ESTIMATING THE CONTRIBUTION OF CENTRAL OBESITY ON THE BURDEN OF CARDIOVASCULAR DISEASES IN The WEST AZERBAIJAN PROVINCE

Cardiovascular diseases are the most common cause of death in the West Azerbaijan Province. This study was conducted to estimate the contribution burden of modification risk factor of central obesity and determine the effect of reducing its prevalence on cardiovascular diseases in this province. To calculate the Potential Impact Fraction (PIF), the World Health Organization comparative risk assessment (CRA) methodology was used. The prevalence of risk factors was obtained from provincial data of the sixth steps survey of non-communicable risk factors conducted in 2011 and the effect size of risk factor was extracted from Tehran Lipid and Glucose Study. By reducing the percent of women with central obesity from%19.1 to the theoretical (zero level) and the feasible minimum risk level (%12), then attributable Disability Adjusted Life Years (DALYs) to cardiovascular disease was avoidable as 9.5% and 3.5%, respectively. Also with the decrease in the prevalence of obesity in men from 18% to the theoretical risk (zero) and feasible minimum risk (12%), the corresponding value was 7.4% and 2.5%, respectively. According to the considerable contribution of central obesity on attributable burden of cardiovascular disease in the West Azerbaijan province and considering this fact that central obesity has an important role in increasing hypertension, cholesterol, triglycerides and blood sugar. Thus, central obesity prevention and control will be an essential approach in reducing morbidity and mortality from cardiovascular diseases.