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

Burc Bassa, Fatma Güntürkün, Eva Maria Craemer, Uta Meyding-Lamadé, Christian Jacobi, Alp Bassa and Heiko Becher
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Burc Bassa: Department of Neurology, Krankenhaus Nordwest, 60488 Frankfurt am Main, Germany
Fatma Güntürkün: Center for Biomedical Informatics, University of Tennessee Health Science Center, Memphis, TN 38103, USA
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

IJERPH, 2022, vol. 19, issue 14, 1-9

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.

Keywords: stroke; Southeast Asia; Brunei Darussalam; stroke-epidemiology; stroke risk factors (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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