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Epidemiology of CHD risk factors in Saudi Arabia
Dr. Alaa Elalem
Medical Department
Pfizer, Jeddah, Saudi Arabia
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Young population
79 % under age of 40
42 % under age of 20
16 %at age of 40-60
5 % over age of 60
79 % under age of 40
42 % under age of 20
16 %at age of 40-60
5 % over age of 60
WHR2006
7
Life expectancy at birth
Rank Country Life expectancy at birth ( years)
1 San Marino 82
3 Japan 82
20 Germany 79
28 USA 78
38 UAE 77
61 Syria 72
80 Saudi Arabia 71
88 Turkey 71
107 Egypt 68
192 Zimbabwe 36 WHR 2006
8
Global distribution of healthcare Physicians
Rank Country Physician Density per 1000
1 San Marino 47.35 / 1990
26 Germany 3.37 / 2003
47 USA 2.56 / 2000
62 UAE 2.02 / 2001
64 Japan 1.98 / 2002
76 Syria 1.40 / 2001
77 Saudi Arabia 1.30 / 2004
79 Turkey 1.35 / 2003
120 Egypt 0.54 / 2003
192 Malawi 0.02 / 2004 WHR 2006
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Healthcare expenditure indicators
Rank Country Total Expenditure of Health as % of GDP -2003
1 USA 15.2
6 Germany 11.1
10 Lebanon 10.2
41 Japan 7.9
48 Turkey 7.6
97 Egypt 5.8
122 Syria 5.1
154 Saudi Arabia 4
175 UAE 3.3
191 Equatorial Guinea 1.5
WHR 2006
Top 10 cause of Death in K.S.A.
Top 10 cause of Death in K.S.A.
30 %30 %
•Cardiovascular diseases (CVD) are the main cause of morbidity and mortality among the Saudi population1
•A significant proportion of hospital admissions is due to CVD, whether acute or chronic or to cardiac procedures including angiograms2
1-Al Balla SR,. J Trop Med Hyg 1993;96:157-62 2-Bamgboye EA, Saudi Med J 1993;13(1):8-13. ] .
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2- Non Modifiable:1- Modifiable:
C.H.D. Risk Factors
HypertensionD.M.DyslipidemiaCigarette SmokingObesityLack of physical Activity
Age Male genderFamily History
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Prevalence of Hypertension in Saudi Arabia
AL-Nozha et al in a cross-sectional cluster sampling & house hold survey on 13700 Saudis of both sexes Kingdomwide Ann Saudi Med, Vol 17, No2.1997
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Comparative Prevalence of hypertension and the expected hypertensionpopulation in each country
Journal of Hypertension 2005, Vol 23 No 6
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Cost of Hypertension in S.A
Al-shahri& Elzubier in their cross-sectional study in Al-khobar on 311 hypertensives& 60 Drs to assess the cost of hypertension management and awareness of PHCCD about aspects of it,estimated the cost around 1000,000 Saudi Riyals per year of which 67% was consultation cost,17% drugs &16% investigation cost.
SMJ1998;VOL.19(4):390-393 &East-mediterr-health-J 1998 Dec; 4(3) :493-501
Prevalence of dyslipidemia in Saudi Adults
•The overall prevalence of hypercholesterolemia TC > 200 mg/ dL: 35.4% . •The overall prevalence of hypertriglyceridemia TG > 150 mg/ dL) : 49.6%.
•HDL Values in men and women Men <40mg/dL: 74.8 % Women <50mg/dL: 81.8
Al-Nozha MM.et al. Metabolic syndrome in Saudi Arabia. Saudi Med J 2005; 26 (12): 1918-1925
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Prevalence of DM in Saudi Arabia
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General Mortality in Saudi diabetics
2000 Saudi diabetics ( Initial )
Prevalence of obesity in Saudi Adults
Prevalence of obesity in Saudi Adults
Prevalence of Metabolic Syndrome in Saudi Adults
Overall prevalence rate of metabolic syndrome as defined by the Adult Treatment Panel (ATP) III in 2001 was 39.3%.
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The prevalence of regular smokers in each country
Journal of Hypertension 2005, Vol 23 No 6
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“A Man is as Old as His Arteries”
Dr Thomas Sydenham (1624-89)Dr Thomas Sydenham (1624-89)
