Evidence map›Paper›PMID 40678645›Full record

ReviewFrontiers in public health2025

Global burden and risk factors of childhood cardiovascular disease (1990-2021).

Caixia Hou, Nan Zhang, Chao Liu, Weijun Gao

Abstract readReview
In one paragraph

Review in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

4 authors.

Caixia HouQingdao Central Hospital, University of Health and Rehabilitation Sciences, Qingdao, China.
Nan ZhangFaculty of Environmental Engineering, The University of Kitakyushu, Kitakyushu, Japan.
Chao LiuInnovation Institute for Sustainable Maritime Architecture Research and Technology, Qingdao University of Technology, Qingdao, China.
Weijun GaoFaculty of Environmental Engineering, The University of Kitakyushu, Kitakyushu, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Childhood cardiovascular disease (CCVD) is a significant global health threat, with early risk factor accumulation potentially exerting profound impacts on cardiovascular health in adulthood. However, global data analyses on the burden of CCVD remain limited, particularly regarding variations across socio-demographic index (SDI) levels and effects of major risk factors. Objective: This study aimed to investigate worldwide patterns in the incidence and mortality of CCVD between 1990 and 2021 and examine how these trends vary by SDI, gender, age, and major environmental risk factors. Methods: This study analyzed the incidence, mortality, and estimated annual percentage change (EAPC) of CCVD in children aged 0 to 14 years during 1990-2021. Descriptive statistics, group comparisons, and correlation analyses were employed to evaluate the impact of SDI, gender, age, and environmental risks on the disease burden. Results: The global CCVD incidence rose from 1,486,136.37 cases (95% UI: 1,115,077.02-1,959,529.28) in 1990 to 1,861,693.20 cases (95% UI: 1,335,751.17-2,531,859.51) in 2021, an increase of approximately 25.27%, with an EAPC of 0.43 (95% UI: 0.35-0.51). Incidence rates increased continuously in low and low-middle SDI regions, whereas they showed a marked decline in regions with high and high-middle SDI levels. CCVD mortality decreased markedly in high-SDI regions but remained persistently high in low SDI regions. Gender and age analyses revealed higher incidence and mortality rates among female children compared to males, with the 10-14 age group being the most affected. Low temperatures were identified as a primary driver of CCVD burden, particularly in low-SDI regions. Conclusion: The global CCVD burden exhibits significant inequalities, largely driven by disparities in public health resource levels across regions with varying SDI. These findings highlight persistent global health inequalities and underscore the need for region-specific interventions, especially in low-SDI regions where the CCVD burden is rising.

Indexed as

Cardiovascular DiseasesGlobal HealthAdolescentChildChild, PreschoolCost of IllnessFemaleGlobal Burden of DiseaseHumansIncidenceInfantInfant, NewbornMaleRisk FactorsSocioeconomic Factorschildhood cardiovascular diseaseEAPCGBDhealth burdenhealth inequality

Identifiers

PMID40678645
PMCPMC12267236

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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.