High prevalence of cardiovascular risk factors in the Seychelles (Indian Ocean)

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Arteriosclerosis, Thrombosis, and Vascular Biology. 1991;11:1730-1736

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ARTICLES

High prevalence of cardiovascular risk factors in the Seychelles (Indian Ocean)

P Bovet, C Shamlaye, A Kitua, WF Riesen, F Paccaud and R Darioli
Ministry of Health, Victoria, Seychelles.

In recent years, increasingly high rates of cardiovascular diseases have been recorded in the Seychelles. A survey was performed to investigate the prevalence of cardiovascular risk factors in that population, which is shifting from its traditional habits to a westernized lifestyle. The Seychelles population is of predominantly black African origin. A sex- and age-stratified random sample of 1,309 subjects was drawn from 21,256 people aged 25-64 years. A response rate of 86% was achieved. The data showed a high prevalence of hypertension (25%) and cigarette smoking (54%) in men and a high prevalence of hypertension (20%) and obesity (21%) in women. Hypercholesterolemia (greater than 6.5 mmol/l) was found in 9% of men and 15% of women. High density lipoprotein cholesterol levels (mean +/- SD) were higher in men (1.42 +/- 0.49 mmol/l) than in women (1.36 +/- 0.34 mmol/l). High levels of lipoprotein(a) (mean +/- SD) were found both in men (319 +/- 362 mg/l) and women (328 +/- 415 mg/l). The high prevalence of cardiovascular risk factors identified in the Seychelles indicates a pressing current need for effective preventive strategies.

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				P. Bovet, J. William, and F. Paccaud Low Prevalence of Individuals With Optimal or Borderline Levels of Cardiovascular Risk Factors Extends to Rapidly Developing Countries Arch Intern Med, November 12, 2007; 167(20): 2262 - 2263. [Full Text] [PDF]

				M. Bochud, P. Bovet, R. C. Elston, F. Paccaud, C. Falconnet, M. Maillard, C. Shamlaye, and M. Burnier High Heritability of Ambulatory Blood Pressure in Families of East African Descent Hypertension, March 1, 2005; 45(3): 445 - 450. [Abstract] [Full Text] [PDF]

				A R Gilbert, C Pinget, P Bovet, J Cornuz, C Shamlaye, and F Paccaud The cost effectiveness of pharmacological smoking cessation therapies in developing countries: a case study in the Seychelles Tob. Control, June 1, 2004; 13(2): 190 - 195. [Abstract] [Full Text] [PDF]

				P. Bovet, A. G Ross, J.-P. Gervasoni, M. Mkamba, D. M Mtasiwa, C. Lengeler, D. Whiting, and F. Paccaud Distribution of blood pressure, body mass index and smoking habits in the urban population of Dar es Salaam, Tanzania, and associations with socioeconomic status Int. J. Epidemiol., February 1, 2002; 31(1): 240 - 247. [Abstract] [Full Text] [PDF]

				C. Jaggy, F. Perret, P. Bovet, G. van Melle, N. Zerkiebel, G. Madeleine, L. Kappenberger, and F. Paccaud Performance of Classic Electrocardiographic Criteria for Left Ventricular Hypertrophy in an African Population Hypertension, July 1, 2000; 36(1): 54 - 61. [Abstract] [Full Text] [PDF]

				L. Aubert, P. Bovet, J.-P. Gervasoni, A. Rwebogora, B. Waeber, and F. Paccaud Knowledge, Attitudes, and Practices on Hypertension in a Country in Epidemiological Transition Hypertension, May 1, 1998; 31(5): 1136 - 1145. [Abstract] [Full Text] [PDF]

				S. G. Rostand Ultraviolet Light May Contribute to Geographic and Racial Blood Pressure Differences Hypertension, August 1, 1997; 30(2): 150 - 156. [Abstract] [Full Text]