秘鲁佩鲁纳卡耶塔诺大学J. Jaime Miranda等研究人员，对中低收入国家心脏代谢疾病的增加进行了总结性回顾。相关论文2019年11月7日在线发表在《自然—医学》上。

研究人员表示，非传染性疾病的流行率上升，尤其是心血管疾病、中风和糖尿病等心脏代谢疾病，其主要危险因素在不同地区之间并不一致：例如，高收入国家的心血管疾病死亡率在最近几十年中有所下降，但在低收入和中等收入国家中有所增加。导致这一增长的因素多种多样，并受到健康的环境、社会、政治和商业决定因素等因素的影响。

研究人员总结了中低收入国家中心脏代谢疾病的上升，特别着重于介绍肥胖及其驱动因素、其他影响健康的环境和宏观因素，以及中低收入国家对心脏代谢疾病的反应。

附：英文原文

Title: Understanding the rise of cardiometabolic diseases in low- and middle-income countries

Author: J. Jaime Miranda, Tonatiuh Barrientos-Gutirrez, Camila Corvalan, Adnan A. Hyder, Maria Lazo-Porras, Tolu Oni, Jonathan C. K. Wells

Issue&Volume: 2019-11-07

Abstract: Increases in the prevalence of noncommunicable diseases (NCDs), particularly cardiometabolic diseases such as cardiovascular disease, stroke and diabetes, and their major risk factors have not been uniform across settings: for example, cardiovascular disease mortality has declined over recent decades in high-income countries but increased in low- and middle-income countries (LMICs). The factors contributing to this rise are varied and are influenced by environmental, social, political and commercial determinants of health, among other factors. This Review focuses on understanding the rise of cardiometabolic diseases in LMICs, with particular emphasis on obesity and its drivers, together with broader environmental and macro determinants of health, as well as LMIC-based responses to counteract cardiometabolic diseases.

DOI: 10.1038/s41591-019-0644-7

Source: https://www.nature.com/articles/s41591-019-0644-7