The World Heart Federation ( WHF ) is a non-governmental organization based in Geneva , Switzerland, formed in 1978. WHF is recognized by the World Health Organization as its leading NGO partner in cardiovascular disease prevention.
99-770: The World Heart Federation was formed in 1978 by a merger of the International Society of Cardiology and the International Cardiology Federation, under the name of the International Society and Federation of Cardiology. In 1998, this body changed its name to the World Heart Federation. The World Heart Federation represents more than 200 organizations in over 100 countries. It works to promote cardiovascular health , and provide information on access to relevant information, care and treatment. The World Heart Federation
198-399: A 'typology of nationalizing, developmental, and neoliberal migration management regimes' across developing countries. Following independence and decolonization in the 20th century, most developing countries had dire need of new infrastructure , industry and economic stimulation. Many relied on foreign investment. This funding focused on improving infrastructure and industry, but led to
297-582: A 10 percent to 30 percent higher risk of cardiovascular disease. Sleep disorders such as sleep-disordered breathing and insomnia , are also associated with a higher cardiometabolic risk. An estimated 50 to 70 million Americans have insomnia, sleep apnea or other chronic sleep disorders . In addition, sleep research displays differences in race and class. Short sleep and poor sleep tend to be more frequently reported in ethnic minorities than in whites. African-Americans report experiencing short durations of sleep five times more often than whites, possibly as
396-630: A 35-40 hours week. A diet high in fruits and vegetables decreases the risk of cardiovascular disease and death . A 2021 review found that plant-based diets can provide a risk reduction for CVD if a healthy plant-based diet is consumed. Unhealthy plant-based diets do not provide benefits over diets including meat. A similar meta-analysis and systematic review also looked into dietary patterns and found "that diets lower in animal foods and unhealthy plant foods, and higher in healthy plant foods are beneficial for CVD prevention". A 2018 meta-analysis of observational studies concluded that "In most countries,
495-497: A beneficial effect. A diet high in trans fatty acids is associated with higher rates of cardiovascular disease, and in 2015 the Food and Drug Administration (FDA) determined that there was 'no longer a consensus among qualified experts that partially hydrogenated oils (PHOs), which are the primary dietary source of industrially produced trans fatty acids (IP-TFA), are generally recognized as safe (GRAS) for any use in human food'. There
594-498: A clear definition, sustainability expert Mathis Wackernagel and founder of Global Footprint Network , emphasizes that the binary labeling of countries is "neither descriptive nor explanatory". Wackernagel identifies these binary terms of "developing" vs. "developed" countries, or "North" vs. "South", as "a thoughtless and destructive endorsement of GDP fetish." Wackernagel and Rosling both argue that in reality, there are not two types of countries, but over 200 countries, all faced with
693-617: A given age , from CVD are more common and have been increasing in much of the developing world , while rates have declined in most of the developed world since the 1970s. Coronary artery disease and stroke account for 80% of CVD deaths in males and 75% of CVD deaths in females. Most cardiovascular disease affects older adults. In the United States 11% of people between 20 and 40 have CVD, while 37% between 40 and 60, 71% of people between 60 and 80, and 85% of people over 80 have CVD. The average age of death from coronary artery disease in
792-891: A greater risk of cardiovascular disease. Policies that have resulted in increased socio-economic inequalities have been associated with greater subsequent socio-economic differences in cardiovascular disease implying a cause and effect relationship. Psychosocial factors, environmental exposures, health behaviours, and health-care access and quality contribute to socio-economic differentials in cardiovascular disease. The Commission on Social Determinants of Health recommended that more equal distributions of power, wealth, education, housing, environmental factors, nutrition, and health care were needed to address inequalities in cardiovascular disease and non-communicable diseases. Particulate matter has been studied for its short- and long-term exposure effects on cardiovascular disease . Currently, airborne particles under 2.5 micrometers in diameter (PM 2.5 ) are
891-462: A high climate vulnerability or low climate resilience . Developing countries often have lower median ages than developed countries. Population aging is a global phenomenon, but population age has risen more slowly in developing countries. Development aid or development cooperation is financial aid given by foreign governments and other agencies to support developing countries' economic, environmental, social, and political development . If
990-524: A large informal economy , high crime rates ( extortion , robbery , burglary , murder , homicide , arms trafficking , sex trafficking , drug trafficking , kidnapping , rape ), low education levels, economic inequality , school desertion , inadequate access to family planning services, teenage pregnancy , many informal settlements and slums , corruption at all government levels, and political instability. Unlike developed countries, developing countries lack rule of law . Access to healthcare
1089-508: A male with diabetes. Women who have high blood pressure and had complications in their pregnancy have three times the risk of developing cardiovascular disease compared to women with normal blood pressure who had no complications in pregnancy. Coronary heart diseases are 2 to 5 times more common among middle-aged men than women. In a study done by the World Health Organization , sex contributes to approximately 40% of
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#17327729394761188-486: A medium to low standard of living . There is an association between low income and high population growth. The development of a country is measured with statistical indices such as income per capita (per person), gross domestic product per capita, life expectancy , the rate of literacy, freedom index and others. The UN has developed the Human Development Index (HDI), a compound indicator of some of
1287-943: A method of grouping countries based on their defining characteristics with regard to socioeconomics and politics . According to UN Trade and Development (UNCTAD), the Global South broadly comprises Africa, Latin America and the Caribbean , Asia (excluding Israel , Japan , and South Korea ), and Oceania (excluding Australia and New Zealand ). Most of the Global South's countries are commonly identified as lacking in their standard of living , which includes having lower incomes , high levels of poverty , high population growth rates , inadequate housing, limited educational opportunities, and deficient health systems , among other issues. Additionally, these countries' cities are characterized by their poor infrastructure . Opposite to
1386-691: A non-partner (not including sexual harassment ) at some point in their lives. Evidence shows women who have had experienced physical or sexual intimate partner violence report higher rates of depression, having an abortion and acquiring HIV , compared to women who have not had experienced any physical or sexual violence. Data from the Middle East and North Africa shows that men who witnessed their fathers against their mothers, and men who experienced some form of violence as children, more likely have reported perpetrating intimate partner violence in their adult relationships. The status of healthcare that
1485-564: A preferential treatment at the WTO , countries such as Brunei , Hong Kong , Kuwait , Macao , Qatar , Singapore , and the United Arab Emirates have been cited and criticized for this self-declared status. Development can be measured by economic or human factors. Developing countries are, in general, countries that have not achieved a significant degree of industrialization relative to their populations, and have, in most cases,
1584-451: A reduction in cardiovascular events. A 2015 meta-analysis of observational studies however did not find a convincing association between saturated fat intake and cardiovascular disease. Variation in what is used as a substitute for saturated fat may explain some differences in findings. The benefit from replacement with polyunsaturated fats appears greatest, while replacement of saturated fats with carbohydrates does not appear to have
1683-503: A result of social and environmental factors. Black children and children living in disadvantaged neighborhoods have much higher rates of sleep apnea. Cardiovascular disease has a greater impact on low- and middle-income countries compared to those with higher income. Although data on the social patterns of cardiovascular disease in low- and middle-income countries is limited, reports from high-income countries consistently demonstrate that low educational status or income are associated with
1782-432: A risk of death as never smokers. Insufficient physical activity (defined as less than 5 x 30 minutes of moderate activity per week, or less than 3 x 20 minutes of vigorous activity per week) is currently the fourth leading risk factor for mortality worldwide. In 2008, 31.3% of adults aged 15 or older (28.2% men and 34.4% women) were insufficiently physically active. The risk of ischemic heart disease and diabetes mellitus
1881-437: A small amount compared to usual care. However, there was some uncertainty as to whether providing these scores had any effect on cardiovascular disease events. It is unclear whether or not dental care in those with periodontitis affects their risk of cardiovascular disease. According to a 2021 WHO study, working 55+ hours a week raises the risk of stroke by 35% and the risk of dying from heart conditions by 17%, when compared to
1980-461: A small effect. Age is the most important risk factor in developing cardiovascular or heart diseases, with approximately a tripling of risk with each decade of life. Coronary fatty streaks can begin to form in adolescence. It is estimated that 82 percent of people who die of coronary heart disease are 65 and older. Simultaneously, the risk of stroke doubles every decade after age 55. Multiple explanations are proposed to explain why age increases
2079-818: A system of systemic exploitation. They exported raw materials, such as rubber , for a bargain. Companies based in the Western world have often used the cheaper labor in developing countries for production. The West benefited significantly from this system, but left developing countries undeveloped. This arrangement is sometimes called neocolonialism , meaning a system in which less-developed countries are taken advantage of by developed countries. It does not necessarily mean that former colonies are still controlled by their former colonizer; it refers to colonial-like exploitation. Developing countries are often helping further develop rich countries, rather than being developed themselves. Several institutions have been established with
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#17327729394762178-709: A vegan diet is associated with a more favourable cardio-metabolic profile compared to an omnivorous diet." Evidence suggests that the Mediterranean diet may improve cardiovascular outcomes. There is also evidence that a Mediterranean diet may be more effective than a low-fat diet in bringing about long-term changes to cardiovascular risk factors (e.g., lower cholesterol level and blood pressure ). The DASH diet (high in nuts, fish, fruits and vegetables, and low in sweets, red meat and fat) has been shown to reduce blood pressure, lower total and low density lipoprotein cholesterol and improve metabolic syndrome ; but
2277-409: Is also beneficial. Treating people who have strep throat with antibiotics can decrease the risk of rheumatic heart disease. The use of aspirin in people who are otherwise healthy is of unclear benefit. Cardiovascular diseases are the leading cause of death worldwide except Africa. Together CVD resulted in 17.9 million deaths (32.1%) in 2015, up from 12.3 million (25.8%) in 1990. Deaths, at
2376-1214: Is also linked to carotid artery thickening and increased risk of acute myocardial infarction. Existing cardiovascular disease or a previous cardiovascular event, such as a heart attack or stroke, is the strongest predictor of a future cardiovascular event. Age, sex, smoking, blood pressure, blood lipids and diabetes are important predictors of future cardiovascular disease in people who are not known to have cardiovascular disease. These measures, and sometimes others, may be combined into composite risk scores to estimate an individual's future risk of cardiovascular disease. Numerous risk scores exist although their respective merits are debated. Other diagnostic tests and biomarkers remain under evaluation but currently these lack clear-cut evidence to support their routine use. They include family history, coronary artery calcification score, high sensitivity C-reactive protein (hs-CRP), ankle–brachial pressure index , lipoprotein subclasses and particle concentration, lipoprotein(a), apolipoproteins A-I and B, fibrinogen , white blood cell count, homocysteine , N-terminal pro B-type natriuretic peptide (NT-proBNP), and markers of kidney function. High blood phosphorus
2475-494: Is also linked to an increased risk. There is evidence that mental health problems, in particular depression and traumatic stress, is linked to cardiovascular diseases. Whereas mental health problems are known to be associated with risk factors for cardiovascular diseases such as smoking, poor diet, and a sedentary lifestyle, these factors alone do not explain the increased risk of cardiovascular diseases seen in depression, stress, and anxiety. Moreover, posttraumatic stress disorder
2574-625: Is another form of violence against women which is still occurring in many developing countries. It is found mostly in Africa, and to a lesser extent in the Middle East and some other parts of Asia. Developing countries with the highest rate of women who have been cut are Somalia (with 98% of women affected), Guinea (96%), Djibouti (93%), Egypt (91%), Eritrea (89%), Mali (89%), Sierra Leone (88%), Sudan (88%), Gambia (76%), Burkina Faso (76%), and Ethiopia (74%). Due to globalization and immigration, FGM
2673-422: Is associated with heart disease. Associations also exist for exposure to arsenic , benzopyrenes , lead , dynamite , carbon disulphide , carbon monoxide , metalworking fluids and occupational exposure to tobacco smoke . Working with the electrolytic production of aluminium or the production of paper when the sulphate pulping process is used is associated with heart disease. An association
2772-514: Is being electrolytically produced, is associated with stroke . As of 2017, evidence suggests that certain leukemia -associated mutations in blood cells may also lead to increased risk of cardiovascular disease. Several large-scale research projects looking at human genetic data have found a robust link between the presence of these mutations, a condition known as clonal hematopoiesis , and cardiovascular disease-related incidents and mortality. Radiation treatments (RT) for cancer can increase
2871-411: Is complex, and may depend on the amount of alcohol consumed. There is a direct relationship between high levels of drinking alcohol and cardiovascular disease. Drinking at low levels without episodes of heavy drinking may be associated with a reduced risk of cardiovascular disease, but there is evidence that associations between moderate alcohol consumption and protection from stroke are non-causal. At
2970-452: Is conflicting evidence concerning whether dietary supplements of omega-3 fatty acids (a type of polyunsaturated essential fatty acid) added to diet improve cardiovascular risk. The benefits of recommending a low-salt diet in people with high or normal blood pressure are not clear. In those with heart failure, after one study was left out, the rest of the trials show a trend to benefit. Another review of dietary salt concluded that there
3069-436: Is criticism for using the term "developing country". The term could imply inferiority of this kind of country compared with a developed country . It could assume a desire to develop along the traditional Western model of economic development which a few countries, such as Cuba and Bhutan , choose not to follow. Alternative measurements such as gross national happiness have been suggested as important indicators. One of
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3168-452: Is defined by sociologist Patrick Heller as: "closing [the] gap between formal legal rights in the civil and political arena, and the actual capability to meaningfully practice those rights". Beyond citizenship, the study of the politics of cross-border mobility in developing countries has also shed valuable light in migration debates, seen as a corrective to the traditional focus on developed countries. Some political scientists identify
3267-435: Is disputed. The World Health Organization attributes approximately 1.7 million deaths worldwide to low fruit and vegetable consumption. Frequent consumption of high-energy foods, such as processed foods that are high in fats and sugars, promotes obesity and may increase cardiovascular risk. The amount of dietary salt consumed may also be an important determinant of blood pressure levels and overall cardiovascular risk. There
3366-543: Is documented as increasing cardiovascular risk in both adults and teens. Recommendations suggest that infants typically need 12 or more hours of sleep per day, adolescents at least eight or nine hours, and adults seven or eight. About one-third of adult Americans get less than the recommended seven hours of sleep per night, and in a study of teenagers, just 2.2 percent of those studied got enough sleep, many of whom did not get good quality sleep. Studies have shown that short sleepers getting less than seven hours sleep per night have
3465-488: Is estimated to account for approximately 13% of CVD deaths, while tobacco accounts for 9%, diabetes 6%, lack of exercise 6%, and obesity 5%. Rheumatic heart disease may follow untreated strep throat . It is estimated that up to 90% of CVD may be preventable. Prevention of CVD involves improving risk factors through: healthy eating , exercise, avoidance of tobacco smoke and limiting alcohol intake. Treating risk factors, such as high blood pressure, blood lipids and diabetes
3564-412: Is evidence that higher consumption of sugar is associated with higher blood pressure and unfavorable blood lipids, and sugar intake also increases the risk of diabetes mellitus. High consumption of processed meats is associated with an increased risk of cardiovascular disease, possibly in part due to increased dietary salt intake. The relationship between alcohol consumption and cardiovascular disease
3663-597: Is inconclusive. Additionally echocardiography , myocardial perfusion imaging , and cardiac stress testing is not recommended in those at low risk who do not have symptoms. Some biomarkers may add to conventional cardiovascular risk factors in predicting the risk of future cardiovascular disease; however, the value of some biomarkers is questionable. Ankle-brachial index (ABI), high-sensitivity C-reactive protein (hsCRP), and coronary artery calcium , are also of unclear benefit in those without symptoms as of 2018. The NIH recommends lipid testing in children beginning at
3762-490: Is independently associated with increased risk for incident coronary heart disease, even after adjusting for depression and other covariates. Little is known about the relationship between work and cardiovascular disease, but links have been established between certain toxins, extreme heat and cold, exposure to tobacco smoke, and mental health concerns such as stress and depression. A 2015 SBU-report looking at non-chemical factors found an association for those: Specifically
3861-509: Is moderate quality evidence that reducing saturated fat intake for at least two years reduces the risk of cardiovascular disease. High trans-fat intake has adverse effects on blood lipids and circulating inflammatory markers, and elimination of trans-fat from diets has been widely advocated. In 2018 the World Health Organization estimated that trans fats were the cause of more than half a million deaths per year. There
3960-605: Is not universally agreed upon. There is also no clear agreement on which countries fit this category. The terms low and middle-income country ( LMIC ) and newly emerging economy ( NEE ) are often used interchangeably but refers only to the economy of the countries. The World Bank classifies the world's economies into four groups, based on gross national income per capita: high, upper-middle, lower-middle, and low income countries. Least developed countries , landlocked developing countries and small island developing states are all sub-groupings of developing countries. Countries on
4059-474: Is often low. People in developing countries usually have lower life expectancies than people in developed countries, reflecting both lower income levels and poorer public health. The burden of infectious diseases, maternal mortality , child mortality and infant mortality are typically substantially higher in those countries. The effects of climate change are expected to impact developing countries more than high-income countries, as most of them have
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4158-848: Is often used interchangeably with "developing country" but refers only to the economy of the countries. Least developed countries , landlocked developing countries and small island developing states are all sub-groupings of developing countries. Countries on the other end of the spectrum are usually referred to as high-income countries or developed countries . The term " Global South " began to be used more widely since about 2004. It can also include poorer "southern" regions of wealthy "northern" countries. The Global South refers to these countries' "interconnected histories of colonialism , neo-imperialism , and differential economic and social change through which large inequalities in living standards, life expectancy, and access to resources are maintained". Global North and Global South are terms that denote
4257-408: Is one with GNI per capita between 1,046 and 4,095 in current US$ ; an upper middle-income country is one with GNI per capita between 4,096 and 12,695 in current US$ , and a high income country is one with GNI per capita of more than 12,696 in current US$ . Historical thresholds are documented. The use of the term "market" instead of "country" usually indicates a specific focus on the characteristics of
4356-543: Is reduced by almost a third in adults who participate in 150 minutes of moderate physical activity each week (or equivalent). In addition, physical activity assists weight loss and improves blood glucose control, blood pressure, lipid profile and insulin sensitivity. These effects may, at least in part, explain its cardiovascular benefits. High dietary intakes of saturated fat, trans-fats and salt, and low intake of fruits, vegetables and fish are linked to cardiovascular risk, although whether all these associations indicate causes
4455-452: Is some evidence that interventions aiming to reduce more than one cardiovascular risk factor may have beneficial effects on blood pressure, body mass index and waist circumference; however, evidence was limited and the authors were unable to draw firm conclusions on the effects on cardiovascular events and mortality. There is additional evidence to suggest that providing people with a cardiovascular disease risk score may reduce risk factors by
4554-542: Is spreading beyond the borders of Africa, Asia and the Middle East, and to countries such as Australia, Belgium, Canada, France, New Zealand, the U.S., and UK. The Istanbul Convention prohibits female genital mutilation (Article 38). As of 2016, FGM has been legally banned in many African countries. According to UN Women facts and figures on ending violence against women , it is estimated that 35 percent of women worldwide have experienced either physical and sexual violence by intimate partners or sexual violence by
4653-467: Is strong evidence that high dietary salt intake increases blood pressure and worsens hypertension, and that it increases the number of cardiovascular disease events; both as a result of the increased blood pressure and probably through other mechanisms. Moderate evidence was found that high salt intake increases cardiovascular mortality; and some evidence was found for an increase in overall mortality, strokes, and left ventricular hypertrophy . Overall,
4752-406: Is the cause for more than 200 million children under five years of age in developing countries not reaching their developmental potential. About 165 million children were estimated to have stunted growth from malnutrition in 2013. In some developing countries, overnutrition in the form of obesity is beginning to present within the same communities as undernutrition. The following list shows
4851-407: Is the most life-threatening of the diabetic complications and diabetics are two- to four-fold more likely to die of cardiovascular-related causes than nondiabetics. Screening ECGs (either at rest or with exercise) are not recommended in those without symptoms who are at low risk. This includes those who are young without risk factors. In those at higher risk the evidence for screening with ECGs
4950-578: Is the only cardiovascular disease (CVD) organization in official relations with the World Health Organization . The World Heart Federation hosts the World Congress of Cardiology. The first World Congress of Cardiology was convened in Paris in September 1950 under the aegis of the International Society of Cardiology, which had itself been founded four years previously. In 2000, World Heart Day
5049-432: Is the sectoral changes that have occurred since the stage of development of the country. On an average, countries with a 50% contribution from the secondary sector ( manufacturing ) have grown substantially. Similarly, countries with a tertiary sector stronghold also see a greater rate of economic development . The term "developing countries" has many research theories associated with it (in chronological order): There
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#17327729394765148-853: Is used by some as an alternative term to developing countries. Developing countries tend to have some characteristics in common often due to their histories or geographies. For example, they commonly have: lower levels of access to safe drinking water , sanitation and hygiene , energy poverty , higher levels of pollution (e.g. air pollution , littering , water pollution , open defecation ), higher proportions of people with tropical and infectious diseases ( neglected tropical diseases ), more road traffic accidents , and generally poorer quality infrastructure . In addition, there are also often high unemployment rates, widespread poverty , widespread hunger , extreme poverty , child labour , malnutrition , homelessness , substance abuse , prostitution , overpopulation , civil disorder , human capital flight ,
5247-571: The Sustainable Development Goals which were set up by the United Nations for the year 2030 are achieved, they would overcome many of these problems. There are several terms used to classify countries into rough levels of development. Classification of any given country differs across sources, and sometimes, these classifications or the specific terminology used is considered disparaging. The World Bank classifies
5346-640: The coronary arteries . Cardiovascular disease in a person's parents increases their risk by ~3 fold, and genetics is an important risk factor for cardiovascular diseases. Genetic cardiovascular disease can occur either as a consequence of single variant (Mendelian) or polygenic influences. There are more than 40 inherited cardiovascular disease that can be traced to a single disease-causing DNA variant, although these conditions are rare. Most common cardiovascular diseases are non-Mendelian and are thought to be due to hundreds or thousands of genetic variants (known as single nucleotide polymorphisms), each associated with
5445-693: The Global South is the Global North, which the UNCTAD describes as broadly comprising Northern America and Europe, Israel, Japan, South Korea, Australia, and New Zealand. As such, the two terms do not refer to the Northern Hemisphere or the Southern Hemisphere , as many of the Global South's countries are geographically located in the former and, similarly, a number of the Global North's countries are geographically located in
5544-746: The Global Summit was renamed the World Heart Summit. Cardiovascular disease Cardiovascular disease ( CVD ) is any disease involving the heart or blood vessels . CVDs constitute a class of diseases that includes: coronary artery diseases (e.g. angina , heart attack ), heart failure , hypertensive heart disease , rheumatic heart disease , cardiomyopathy , arrhythmia , congenital heart disease , valvular heart disease , carditis , aortic aneurysms , peripheral artery disease , thromboembolic disease , and venous thrombosis . The underlying mechanisms vary depending on
5643-566: The UN institutions); the former Soviet Union (USSR) countries in Central Asia ( Kazakhstan , Uzbekistan , Kyrgyzstan , Tajikistan and Turkmenistan ); and Mongolia . By 2009, the IMF's World Economic Outlook classified countries as advanced, emerging, or developing, depending on "(1) per capita income level, (2) export diversification—so oil exporters that have high per capita GDP would not make
5742-680: The above statistics, to gauge the level of human development for countries where data is available. The UN had set Millennium Development Goals from a blueprint developed by all of the world's countries and leading development institutions, in order to evaluate growth. These goals ended in 2015, to be superseded by the Sustainable Development Goals . The concept of the developing nation is found, under one term or another, in numerous theoretical systems having diverse orientations – for example, theories of decolonization , liberation theology , Marxism , anti-imperialism , modernization , social change and political economy . Another important indicator
5841-504: The advanced classification because around 70% of its exports are oil, and (3) degree of integration into the global financial system". Developing countries can also be categorized by geography: In general, the WTO accepts any country's claim of itself being "developing." Certain countries that have become "developed" in the last 20 years by almost all economic metrics, still insist to be classified as "developing country," as it entitles them to
5940-420: The age of 2 if there is a family history of heart disease or lipid problems. It is hoped that early testing will improve lifestyle factors in those at risk such as diet and exercise. Screening and selection for primary prevention interventions has traditionally been done through absolute risk using a variety of scores (ex. Framingham or Reynolds risk scores). This stratification has separated people who receive
6039-549: The countries' capital markets as opposed to the overall economy. Under other criteria, some countries are at an intermediate stage of development, or, as the International Monetary Fund (IMF) put it, following the fall of the Soviet Union , "countries in transition": all those of Central and Eastern Europe (including Central European countries that still belonged to the "Eastern Europe Group" in
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#17327729394766138-468: The creation of slums. In some cities, especially in countries in Southern Asia and Sub-Saharan Africa, slums are not just marginalized neighborhoods holding a small population; slums are widespread, and are home to a large part of urban population. These are sometimes called "slum cities". Several forms of violence against women are more prevalent in developing countries than in other parts of
6237-479: The current body of scientific evidence is uncertain on whether intermittent fasting could prevent cardiovascular disease. Intermittent fasting may help people lose more weight than regular eating patterns, but was not different from energy restriction diets. Developing world A developing country is a sovereign state with a less developed industrial base and a lower Human Development Index (HDI) relative to other countries. However, this definition
6336-410: The current divide between the developed and developing world is largely a phenomenon of the 20th century. The late global health expert Hans Rosling has argued against the terms, calling the concept "outdated" since the terms are used under the prerequisite that the world is divided in rich and poor countries, while the fact is that the vast majority of countries are middle-income. Given the lack of
6435-859: The developed world is around 80, while it is around 68 in the developing world. CVD is typically diagnosed seven to ten years earlier in men than in women. There are many cardiovascular diseases involving the blood vessels. They are known as vascular diseases . There are also many cardiovascular diseases that involve the heart. There are many risk factors for heart diseases: age, sex, tobacco use, physical inactivity, non-alcoholic fatty liver disease , excessive alcohol consumption, unhealthy diet, obesity, genetic predisposition and family history of cardiovascular disease, raised blood pressure ( hypertension ), raised blood sugar ( diabetes mellitus ), raised blood cholesterol ( hyperlipidemia ), undiagnosed celiac disease , psychosocial factors, poverty and low educational status, air pollution , and poor sleep . While
6534-426: The disease. It is estimated that dietary risk factors are associated with 53% of CVD deaths. Coronary artery disease, stroke, and peripheral artery disease involve atherosclerosis . This may be caused by high blood pressure , smoking , diabetes mellitus , lack of exercise , obesity , high blood cholesterol , poor diet, excessive alcohol consumption, and poor sleep , among other things. High blood pressure
6633-411: The early criticisms that questioned the use of the terms "developing" and "underdeveloped" countries was voiced in 1973 by prominent historian and academic Walter Rodney who compared the economic, social, and political parameters between the United States and countries in Africa and Asia. There is "no established convention" for defining "developing country". According to economist Jeffrey Sachs ,
6732-482: The female lipid metabolism toward a more atherogenic form by decreasing the HDL cholesterol level while increasing LDL and total cholesterol levels. Among men and women, there are differences in body weight, height, body fat distribution, heart rate, stroke volume, and arterial compliance. In the very elderly, age-related large artery pulsatility and stiffness are more pronounced among women than men. This may be caused by
6831-676: The further significant environmentally-related causes or conditions, as well as certain diseases with a strong environmental component: Access to water, sanitation and hygiene ( WASH ) services is at very low levels in many developing countries. In 2015 the World Health Organization (WHO) estimated that "1 in 3 people, or 2.4 billion, are still without sanitation facilities" while 663 million people still lack access to safe and clean drinking water. The estimate in 2017 by JMP states that 4.5 billion people currently do not have safely managed sanitation. The majority of these people live in developing countries. About 892 million people or 12 percent of
6930-551: The general public can access is substantially different between developing countries and developed countries. People in developing countries usually have a lower life expectancy than people in developed countries, reflecting both lower income levels and poorer public health. The burden of infectious diseases, maternal mortality , child mortality and infant mortality are typically substantially higher in those countries. Developing countries also have less access to medical health services generally, and are less likely to have
7029-429: The global population, and is criticized for its imprecision. Historical and empirical evidence, like the varied infant mortality rates across these nations, underscores the flaws in a uniform classification. Alternatives such as regional or income-based categories (low-income to high-income) are advocated for, as they align better with the specific contexts of countries, supporting more effective policy formulation. Since
7128-540: The goal of putting an end to this system. One of these institutions is the New International Economic Order . They have a 'no-strings-attached' policy that promotes developing countries remaining or becoming self-sufficient. More specifically, they advocate sovereignty over natural resources and industrialization. Coalitions of developing nations, like the NIEO, frequently lobby for parity in
7227-528: The individual contribution of each risk factor varies between different communities or ethnic groups the overall contribution of these risk factors is very consistent. Some of these risk factors, such as age, sex or family history/genetic predisposition, are immutable; however, many important cardiovascular risk factors are modifiable by lifestyle change, social change, drug treatment (for example prevention of hypertension, hyperlipidemia, and diabetes). People with obesity are at increased risk of atherosclerosis of
7326-464: The intermediate and low risk groups. As a result, future preventative screening appears to shift toward applying prevention according to randomized trial results of each intervention rather than large-scale risk assessment. Up to 90% of cardiovascular disease may be preventable if established risk factors are avoided. Currently practised measures to prevent cardiovascular disease include: Most guidelines recommend combining preventive strategies. There
7425-421: The late 1990s, countries identified by the UN as developing countries tended to demonstrate higher growth rates than those in the developed countries category. To moderate the euphemistic aspect of the word "developing", international organizations have started to use the term less economically developed country for the poorest nations – which can, in no sense, be regarded as developing. This highlights that
7524-689: The latter. Many developing countries have only attained full self-determination and democracy after the second half of the 20th century. Many were governed by an imperial European power until decolonization . Political systems in developing countries are diverse, but most states had established some form of democratic governments by the early 21st century, with varying degrees of success and political liberty . The inhabitants of developing countries were introduced to democratic systems later and more abruptly than their Northern counterparts and were sometimes targeted by governmental and non-governmental efforts to encourage participation. 'Effective citizenship '
7623-425: The lifestyle interventions (generally lower and intermediate risk) from the medication (higher risk). The number and variety of risk scores available for use has multiplied, but their efficacy according to a 2016 review was unclear due to lack of external validation or impact analysis. Risk stratification models often lack sensitivity for population groups and do not account for the large number of negative events among
7722-616: The long-term benefits have been questioned. A high- fiber diet is associated with lower risks of cardiovascular disease. Worldwide, dietary guidelines recommend a reduction in saturated fat , and although the role of dietary fat in cardiovascular disease is complex and controversial there is a long-standing consensus that replacing saturated fat with unsaturated fat in the diet is sound medical advice. Total fat intake has not been found to be associated with cardiovascular risk. A 2020 systematic review found moderate quality evidence that reducing saturated fat intake for at least 2 years caused
7821-461: The loss of arterial elasticity and reduced arterial compliance and may subsequently lead to coronary artery disease. Men are at greater risk of heart disease than pre-menopausal women. Once past menopause , it has been argued that a woman's risk is similar to a man's although more recent data from the WHO and UN disputes this. If a female has diabetes, she is more likely to develop heart disease than
7920-600: The major focus, in which gradients are used to determine CVD risk. Overall, long-term PM exposure increased rate of atherosclerosis and inflammation. In regards to short-term exposure (2 hours), every 25 μg/m of PM 2.5 resulted in a 48% increase of CVD mortality risk. In addition, after only 5 days of exposure, a rise in systolic (2.8 mmHg) and diastolic (2.7 mmHg) blood pressure occurred for every 10.5 μg/m of PM 2.5 . Other research has implicated PM 2.5 in irregular heart rhythm, reduced heart rate variability (decreased vagal tone), and most notably heart failure. PM 2.5
8019-510: The major precursor of cardiovascular disease, begins in childhood. The Pathobiological Determinants of Atherosclerosis in Youth (PDAY) study demonstrated that intimal lesions appear in all the aortas and more than half of the right coronary arteries of youths aged 7–9 years. Obesity and diabetes mellitus are linked to cardiovascular disease, as are a history of chronic kidney disease and hypercholesterolaemia . In fact, cardiovascular disease
8118-569: The other end of the spectrum are usually referred to as high-income countries or developed countries . There are controversies over the term's use, as some feel that it perpetuates an outdated concept of "us" and "them" . In 2015, the World Bank declared that the "developing/developed world categorization" had become less relevant and that they will phase out the use of that descriptor. Instead, their reports will present data aggregations for regions and income groups. The term " Global South "
8217-418: The population level, the health risks of drinking alcohol exceed any potential benefits. Untreated celiac disease can cause the development of many types of cardiovascular diseases, most of which improve or resolve with a gluten-free diet and intestinal healing. However, delays in recognition and diagnosis of celiac disease can cause irreversible heart damage. A lack of good sleep, in amount or quality,
8316-530: The presentation of its data, considering the two-category distinction outdated. Accordingly, World Bank is phasing out use of that descriptor. Instead, the reports by Worldbank (such as the WDI and the Global Monitoring Report ) now include data aggregations for the whole world, for regions, and for income groups – but not for the "developing world". The term low and middle-income country (LMIC)
8415-520: The resources to purchase, produce and administer vaccines , even though vaccine equity worldwide is important to combatting pandemics , such as the COVID-19 pandemic . Undernutrition is more common in developing countries. Certain groups have higher rates of undernutrition, including women – in particular while pregnant or breastfeeding – children under five years of age, and the elderly. Malnutrition in children and stunted growth of children
8514-443: The risk of stroke was also increased by exposure to ionizing radiation. Hypertension develops more often in those who experience job strain and who have shift-work. Differences between women and men in risk are small, however men risk having and dying of heart attacks or stroke twice as often as women during working life. A 2017 SBU report found evidence that workplace exposure to silica dust , engine exhaust or welding fumes
8613-423: The risk of cardiovascular/heart diseases. One of them relates to serum cholesterol level. In most populations, the serum total cholesterol level increases as age increases. In men, this increase levels off around age 45 to 50 years. In women, the increase continues sharply until age 60 to 65 years. Aging is also associated with changes in the mechanical and structural properties of the vascular wall, which leads to
8712-955: The risk of heart disease and death, as observed in breast cancer therapy. Therapeutic radiation increases the risk of a subsequent heart attack or stroke by 1.5 to 4 times; the increase depends on the dose strength, volume, and location. Use of concomitant chemotherapy, e.g. anthracyclines, is an aggravating risk factor. The occurrence rate of RT induced cardiovascular disease is estimated between 10% and 30%. Side-effects from radiation therapy for cardiovascular diseases have been termed radiation-induced heart disease or radiation-induced cardiovascular disease . Symptoms are dose-dependent and include cardiomyopathy , myocardial fibrosis , valvular heart disease , coronary artery disease , heart arrhythmia and peripheral artery disease . Radiation-induced fibrosis, vascular cell damage and oxidative stress can lead to these and other late side-effect symptoms. Population-based studies show that atherosclerosis,
8811-429: The same laws of nature, yet each with unique features. The term "developing" refers to a current situation and not a changing dynamic or expected direction of development. Additionally, the term "developing world" is increasingly seen as outdated, suggesting a hierarchy and not accurately reflecting the diverse realities of the encompassed countries. This term includes 135 low- or middle-income countries, covering 84% of
8910-536: The standard of living across the entire developing world varies greatly. In 2015, the World Bank declared that the "developing / developed world categorization" had become less relevant, due to worldwide improvements in indices such as child mortality rates, fertility rates and extreme poverty rates. In the 2016 edition of its World Development Indicators (WDI), the World Bank made a decision to no longer distinguish between "developed" and "developing" countries in
9009-533: The urban population in the developing world in 2012, or about 863 million people, lived in slums . In 2012, the proportion of urban population living in slums was highest in Sub-Saharan Africa (62%), followed by South Asia (35%), Southeast Asia (31%) and East Asia (28%). The UN-Habitat reports that 43% of urban population in developing countries and 78% of those in the least developed countries live in slums. Slums form and grow in different parts of
9108-592: The variation in sex ratios of coronary heart disease mortality. Another study reports similar results finding that sex differences explains nearly half the risk associated with cardiovascular diseases One of the proposed explanations for sex differences in cardiovascular diseases is hormonal difference. Among women, estrogen is the predominant sex hormone. Estrogen may have protective effects on glucose metabolism and hemostatic system, and may have direct effect in improving endothelial cell function. The production of estrogen decreases after menopause, and this may change
9207-406: The women's smaller body size and arterial dimensions which are independent of menopause. Cigarettes are the major form of smoked tobacco. Risks to health from tobacco use result not only from direct consumption of tobacco, but also from exposure to second-hand smoke. Approximately 10% of cardiovascular disease is attributed to smoking; however, people who quit smoking by age 30 have almost as low
9306-402: The world for many reasons. Causes include rapid rural-to-urban migration , economic stagnation and depression, high unemployment , poverty, informal economy , forced or manipulated ghettoization , poor planning, politics, natural disasters and social conflicts . For example, as populations expand in poorer countries, rural people move to cities in extensive urban migration that results in
9405-495: The world stage. The rise of China might imply the rise of the BRIC countries . The global issues most often discussed by developing countries include globalisation , global health governance, health, and prevention needs. This is contrasted by issues developed nations tend to address, such as innovations in science and technology. Most developing countries have these criteria in common: According to UN-Habitat , around 33% of
9504-479: The world's economies into four groups, based on gross national income per capita calculated using the Atlas method , re-set each year on 1 July: The three groups that are not "high income" are together referred to as "low and middle income countries" (LMICs). For example, for the 2022 fiscal year, a low income country is defined as one with a GNI per capita less than 1,045 in current US$ ; a lower middle-income country
9603-607: The world. Acid throwing is associated with Southeast Asia, including Cambodia. Honor killing is associated with the Middle East and the Indian Subcontinent. Marriage by abduction is found in Ethiopia, Central Asia and the Caucasus. Abuse related to payment of bride price (such as violence, trafficking and forced marriage) is linked to parts of Sub-Saharan Africa and Oceania. Female genital mutilation (FGM)
9702-459: Was also found between heart disease and exposure to compounds which are no longer permitted in certain work environments, such as phenoxy acids containing TCDD (dioxin) or asbestos . Workplace exposure to silica dust or asbestos is also associated with pulmonary heart disease . There is evidence that workplace exposure to lead, carbon disulphide, phenoxyacids containing TCDD, as well as working in an environment where aluminum
9801-525: Was founded to inform people that CVD is the world's leading cause of death. World Heart Day is the world's biggest awareness-raising platform for CVD, celebrated every year on 29 September . On this day various health campaigns are initiated worldwide. In 2016, the World Heart Federation hosted the first Global Summit on Circulatory Health, held in Mexico City . Attendees included ministers of health, public health officials, and industry leaders. In 2021,
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