Evidence map›Paper›PMID 40669954›Full record

ArticleJournal of the American College of Cardiology2025

The Global Syndemic of Modifiable Cardiovascular Risk Factors Projected From 2025 to 2050.

Bryan Chong, Jayanth Jayabaskaran, Silingga Metta Jauhari, Jobelle Chia, Carel W le Roux, Anurag Mehta, Georgios K Dimitriadis, Yiming Chen, Sue Anne Toh, Yosef Manla and 23 more

Abstract read
In one paragraph

Article in Journal of the American College of Cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

33 authors.

Bryan ChongYong Loo Lin School of Medicine, National University Singapore, Singapore.
Jayanth JayabaskaranYong Loo Lin School of Medicine, National University Singapore, Singapore.
Silingga Metta JauhariYong Loo Lin School of Medicine, National University Singapore, Singapore; Department of Biostatistics, Cardiovascular Research Institute, National University Heart Centre Singapore, National University Health System, Singapore; Department of Cardiology, National University Heart Centre Singapore, National University Health System, Singapore.
Jobelle ChiaDepartment of Cardiology, National University Heart Centre Singapore, National University Health System, Singapore.
Carel W le RouxDiabetes Complications Research Centre, University College Dublin, Dublin, Ireland.
Anurag MehtaDivision of Cardiology, Virginia Commonwealth University, Richmond, Virginia, USA.
Georgios K DimitriadisDepartment of Endocrinology ASO/Easo COM, King's College Hospital NHS Foundation Trust, Denmark Hill, London, United Kingdom; Obesity, Type 2 Diabetes and Immunometabolism Research Group, Department of Diabetes, Faculty of Cardiovascular Medicine & Sciences, School of Life Course Sciences, King's College London, London, United Kingdom.
Yiming ChenYong Loo Lin School of Medicine, National University Singapore, Singapore.
Sue Anne TohYong Loo Lin School of Medicine, National University Singapore, Singapore; Department of Medicine, National University Hospital, Singapore; NOVI Health, Singapore; Regional Health System Office, National University Health System, Singapore.
Yosef ManlaHeart, Vascular and Thoracic Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Wael Al MahmeedHeart, Vascular and Thoracic Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Siew Pang ChanYong Loo Lin School of Medicine, National University Singapore, Singapore; Department of Biostatistics, Cardiovascular Research Institute, National University Heart Centre Singapore, National University Health System, Singapore; Department of Cardiology, National University Heart Centre Singapore, National University Health System, Singapore.
Rachel GohYong Loo Lin School of Medicine, National University Singapore, Singapore.
Srinithy NagarajanYong Loo Lin School of Medicine, National University Singapore, Singapore.
Henry LiUniversity of New South Wales, Sydney, New South Wales, Australia.
Gwyneth KongMinistry of Health Holdings, Ministry of Health, Singapore.
Yip Han ChinMinistry of Health Holdings, Ministry of Health, Singapore.
Jiong-Wei WangDepartment of Surgery, Cardiovascular Research Institute (CVRI), Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Han Shi Jocelyn ChewAlice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Evangelos KontopantelisDivision of Informatics, Imaging and Data Science, The University of Manchester, Manchester, United Kingdom.
Mark MuthiahYong Loo Lin School of Medicine, National University Singapore, Singapore; Division of Gastroenterology and Hepatology, Department of Medicine, National University Hospital, Singapore; National University Centre for Organ Transplantation, National University Health System, Singapore.
Jack Wei Chieh TanDepartment of Cardiovascular Medicine, National Heart Centre Singapore, and Duke-National University of Singapore, Singapore.
Derek HausenloyYong Loo Lin School of Medicine, National University Singapore, Singapore; Duke-NUS Medical School, Cardiovascular and Metabolic Disorders Programme, Singapore, Singapore; National Heart Centre Singapore, National Heart Research Institute Singapore, Singapore; University College London, The Hatter Cardiovascular Institute, London, United Kingdom.
Gemma A FigtreeDepartment of Cardiology, Royal North Shore Hospital, Sydney, New South Wales, Australia.
Mamas A MamasKeele Cardiovascular Research Group, School of Medicine, Keele University, Keele, United Kingdom.
A Mark RichardsDepartment of Cardiology, National University Heart Centre Singapore, National University Health System, Singapore; Christchurch Heart Institute, University of Otago, Otago, New Zealand.
Stephen J NichollsVictorian Heart Institute, Monash University, Melbourne, Victoria, Australia.
Mark Y ChanYong Loo Lin School of Medicine, National University Singapore, Singapore; Department of Cardiology, National University Heart Centre Singapore, National University Health System, Singapore.
Gregory Y H LipLiverpool Centre for Cardiovascular Science at University of Liverpool, Liverpool John Moores University and Liverpool Heart & Chest Hospital, Liverpool, United Kingdom; Danish Center for Health Services Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
Gregory RothDepartment of Health Metrics Sciences, Institute for Health Metrics and Evaluation, School of Medicine, University of Washington, Seattle, Washington, USA; Division of Cardiology, Department of Medicine, University of Washington, Seattle, Washington, USA.
George A MensahCenter for Translation Research and Implementation Science, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA.
Laurence S SperlingEmory University School of Medicine, Atlanta, Georgia, USA. Electronic address: lsperli@emory.edu.
Nicholas W S ChewYong Loo Lin School of Medicine, National University Singapore, Singapore; Department of Cardiology, National University Heart Centre Singapore, National University Health System, Singapore. Electronic address: nicholas_ws_chew@nuhs.edu.sg.

Funding

Intramural NIH HHS Z99 HL999999
6 · The paper itself

Abstract

backgroundCardiovascular diseases (CVDs) are the leading cause of global mortality. Understanding epidemiologic trends in the modifiable risk factors driving CVDs is essential in designing effective countermeasures.

objectivesThe aim of this study was to forecast geospatial trends of modifiable cardiovascular risk factors, namely high systolic blood pressure (SBP), high fasting plasma glucose, high body mass index (BMI), high low-density lipoprotein cholesterol, and tobacco use from 2025 to 2050.

methodsHistorical data on disability-adjusted life years (DALYs) and mortality from the GBD (Global Burden of Disease) 2021 study were used to forecast the burden associated with modifiable cardiovascular risk factors from 2025 to 2050. Trends across GBD super-regions, sex, sociodemographic index, and age groups were examined.

resultsIn 2050, high SBP (1,694.2 [95% uncertainty interval [UI]: 1,454.6-1,933.9] per 100,000 population) will contribute to the highest age-standardized DALYs, followed by high low-density lipoprotein cholesterol (657.6 [95% UI: 511.9-803.3] per 100,000 population), high BMI (495.2 [95% UI: 330.8-659.6] per 100,000 population), tobacco use (493.7 [95% UI: 378.2-609.1] per 100,000 population), and high fasting plasma glucose (466.7 [95% UI: 311.9-621.5] per 100,000 population). Although age-standardized DALY rates will fall across all cardiovascular risk factors from 2025 to 2050, overall crude DALYs associated with cardiovascular risk factors are projected to rise within the same period. High SBP (rising by 99 million DALYs; 44.1% increase), and high BMI (increasing by 44 million DALYs; 88.0% increase) will have the greatest rise in crude DALYs from 2025 to 2050.

conclusionsAlthough the projected decline in age-standardized DALYs of modifiable cardiovascular risk factors suggest improved management of CVDs, crude DALYs will continue to rise due to population growth and aging.

Indexed as

Cardiovascular DiseasesHeart Disease Risk FactorsAdultAgedBlood GlucoseBody Mass IndexDisability-Adjusted Life YearsFemaleForecastingGlobal Burden of DiseaseGlobal HealthHumansMaleMiddle AgedRisk FactorsBlood Glucosecardiovascular diseasedisability-adjusted life yearsglobal burdenstandard modifiable risk factors

Identifiers

PMID40669954
PMCPMC12718409

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.