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Invited Commentary
July 31, 2019

Improving Global Cardiovascular Health: Lessons From Healthy Lifestyles in China

Author Affiliations
  • 1School of Medicine, Division of Cardiology, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill
JAMA Cardiol. Published online July 31, 2019. doi:10.1001/jamacardio.2019.2543

Cardiovascular diseases are the leading cause of death and disability in the world. In 2016, ischemic heart disease and stroke accounted for a combined 15.2 million deaths. The United Nations member states, acting through the World Health Assembly, have pledged to reduce cardiovascular mortality by 25% by 2025. Reports from China, the most populous country in the world, about the growing prevalence of cardiovascular disease (CVD) are worthy of attention.1 The number of deaths from ischemic heart disease have more than doubled in the last 2 decades and stroke, the leading cause of death in China, accounts for almost one-third of the total worldwide mortality from stroke. The marked urbanization in China with its associated changes in lifestyle have resulted in a proliferation of cardiovascular risk factors resulting in CVD, among which diabetes is a major component.