The urgent need for a policy on epidemiological data on cardiovascular diseases in Bangladesh

Proma, Amrin Yeasin; Das, Proma Rani; Akter, Sayma; Dewan, Syed Masudur Rahman; Islam, Mohammad Safiqul

doi:10.1002/hsr2.1410

Cited by 7 publications

(3 citation statements)

References 12 publications

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“…The rising trend of NCDs in Bangladesh is a significant obstacle to achieving sustainable development goals. Heart disease represents a significant health burden in Bangladesh, a challenge exacerbated by the country’s limited healthcare infrastructure, a shortage of skilled personnel, inadequate epidemiological data, and widespread poverty [ 22 , 67 ]. Bangladesh has already adopted the multisectoral plan to reduce a relative 25% of NCD-related mortality, where heart disease is a significant contributor [ 68 ].…”

Section: Discussionmentioning

confidence: 99%

“…Bangladesh is undergoing substantial economic development resulting in rapid urbanization, a dietary transition from traditional to Western patterns, and a sedentary lifestyle, which leads to epidemiological transitions [ 10 , 21 , 22 ]. Non-communicable diseases (NCDs) are now overtripped communicable infectious diseases (68% vs. 11%), with a dramatic rise in cardiovascular-related deaths [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

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Geospatial variation in dietary patterns and their association with heart disease in Bangladeshi population: Evidence from a nationwide survey

Hassan,

Ali,

Saha

et al. 2024

PLoS ONE

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Heart disease is a significant public health threat, and its burden is increasing worldwide. Recent evidence suggests that dietary pattern is a key modifiable factor for heart disease. Research regarding dietary patterns and heart disease in Bangladesh with their spatial variability is limited. In this study, the spatial variation and relationship between dietary patterns and heart disease among Bangladeshi people was investigated. The country-representative Household Income and Expenditure Survey 2016 dataset was used, and a total of 77,207 participants aged 30 years and over were included. A principal component analysis was conducted to derive the dietary patterns. Both statistical and spatial analyses were performed. The overall prevalence of heart disease was 3.6%, with a variation of 0.6% to 10.4% across districts of Bangladesh. Three major dietary patterns, named “festival pattern”, “pickles and fast foods pattern”, and “rice and vegetable pattern” were identified, accounting for 25.2% of the total dietary variance. Both the dietary pattern and heart disease rate varied across the region. A higher risk of heart disease was persistent in the western-south, southern, central, and eastern regions, as was greater adherence to the “festival pattern” and “pickles and fast foods pattern.” After adjusting for confounders, participants with the highest adherence to the "rice and vegetable pattern" were associated with a lower likelihood of developing heart disease (AOR: 0.78, 95% CI: 0.64–0.95, p <0.05), while the highest adherence to the "pickles and fast foods pattern" was associated with a higher likelihood of developing heart disease (AOR: 1.50, 95% CI: 1.27–1.76, p <0.001). The spatial disparities in the prevalence of heart disease and dietary patterns underscore the significance of prioritizing intervention at the district level, especially in the western-south, southern, central, and eastern regions, to control the rising heart disease trends in Bangladesh.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Geospatial variation in dietary patterns and their association with heart disease in Bangladeshi population: Evidence from a nationwide survey

Hassan,

Ali,

Saha

et al. 2024

PLoS ONE

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“…To manage the severity of diseases and to plan and evaluate initiatives to prevent viral co-infections, epidemiological data for each disease (whether specific or associated with co-infection) is essential. 38 Therefore, this data needs to be appropriately collected.…”

Section: Preventive Measures and Recommendationsmentioning

confidence: 99%

Effective Preventative Measures are Essential to Lower Disease Burden From Dengue and COVID-19 Co-infection in Bangladesh

Das,

Khan,

Rahman

et al. 2023

Environ�Health�Insights

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Bangladesh is widely recognized as one of the dengue prone nations, and empirical evidence has consistently demonstrated an upward trend in the severity of the disease over time. With the persistent occurrence of dengue in Bangladesh and the ongoing presence of COVID-19, which has not been fully eradicated and may persist for an uncertain period of time, there is a high probability of co-infection between these 2 illnesses. Given the circumstances, the concurrent occurrence of the COVID-19 and dengue epidemics, along with the potential co-infection, may pose an overwhelming burden on healthcare systems that are already grappling with challenges in meeting the existing demand. Due to a lack of awareness, an inadequate health infrastructure, and ineffective disease prevention initiatives, the country is now more susceptible to the threat posed by a co-infection that has been found to be associated with more severe outcomes, marked by significant morbidity and mortality. The objective of this opinion piece is to explore the gravity of co-infection in Bangladesh, as well as the potential challenges to overcome and the preventative measures that need to be implemented to address the severity. This opinion piece proposes a set of modern preventative strategies that, when integrated with conventional methods, have the potential to mitigate disease severity, avert the occurrence of co-infection between COVID-19 and dengue, and halt the co-epidemics of COVID-19 and dengue.

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Dengue fever in hyperglycemic patients: an emerging public health concern demanding eyes on the effective management strategies

Shawon,

Hamid,

Ahmed

et al. 2024

Health Science Reports

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Background and aimsHyperglycemia, also known as diabetes, is a metabolic disorder characterized by elevated levels of glucose in the bloodstream. It can lead to the prolonged dysfunction, injury, and deterioration of several organs. In addition, dengue is a viral illness transmitted by mosquitoes that has reached epidemic proportions worldwide. In this article, we focused on the severity of comorbidities, difficulties in managing them, and preventive measures meant to lessen the risks associated with comorbidities in diabetic patients with dengue infection.MethodsWe explored a number of databases, including PubMed, Scopus, Embase, Web of Science, Google Scholar, and the Cochrane Library, for this review article using various related keywords.ResultsThe findings of this review article indicate that elderly dengue patients with diabetes should be admitted to the hospital for close observation and early management using fluid therapy. An observed association exists between dengue hemorrhagic fever (DHF) and diabetes, indicating a possible consequence in this specific group. Additionally, patients with diabetes who contract dengue show elevated levels of inflammatory markers. Diabetes mellitus deteriorates the immune system, which exacerbates the progression of dengue fever. Cutting‐edge technology and scientific research may assist in addressing the challenges that diabetes and dengue viruses pose in low‐ and middle‐income countries. Implementing innovative diabetic care management is essential to ensuring consistency of care, improving a healthy lifestyle, and lowering patient risk factors and comorbidities.ConclusionDengue fever has spread to epidemic levels throughout the world. Inflammatory markers increase and the prevalence of DHF is greater in diabetes individuals with dengue infection. Given the continued growth of dengue in Asian nations, it is imperative that we concentrate our efforts and resources on providing more precise and effective treatment for this emerging issue.

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The urgent need for a policy on epidemiological data on cardiovascular diseases in Bangladesh

Cited by 7 publications

References 12 publications

Geospatial variation in dietary patterns and their association with heart disease in Bangladeshi population: Evidence from a nationwide survey

Geospatial variation in dietary patterns and their association with heart disease in Bangladeshi population: Evidence from a nationwide survey

Effective Preventative Measures are Essential to Lower Disease Burden From Dengue and COVID-19 Co-infection in Bangladesh

Dengue fever in hyperglycemic patients: an emerging public health concern demanding eyes on the effective management strategies

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