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Diabetes, Hypertension, Atrial Fibrillation and Subsequent Stroke-Shift towards Young Ages in Brunei Darussalam

Author

Listed:
  • Burc Bassa

    (Department of Neurology, Krankenhaus Nordwest, 60488 Frankfurt am Main, Germany
    These authors contributed equally to this work.)

  • Fatma Güntürkün

    (Center for Biomedical Informatics, University of Tennessee Health Science Center, Memphis, TN 38103, USA
    These authors contributed equally to this work.)

  • Eva Maria Craemer

    (Department of Neurology, Krankenhaus Nordwest, 60488 Frankfurt am Main, Germany)

  • Uta Meyding-Lamadé

    (Department of Neurology, Krankenhaus Nordwest, 60488 Frankfurt am Main, Germany)

  • Christian Jacobi

    (Department of Neurology, Krankenhaus Nordwest, 60488 Frankfurt am Main, Germany)

  • Alp Bassa

    (Department of Mathematics, Bogazici University, 34342 Istanbul, Turkey)

  • Heiko Becher

    (Institute of Medical Biometry and Epidemiology, Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg, Germany)

Abstract

Southeast Asia harbors a young population of more than 600 million people. Socioeconomic transition within the last decades, driven by globalization and rapid economic growth, has led to significant changes in lifestyle and nutrition in many countries of this region. Hence, an increase in the number of non-communicable diseases is seen in most populations of Southeast Asia. Brunei Darussalam is the smallest country in this region, with a population of around 400,000 inhabitants. Vast hydrocarbon resources have transformed Brunei into a wealthy industrialized country within the last few decades. We compared the age distribution and prevalence of cardiovascular risk factors in ischemic stroke patients between the only stroke unit in Brunei Darussalam and a tertiary stroke center from Frankfurt/Germany. Between 2011 and 2016, a total number of 3877 ischemic stroke patients were treated in both institutions. Even after adjusting for age due to different population demographics, stroke patients in Brunei were younger compared to their German counterparts. The prevalence of hypertension and diabetes mellitus was significantly higher in young age groups in Brunei, whereas no difference was observed for older patients. The rapid socioeconomic transition might be a significant risk factor for the development of non-communicable diseases, including stroke.

Suggested Citation

  • Burc Bassa & Fatma Güntürkün & Eva Maria Craemer & Uta Meyding-Lamadé & Christian Jacobi & Alp Bassa & Heiko Becher, 2022. "Diabetes, Hypertension, Atrial Fibrillation and Subsequent Stroke-Shift towards Young Ages in Brunei Darussalam," IJERPH, MDPI, vol. 19(14), pages 1-9, July.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:14:p:8455-:d:859916
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    References listed on IDEAS

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    2. Pingali, Prabhu, 2007. "Westernization of Asian diets and the transformation of food systems: Implications for research and policy," Food Policy, Elsevier, vol. 32(3), pages 281-298, June.
    3. Goryakin, Yevgeniy & Rocco, Lorenzo & Suhrcke, Marc, 2017. "The contribution of urbanization to non-communicable diseases: Evidence from 173 countries from 1980 to 2008," Economics & Human Biology, Elsevier, vol. 26(C), pages 151-163.
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