' information based on Framingham's criteria. Data mining, utilizing the decision tree algorithm design, was evaluated using Rapidminer v5.3 software and the cross-validation method.
Results: Out of 2978 individuals, 1930 (64.9%) were women and 1041 (35.1%) were men, with a mean age of 43.5±14.7. Applying the Framingham criteria, the ten-year risk levels of cardiovascular disease were estimated as follows: 77.8% at a low-risk level, 13.4% at a medium-risk level, and 8.8% at a high-risk level.
Regarding data mining, model number (1) achieved an accuracy of 79.56%, indicating that the predicted risk levels using the Framingham algorithm matched the observed values at 95.24% for the low-risk level, 90.8% for the medium-risk level, and 33.13% for the high-risk level. As for model number (2), an accuracy of 82.78% was obtained, with the matching values being 98.20% for the low-risk level, 0.42% for the medium-risk level, and 53.01% for the high-risk level.
Conclusion: The Framingham criteria demonstrate limited effectiveness in predicting medium and high-risk levels in the Mashhad population. According to the local model, smoking and high blood pressure in adulthood are the most significant factors in predicting the risk of cardiovascular diseases in young individuals.

Secondhand Smoke and Cardiovascular Disease: A Policy Brief on Prevention and Exposure Reduction
Parisa Janjani, Mina Aghaei, Nahid Salehi, Hosna Janjani,
Volume 20, Issue 3 (12-2024)
Abstract
Cardiovascular diseases are recognized as the leading cause of death globally, accounting for a substantial proportion of mortality and disabilities worldwide.
Given that exposure to secondhand smoke is one of the risk factors for cardiovascular diseases, this policy brief presents strategies for reducing exposure to secondhand smoke in the healthy population and cardiovascular patients.
Reducing the burden of cardiovascular diseases caused or aggravated by secondhand smoke exposure and improving health levels requires a multifaceted approach.

Page 1 from 1     

© 2026 , Tehran University of Medical Sciences, CC BY-NC 4.0

Designed & Developed by : Yektaweb