Graphic: "China Cardiovascular Disease Report 2015" officially released

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Graphic: "China Cardiovascular Disease Report 2015" officially released

Cardiovascular diseases in China are still on the rise. The treatment situation of coronary heart disease in young groups is not optimistic, and premature death is serious. On May 10th, the China Cardiovascular Disease Report 2015 (hereinafter referred to as the annual report) compiled by the National Cardiovascular Center was officially released.

The report shows that the cardiovascular risk factors of Chinese people are generally exposed, and the prevalence of hypertension, dyslipidemia, diabetes and obesity continues to increase. Active and effective measures must be taken to curb the continuous growth of cardiovascular disease. Academician Gao Runlin of the National Cardiovascular Center said that in the face of the extremely serious cardiovascular disease, strengthening public health education and community population prevention is the key.

More than cancer, cardiovascular disease is still the first cause of death in our country

It is understood that since 2005, the National Cardiovascular Center has organized an authoritative expert to compile and publish a report on cardiovascular disease in China every year, which dynamically reflects the epidemic trend of cardiovascular disease in China.

Wu Liangyou, director of the Department of Chronic Diseases of the National Health and Family Planning Commission, said that the report covers various aspects of the research and development of cardiovascular disease prevention in China, with particular emphasis on the scientific and accurate information to reflect the representativeness of the national cardiovascular disease report. And authoritative, in the past ten years, the annual report has become the authoritative information on the prevention, treatment and research in the cardiovascular field in China.

In 2014, cardiovascular mortality in China was still the highest in disease deaths, higher than cancer and other diseases. Among them, the mortality rate of cardiovascular disease in rural areas has exceeded and continues to be higher than the urban level since 2009. Cardiovascular diseases accounted for 44.60% of the deaths of residents in rural areas and 42.51% in urban areas. Two out of every five deaths in the country are due to cardiovascular and cerebrovascular diseases, and cerebrovascular disease is the leading cause of death among Chinese men and women.

Kong Lingzhi, vice president of the Chinese Preventive Medicine Association, said that in cerebrovascular diseases, the death of hemorrhagic stroke in China is currently declining, but the mortality of ischemic stroke continues to rise, which deserves special attention.

In recent years, the situation of "early death" in the 40s often occurs. According to the World Health Organization standards, death below the life expectancy (about 70 years old) is considered to be “premature death” because it is largely due to lack of attention to health and could have been avoided. The World Health Organization proposes to reduce the goal of premature death of chronic diseases by 25% in 2025.

Professor Zhao Dong, deputy director of the Beijing Institute of Heart, Lung and Vascular Diseases, Beijing Anzhen Hospital, Capital Medical University, said that the survey showed that in the ranking of premature deaths in China, the second stroke was between 1990 and 2010. It rose to the first place, coronary heart disease rose from seventh place to second place, and premature death of women with coronary heart disease was more serious. According to Chinese research data, stroke is the first factor affecting the life expectancy of Chinese people. It can be seen that coronary heart disease combined stroke is the most important factor affecting the life expectancy of Chinese population. The 2007-2011 Beijing survey showed that the incidence of coronary heart disease in different age groups showed an upward trend, so the prevention and treatment of coronary heart disease among young people is not optimistic.

“Put your mouth and open your legs” public health education still needs to be strengthened

The report shows that high blood pressure, smoking, dyslipidemia, diabetes, overweight/obesity, inadequate physical activity, unreasonable diet and air pollution are still the main factors affecting cardiovascular health. Among the top three most important risk factors, the public's emphasis on dyslipidemia needs to be strengthened. A meta-analysis in 2014 showed that the inclusion of 14 studies in 2003-2013 estimated that the prevalence of elevated total cholesterol (TC) in people over 18 years old was 7.9%, and low-density lipoprotein cholesterol (LDL-C) was elevated. The high prevalence rate was 7.6%, the prevalence of elevated triglyceride (TG) was 13.7%, and the prevalence of HDL-C reduction was 11.0%.

The overweight and obesity rate of adolescents also increased significantly. From 1985 to 2010, five national physique and health sample surveys, the overweight and obesity rates in 2010 (9.6% and 5.0%) were 8.7 times in 1985 (1.1% and 0.1%), respectively. And 38.1 times.

Correspondingly, the lack of physical activity, the 2010 China Chronic Disease Surveillance Project showed that adults often participate in physical exercise rate of only 11.9%, and the proportion of young adults (25 to 44 years old) participating in physical exercise is lower than other age groups. There was a significant negative correlation between physical activity and body mass index, waist circumference and body fat content. The risk of developing diabetes is significantly increased in those with insufficient physical activity. The risk of death from IHD, ischemic stroke, and diabetes is increased in those with insufficient physical activity.

Professor Gu Dongfeng, deputy director of the National Cardiovascular Center and vice president of Fuwai Hospital of the Chinese Academy of Medical Sciences, said that the key to reducing the risk of cardiovascular disease is to “control your mouth and open your legs”, improve your diet, eat more fruits and vegetables, and reduce Fat intake, try to lower salt and limit oil, eat high-heat, high-protein foods, avoid bad habits such as alcoholism and staying up late, and strengthen physical exercise.

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