Background Describing the prevalence and trends of cardiometabolic risk factors that are associated with noncommunicable diseases (NCDs) is crucial for monitoring progress, planning prevention, and providing evidence to support policy efforts. We aimed to analyse the transition in body-mass index (BMI), obesity, blood pressure, raised blood pressure, and diabetes in the Americas, between 1980 and 2014.
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Autor | Jaime Miranda, J. Carrillo-Larco, Rodrigo M. Ferreccio, Catterina Hambleton, Ian R. Lotufo, Paulo A. Nieto-Martinez, Ramfis Zhou, Bin Bentham, James Bixby, Honor Hajifathalian, Kaveh Lu, Yuan Taddei, Cristina Abarca-Gomez, Leandra Acosta-Cazares, Benjamin Aguilar-Salinas, Carlos A. Andrade, Dolores S. Assuncao, Maria Cecilia F. Barcelo, Alberto Barros, Aluisio J. D. Barros, Mauro V. G. Bata, Iqbal Batista, Rosangela L. Benet, Mikhail Bernabe-Ortiz, Antonio Bettiol, Heloisa Boggia, Jose G. Boissonnet, Carlos P. Brewster, Lizzy M. Cameron, Christine Candido, Ana Paula C. Cardoso, Viviane C. Chan, Queenie Christofaro, Diego G. Confortin, Susana C. Craig, Cora L. d'Orsi, Eleonora Delisle, Helene de Oliveira, Paula Duarte Dias-da-Costa, Juvenal Soares Diaz, Alejandro Donoso, Silvana P. Elliott, Paul Escobedo-de la Pena, Jorge Ferguson, Trevor S. Fernandes, Romulo A. Ferrante, Daniel Monterubio Flores, Eric Francis, Damian K. Franco, Maria do Carmo Fuchs, Flavio D. Fuchs, Sandra C. Goltzman, David Goncalves, Helen Gonzalez-Rivas, Juan P. Bonet Gorbea, Mariano Gregor, Ronald D. Guerrero, Ramiro Guimaraes, Andre L. Gulliford, Martin C. Gutierrez, Laura Hernandez Cadena, Leticia Herrera, Victor M. Hopman, Wilma M. Horimoto, Andrea R. V. R. Hormiga, Claudia M. Horta, Bernardo L. Howitt, Christina Irazola, Vilma E. Magaly Jimenez-Acosta, Santa Joffres, Michel Kolsteren, Patrick Landrove, Orlando Li, Yanping Lilly, Christa L. Fernanda Lima-Costa, M. Louzada Strufaldi, Maria Wany Machado-Coelho, George L. L. Makdisse, Marcia Margozzini, Paula Marques, Larissa Pruner Martorell, Reynaldo Matijasevich, Alicia Posso, Anselmo J. Mc Donald McFarlane, Shelly R. McLean, Scott B. Menezes, Ana Maria B. Miquel, Juan Francisco Mohanna, Salim Monterrubio, Eric A. Moreira, Leila B. Morejon, Alain Motta, Jorge Neal, William A. Nervi, Flavio Noboa, Oscar A. Ochoa-Aviles, Angelica M. Anselmo Olinto, Maria Teresa Oliveira, Isabel O. Ono, Lariane M. Ordunez, Pedro Ortiz, Ana P. Otero, Johanna A. Palloni, Alberto Peixoto, Sergio Viana Pereira, Alexandre C. Perez, Cynthia M. Reina, Daniel A. Rangel Ribeiro, Robespierre Ritti-Dias, Raphael M. Rivera, Juan A. Robitaille, Cynthia Rodriguez-Villamizar, Laura A. Rojas-Martinez, Rosalba Roy, Joel G. R. Rubinstein, Adolfo Sandra Ruiz-Betancourt, Blanca Salazar Martinez, Eduardo Sanchez-Abanto, Jose Santos, Ina S. dos Santos, Renata Nunes Scazufca, Marcia Schargrodsky, Herman Silva, Antonio M. Santos Silva, Diego Augusto Stein, Aryeh D. Suarez-Medina, Ramon Tarqui-Mamani, Carolina B. Tulloch-Reid, Marshall K. Ueda, Peter Ugel, Eunice E. Valdivia, Gonzalo Varona, Patricia Velasquez-Melendez, Gustavo Verstraeten, Roosmarijn Victora, Cesar G. Wanderley, Rildo S., Jr. Wang, Ming-Dong Wilks, Rainford J. Wong-McClure, Roy A. Younger-Coleman, Novie O. Zuniga Cisneros, Julio Danaei, Goodarz Stevens, Gretchen A. Riley, Leanne M. Ezzati, Majid Di Cesare, Mariachiara |
Título | Trends in cardiometabolic risk factors in the Americas between 1980 and 2014: a pooled analysis of population-based surveys |
Revista | Lancet global health |
ISSN | 2214-109X |
Volumen | 8 |
Número de publicación | 1 |
Página inicio | E123 |
Página final | E133 |
Fecha de publicación | 2020 |
Resumen | Background Describing the prevalence and trends of cardiometabolic risk factors that are associated with noncommunicable diseases (NCDs) is crucial for monitoring progress, planning prevention, and providing evidence to support policy efforts. We aimed to analyse the transition in body-mass index (BMI), obesity, blood pressure, raised blood pressure, and diabetes in the Americas, between 1980 and 2014. Methods We did a pooled analysis of population-based studies with data on anthropometric measurements, biomarkers for diabetes, and blood pressure from adults aged 18 years or older. A Bayesian model was used to estimate trends in BMI, raised blood pressure (systolic blood pressure >= 140 mm Hg or diastolic blood pressure >= 90 mm Hg), and diabetes (fasting plasma glucose >= 7.0 mmol/L, history of diabetes, or diabetes treatment) from 1980 to 2014, in 37 countries and six subregions of the Americas. Findings 389 population-based surveys from the Americas were available. Comparing prevalence estimates from 2014 with those of 1980, in the non-English speaking Caribbean subregion, the prevalence of obesity increased from 3.9% (95% CI 2.2-6.3) in 1980, to 18.6% (14.3-23.3) in 2014, in men; and from 12.2% (8.2-17.0) in 1980, to 30.5% (25.7-35.5) in 2014, in women. The English-speaking Caribbean subregion had the largest increase in the prevalence of diabetes, from 5.2% (2.1-10.4) in men and 6.4% (2.6-10.4) in women in 1980, to 11.1% (6.4-17.3) in men and 13.6% (8.2-21-0) in women in 2014). Conversely, the prevalence of raised blood pressure has decreased in all subregions; the largest decrease was found in North America from 27.6% (22.3-33.2) in men and 19.9% (15.8-24-4) in women in 1980, to 15.5% (11.1-20.9) in men and 10.7% (7.7-14.5) in women in 2014. Interpretation Despite the generally high prevalence of cardiometabolic risk factors across the Americas, estimates also showed a high level of heterogeneity in the transition between countries. The increasing prevalence of obesity and diabetes observed over time requires appropriate measures to deal with these public health challenges. Our results support a diversification of health interventions across subregions and countries. Copyright (C) 2019 The Author(s). Published by Elsevier. |
Derechos | acceso restringido |
Enlace | |
Id de publicación en WoS | WOS:000502605800032 |
Tema ODS | 03 Good Health and Well-being |
Tema ODS español | 03 Salud y bienestar |
Tipo de documento | artículo |