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Trends in cardiometabolic risk factors in the Americas between 1980 and 2014: a pooled analysis of population-based surveys

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Title: Trends in cardiometabolic risk factors in the Americas between 1980 and 2014: a pooled analysis of population-based surveys
Authors: Jaime Miranda, J
Carrillo-Larco, RM
Ferreccio, C
Hambleton, IR
Lotufo, PA
Nieto-Martinez, R
Zhou, B
Bentham, J
Bixby, H
Hajifathalian, K
Lu, Y
Taddei, C
Abarca-Gomez, L
Acosta-Cazares, B
Aguilar-Salinas, CA
Andrade, DS
Assuncao, MCF
Barcelo, A
Barros, AJD
Barros, MVG
Bata, I
Batista, RL
Benet, M
Bernabe-Ortiz, A
Bettiol, H
Boggia, JG
Boissonnet, CP
Brewster, LM
Cameron, C
Candido, APC
Cardoso, VC
Chan, Q
Christofaro, DG
Confortin, SC
Craig, CL
D'Orsi, E
Delisle, H
De Oliveira, PD
Dias-da-Costa, JS
Diaz, A
Donoso, SP
Elliott, P
Escobedo-de la Pena, J
Ferguson, TS
Fernandes, RA
Ferrante, D
Monterubio Flores, E
Francis, DK
Franco, MDC
Fuchs, FD
Fuchs, SC
Goltzman, D
Goncalves, H
Gonzalez-Rivas, JP
Bonet Gorbea, M
Gregor, RD
Guerrero, R
Guimaraes, AL
Gulliford, MC
Gutierrez, L
Hernandez Cadena, L
Herrera, VM
Hopman, WM
Horimoto, ARVR
Hormiga, CM
Horta, BL
Howitt, C
Irazola, VE
Magaly Jimenez-Acosta, S
Joffres, M
Kolsteren, P
Landrove, O
Li, Y
Lilly, CL
Fernanda Lima-Costa, M
Louzada Strufaldi, MW
Machado-Coelho, GLL
Makdisse, M
Margozzini, P
Marques, LP
Martorell, R
Matijasevich, A
Posso, AJMD
McFarlane, SR
McLean, SB
Menezes, AMB
Miquel, JF
Mohanna, S
Monterrubio, EA
Moreira, LB
Morejon, A
Motta, J
Neal, WA
Nervi, F
Noboa, OA
Ochoa-Aviles, AM
Anselmo Olinto, MT
Oliveira, IO
Ono, LM
Ordunez, P
Ortiz, AP
Otero, JA
Palloni, A
Peixoto, SV
Pereira, AC
Perez, CM
Reina, DAR
Ribeiro, R
Ritti-Dias, RM
Rivera, JA
Robitaille, C
Rodriguez-Villamizar, LA
Rojas-Martinez, R
Roy, JGR
Rubinstein, A
Sandra Ruiz-Betancourt, B
Salazar Martinez, E
Sanchez-Abanto, J
Santos, IS
Dos Santos, RN
Scazufca, M
Schargrodsky, H
Silva, AM
Santos Silva, DA
Stein, AD
Suarez-Medina, R
Tarqui-Mamani, CB
Tulloch-Reid, MK
Ueda, P
Ugel, EE
Valdivia, G
Varona, P
Velasquez-Melendez, G
Verstraeten, R
Victora, CG
Wanderley, RS
Wang, M-D
Wilks, RJ
Wong-McClure, RA
Younger-Coleman, NO
Zuniga Cisneros, J
Danaei, G
Stevens, GA
Riley, LM
Ezzati, M
Di Cesare, M
Item Type: Journal Article
Abstract: Background Describing the prevalence and trends of cardiometabolic risk factors that are associated with non-communicable 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.
Issue Date: 1-Jan-2020
Date of Acceptance: 1-Dec-2019
URI: http://hdl.handle.net/10044/1/75791
DOI: 10.1016/S2214-109X(19)30484-X
ISSN: 2214-109X
Publisher: Elsevier
Start Page: E123
End Page: E133
Journal / Book Title: The Lancet Global Health
Volume: 8
Issue: 1
Copyright Statement: © 2019 The Author(s). Published by Elsevier. This is an Open Access article under the CC BY 4.0 licence.
Sponsor/Funder: Wellcome Trust
Funder's Grant Number: 214185/Z/18/Z
Keywords: Science & Technology
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
LATIN-AMERICA
WORLDWIDE TRENDS
HYPERTENSION
PREVALENCE
AWARENESS
OBESITY
NCD Risk Factor Collaboration (NCD-RisC)—Americas Working Group
Science & Technology
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
LATIN-AMERICA
WORLDWIDE TRENDS
HYPERTENSION
PREVALENCE
AWARENESS
OBESITY
0605 Microbiology
1117 Public Health and Health Services
Publication Status: Published
Online Publication Date: 2019-12-12
Appears in Collections:Epidemiology, Public Health and Primary Care



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