Selected Major Risk Factors Attributed To Cardiovascular Disease In Western Pacific Region Of WHO

Background: Cardiovascular diseases(CVD)are not only affecting development country,also rapidly affecting upper-middle income country(UMIC)and low-middle income country(LMIC).According to WHO,in 2015 17.7 million people death from CVDs,representing 31% of all global deaths.Of these deaths,an estimated 6.7 million were due to stroke and 7.4 million were due to coronary heart disease.A more significant cause of concern is that CVD deaths occur at younger age in LMIC compared to HIC(high income country).According to WPHO one in five adults over 18 years of age have elevated blood pressure(BP),half of all men over 15 years of age smoke tobacco daily,and 85% of adolescents do not engage insufficient physical activity.Objectives: The aim of this study is the analyze the data of CVD main risk factors from WesternPacific Region(WPR),which major risk factor have been highest risk,urbanization how to influence to the life expectancy at birth.Methods: This is a descriptive study that used secondary data from open sites of WHO and World Bank.Twenty-five(N=25)countries from WPR were analyzed and separated into three categorical groups based on the World Bank classification: HIC(greater than US $12,275),UMIC($3976 to $12,275 inclusive)and LMIC($1006 to $3975 inclusive).Thirteen indicators(N=13)were divided into three main areas: health,social and economic.A descriptive statistical analysis was applied to compare the countries major risk factors in different income country from WPR.Selected high rated risk factors applied to regression analysis.Descriptive analysis applied to describe through graphs the differences the groups.The software’s used to perform the statistical analysis were SPSS 15,Graph Pad Prism 6 and Excel 2007.Results: Bivariate correlation analysis showed a significant correlation between mortality due to CVD and the health expenditure per capita(-0.630).Other analyzed indicators were slightly correlated to the mortality due to CVD such as the HDI(-0.377),urbanization(-0.452),prevalence of physical inactivity(-0.324),obesity(-0.326)and raised total cholesterol(-0.485).The life expectancy at birth(-0.229),alcohol total per capita(-0.208),current tobacco smoking(0.237),raised blood glucose(-0.159)and raised blood pressure(-0.118)had weak correlation.Analysis of the health risk factors revealed that the highest median values in the raised total cholesterol HIC(55.7%)UMIC(49.7%)and LMIC(36.1%).Alcohol,total per capita(15+ years)consumption is the lowest risk factor in HIC 9%,in UMIC 3%,and in LMIC 3.6%.In HIC(32927.15 US$)GDP per capita 5 times higher than UMIC(6805.93 US$).Also HIC(3400.00 US$)health expenditure per capita is 6 times bigger than UMIC(506.00 US$).The correlation table displays Pearson correlation coefficients showed weak positive association(r=0.48)between urbanization and life expectancy at birth.Mongolia has the highest death rate of CVD in WPR.Conclusion: The study revealed vital CVD major risk factors in emergency levels,with raised total cholesterol in particular,emerging as a significant public health concern.The environment where we live,study and work,influence on our behavior.To succeed in improving environments and decreasing the major modifiable risk factors(tobacco use,alcohol consumption,unhealthy diets and insufficient physical activity),secure collaboration among health and relevant non-health sectors and civil society is needed.According to our result total raised cholesterol is highest risk factor due to CVD in WPR.The health expenditure per capita strong correlated for mortality due to CVD.Unhealthy diet such as high calories,high in fat,much sugar,and much salt effect on CVD.The number of dietary salt consumption is an essential determinant of BP and overall CVD risk.The developing countries,mortality,and morbidity of CVD is rising considerably.