strong regional disparities that persist

This observation relates to the three most frequent pathologies: ischemic heart disease. Therefore, stroke (stroke) and heart failure. For example, Second cause of mortality in France. Moreover, with 140,000 deaths, cardio-necked diseases as a whole, are responsible for more than a million hospitalizations in adults each year. Nevertheless, They represent a considerable weight for public health and the health system, with strong social and territorial inequalities. Similarly, In the continuation of the publication in March 2025 of a special BEH. Therefore, these regional data even more emphasized the marked differences between the territories and the need to strengthen the prevention of the population and health professionals and to guarantee rapid management and long-term monitoring of patients with these pathologies throughout the territory. Nevertheless, Strengthening prevention to effectively reduce the associated risk factors, such as tobacco or even diet strong regional disparities persist unfavorable to health, is necessary. Furthermore, Public Health France thus launches a campaign on the new calculation of the Nutri-Score to promote its use. Moreover, A study. Meanwhile, indeed shows that in people consuming a smaller nutritional diet, as evaluated by the Nutri-Score algorithm, the risk of cardio-necusal diseases is increased.

Territorial inequalities marked

In 2022, cardio-necusal diseases led to France 1.2 million hospitalizations and 140,000 deaths in adults, more than one in five deaths.

The results published today in bulletins specific to each region (with the exception of Mayotte. Nevertheless, Saint-Barthélemy and Saint-Martin) draw up an inventory of the three most frequent cardio-neckering pathologies: ischemic cardiopathies, strokes (AVC) and cardiac insufficiencies. Consequently,

Presented on a regional. Nevertheless, departmental geographical scale and for the first time infra departmental (EPCI), these data show strong disparities according to the territories on a regional scale:

• For ischemic heart disease strong regional disparities persist (such as myocardial infarction) several regions have standardized levels of incidence of hospitalized patients and standardized prevalence rates much higher than those observed for the whole of France. Furthermore, Each year, on average at the national level, 459 people per 100,000 inhabitants are hospitalized for ischemic heart disease. Furthermore, This standardized rate exceeded 500 per 100. Consequently, 000 in Corsica (577), in the Grand-Est (563), in Provence-Alpes-Côte-d’Azur (554), in Occitanie (519), and also reached 491 per 100,000 in Reunion. For example, Conversely, these rates were lower in Brittany (401), in the Pays de la Loire (389), Ile-de-France (403), in Guyana (322), Martinique (235) and Guadeloupe (238). Furthermore, Within the French population, 5.5 % of adults had a personal history of ischemic cardiopathies. that is to say, that they had had this pathology in the previous 10 years, with possibly consequences altering the quality of life and a long-term monitoring and strong regional disparities persist treatment. In the Corsican. Grand Est, Normandy and Reunion regions, this standardized percentage reached or exceeded 6 % while it was less than 5 % in Pays de la Loire, Brittany, Guyana, Guadeloupe and Martinique. Finally, annual mortality by ischemic cardiopathy was 59 deaths per 100,000 inhabitants on average in France. It reached, after standardization, 81 per 100,000 in Reunion, 71 in Normandy, and 67 in Hauts-de-France, Center-Val-de-Loire and in Brittany.
• For strokes. ultra-marine departments (Réunion, Guyana, Martinique and Guadeloupe) recorded the standardized incidence rates of hospitalized patients (between 291 and 384 per 100,000), prevalence (2.4 % to 3.3 % of the population). highest mortality, 83 to 98 deaths per 100,000), and much higher than those observed for the entire France (231 Hospitalized for 100,000, 2.0 % of the adult population, 58 deaths per 100,000). In France, standardized incidence rates were highest in Brittany (259) and Hauts-de-France (254).
• For heart failure. strong regional disparities persist standardized incidence rates of hospitalized and prevalence patients are higher in Reunion, in the Hauts-de-France regions, and Normandy than in whole France (incidence of hospitalized patients: 344 per 100,000; prevalence: 2.5 % of the adult population). In these regions, the standardized incidence rate exceeds 400 per 100,000.

Intra-regional disparities in incidence, prevalence and mortality are also observed at the departmental or infrared level. They mainly reflect the differences in epidemiology of cardio-necked risk factors, thus requiring the strengthening of their prevention. They are also the result of the differences noted in the severity of the cases. the prognosis, the use of care, and the immediate and long care of these pathologies. These data. presented for the first time on a fine geographical scale (EPCI), will allow regional health agencies (ARS) health authorities, local authorities and players in the field, to orient and adapt their public policy even more, as close strong regional disparities persist as possible to the needs of territories and populations, in particular via local health contracts.

All these cardiovascular health indicators are accessible in open data on Odissé.

Strong regional disparities persist

The major role of food in the prevention of cardio-necusal diseases

A large part of the disparities observed can be explained by the epidemiological differences in exposure to strong regional disparities persist the various cardiovascular risk factors. Cardio-necuscular diseases have a multifactorial origin. with behavioral risk factors such as tobacco and/or alcohol consumption, nutrition (food, physical activity and sedentary lifestyle) and metabolic risk factors such as high blood pressure (HTA), diabetes or LDL hypercholesterolemia.

Nutrition is a major health determinant and the link with certain heavy chronic diseases is proven. Indeed, 47 % of the population is overweight, 17 % suffers from obesity, 30 % is hypertensive and 7 % diabetes. In addition. more than 70 % of French adults do not consume enough fruits and vegetables and more than 80 % have too salty diet. By promoting a varied. balanced diet, rich in fruits, vegetables, fibers and low in saturated sugars and fats, it is possible to significantly reduce the risks associated with cardio-necked diseases.

In addition. a prospective study of European strong regional disparities persist adults (Cohort Epic), assessed the new version of the Nutri-Score algorithm and shows that in people consuming a lower nutritional quality, as evaluated by the underlying algorithm in Nutri-Score, the risk of cardiovascular disease is increased.

Since its creation, Public Health France has been deploying and regular information with the general public. At the end of June, the agency is launching a new educational campaign on the Nutri-Score. Indeed. more than seven years after its launch in France, the method of calculating Nutri-Score has evolved to better fulfill its double objective: to inform consumers in a clear and transparent manner about the nutritional quality of the products they buy and encourage agro-food professionals to improve the composition of their products. The score calculation rules have been revised to better take into account scientific knowledge and official food recommendations. In particular. it makes it possible to better identify foods rich in strong regional disparities persist fiber and more severely notes sweet and savory foods. In January 2025. 1,416 companies were engaged in France in the Nutri-Score approach, testifying to a good dynamic based on a voluntary, and non-regulatory approach.