The Global Burden and Risk Factors of Cardiovascular Diseases in Adolescent and Young Adults: A Systematic Review
Victoria Ezinne Ojukwu
Clarendon Health, Primary Care Department, Jamaica.
Christiana Ugonma Ndoh
Department of Family Medicine, Garki General Hospital, Abuja, Nigeria.
Doncollins Okolo
St. George's University College of Medicine, USA.
Anuoluwapo Oluwaseun Jegede
Department of Community Medicine, Danylo Halytsky Lviv National Medical University, Ukraine.
Okelue Edwards Okobi *
Larkin Community Hospital, Palms Spring Campus, Miami, FL, United States.
Chioma Esther Aniekwe
South Health Campus, Alberta Health Services, Calgary, AB, Canada.
Ademola Aboyeji
Dnipropetrovsk State Medical University, Ukraine.
Mary I. Odozi
College of Medicine, University of Lagos, Lagos, Nigeria.
Mary Olaniyi
V.N Karazin Kharkiv National University, Ukraine.
*Author to whom correspondence should be addressed.
Abstract
Background and Objectives: Globally, cardiovascular diseases (CVDs), mainly stroke and ischemic heart disease (IHD) remain the leading and major causes of mortality in addition to being the key contributors to disabilities. The objective of this systematic review entails the evaluation of the global burden and the risk factors associated with CVDs in adolescents and young adults. To attain this objective, the study will examine the various underlying causes of CVD mortality and the associated risk factors.
Methodology: The study entailed an in-depth search of various online databases for original studies focusing on the global burden of CVDs and risk factors in adolescents and young adults. The search was conducted on databases that included Embase, PubMed, Google Scholar, SCOPUS, and Web of Science. The identified studies were subjected to evaluation and screening, and the selection of the apt studies was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A total of 15 studies were selected and included in this systematic review
Results: CVD prevalence and incidence rates in adolescents and young adults are highest in low and low-middle socio-demographic index (SDI) nations, despite the CVD burden progressively increasing in high and high-middle SDI countries. Male adolescents and young adults have the highest prevalence, incidence, and disability-adjusted life year (DALY), and mortality rates for endocarditis, even as females aged 30 to 39 years have the highest atrial fibrillation and atrial flutter-related DALY and mortality rates.
Conclusion: The global CVD burden in adolescents and young adults remains a major global health challenge. Therefore, it is important that factors that include disparities observed in the SDI levels amongst the nations, age and gender attributes of the populaces, the primary CVD types, and the various attributable risk factors are taken into consideration during the formulation and execution of prevention strategies and interventions.
Keywords: Cardiovascular diseases stroke, ischemic heart disease, mortality rates