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

• Autor(es): Miranda, J. Jaime ; 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. [UNESP] ; 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 ; La Pena, Jorge Escobedo-De ; Ferguson, Trevor S. ; Fernandes, Romulo A. [UNESP] ; Ferrante, Daniel ; Flores, Eric Monterubio ; Francis, Damian K. ; Do Carmo Franco, Maria ; Fuchs, Flavio D. ; Fuchs, Sandra C. ; Goltzman, David ; Gonçalves, Helen ; Gonzalez-Rivas, Juan P. ; Gorbea, Mariano Bonet ; Gregor, Ronald D. ; Guerrero, Ramiro ; Guimaraes, Andre L. ; Gulliford, Martin C. ; Gutierrez, Laura ; Cadena, Leticia Hernandez ; Herrera, Victor M. ; Hopman, Wilma M. ; Horimoto, Andrea R.V.R. ; Hormiga, Claudia M. ; Horta, Bernardo L. ; Howitt, Christina ; Irazola, Vilma E. ; Jimenez-Acosta, Santa Magaly ; Joffres, Michel ; Kolsteren, Patrick ; Landrove, Orlando ; Li, Yanping ; Lilly, Christa L. ; Lima-Costa, M. Fernanda ; Strufaldi, Maria Wany Louzada ; MacHado-Coelho, George L.L. ; Makdisse, Marcia ; Margozzini, Paula ; Marques, Larissa Pruner ; Martorell, Reynaldo ; Matijasevich, Alicia ; Posso, Anselmo J. McDonald ; 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. ; Olinto, Maria Teresa Anselmo ; 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 ; Ruiz-Betancourt, Blanca Sandra ; Martinez, Eduardo Salazar ; Sanchez-Abanto, Jose ; Santos, Ina S. ; Dos Santos, Renata Nunes ; Scazufca, Marcia ; Schargrodsky, Herman ; Silva, Antonio M. ; Silva, Diego Augusto Santos ; 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. ; Wang, Ming-Dong ; Wilks, Rainford J. ; Wong-McClure, Roy A. ; Younger-Coleman, Novie O. ; Cisneros, Julio Zuniga ; Danaei, Goodarz ; Stevens, Gretchen A. ; Riley, Leanne M. ; Ezzati, Majid ; Di Cesare, Mariachiara
• Data: 2022
• Identificador Persistente: http://hdl.handle.net/11449/221409
• Origem: Oasisbr
• Tipo de Documento: Artigo científico
• Idioma: Inglês

Descrição

Made available in DSpace on 2022-04-28T19:28:20Z (GMT). No. of bitstreams: 0 Previous issue date: 2020-01-01

National Cancer Institute

National Institute of Mental Health

National Heart, Lung, and Blood Institute

Fogarty International Center

Alliance for Health Policy and Systems Research

Medical Research Council

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.

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Minas Gerais State Secretariat for Health

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Public Health Agency of Canada

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National Institute of Health

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Universidade Federal de Minas Gerais

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Middlesex University

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National Cancer Institute: 1P20CA217231

National Institute of Mental Health: 1U19MH098780

National Heart, Lung, and Blood Institute: 1UM1HL134590

National Heart, Lung, and Blood Institute: 5U01HL114180

Fogarty International Center: D71TW010877

National Heart, Lung, and Blood Institute: HHSN268200900033C

Alliance for Health Policy and Systems Research: HQHSR1206660

Medical Research Council: MR/P008984/1

Medical Research Council: MR/P02386X/1

Medical Research Council: MR/P024408/1

Fogarty International Center: R21TW009982