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Regional differences in the daily consumption of smoked and smokeless tobacco a...

Enjo-Barreiro, JR; Fontes, F; Tualufo, S; Silva-Matos, C; Damasceno, A; Lunet, N

Within-country differences in the prevalence of tobacco consumption may be expected in Mozambique, as determinants of tobacco use vary considerably countrywide. We compared the daily use of smoked and smokeless tobacco in 2005 and 2014/2015 across Mozambican regions. Two surveys were conducted in Mozambique, in 2005 and 2014/2015, with representative samples of the adult population, following the World Health O...


Tobacco consumption in Mozambique in 2005 and 2015

Fontes, F; Suleman, A; Silva-Matos, C; Mate, C; Amado, C; Damasceno, A; Lunet, N

"Introduction The burden related to smoking exposure is growing in many low-income settings. We aimed to quantify the use of smoked and smokeless tobacco in Mozambique in 2014/2015, and to compare the estimates with those obtained in 2005. Methods A cross sectional study was conducted in 2014/2015 on a representative sample of the Mozambican population aged 15 to 64 years, following the World Health Organizatio...


How prices and income influence global patterns in saturated fat intake by age,...

Ahles, A; Muhammad, A; Yenerall, JN; Reedy, J; Shi, P; Zhang, J; Cudhea, F; Erndt-Marino, J; Miller, V; Mozaffarian, D; Abbott, P; Abdollahi, M

Objective When considering proposals to improve diets, it is important to understand how factors like price and income can affect saturated fat (SF) intake and demand. In this study, we examine and estimate the influence of price and income on intake across 160 countries, by age and sex, and derive sensitivity measures (price elasticities) that vary by age, sex and world region. Design We econometrically estima...


Global Prevalence of Aspirin Use for Primary Prevention of Cardiovascular Disea...

Yoo, SGK; Chung, GS; Bahendeka, SK; Sibai, AM; Damasceno, A; Farzadfar, F; Rohloff, P; Houehanou, C; Norov, B; Karki, KB; Azangoukhyavy, M; Marcus, ME

The role of aspirin in the primary prevention of atherosclerotic cardiovascular disease (CVD) is not clear, with recent clinical trials evaluating aspirin for primary prevention demonstrating both modest benefits and risks associated with its use [1]. Aspirin is not routinely recommended for primary prevention of CVD. Understanding patterns of aspirin use can inform strategies to promote guideline-concordant th...


Pre-eclampsia as a predictor of early-onset cardiovascular impairment among you...

Turé, R; Damasceno, A; Rodrigues, A; Barai, E; Cissé, A; Sanca, G; Iafa, T; Jalo, W; Embalo, B; Dju, M; Iala, V; Lunet, N

" Introduction: Pre-eclampsia is a pregnancy-related complication estimated to affect up to 8% of pregnancies worldwide. It is associated with an increased risk of postpartum sustained hypertension, coronary artery disease, cerebrovascular disease, peripheral arterial disease and cardiovascular-related mortality. Nevertheless, these associations have seldom been addressed in younger women from sub-Saharan Afric...


Worldwide trends in underweight and obesity from 1990 to 2022: A pooled analysi...

Robinson, L; Roccaldo, R; Rodrigues, D; Rodriguez Perez, MdC; Rodríguez Villamizar, LA; Rodríguez, AY; Roggenbuck, U; Rohloff, P; Rohner, F

Background: Underweight and obesity are associated with adverse health outcomes throughout the life course. We estimated the individual and combined prevalence of underweight or thinness and obesity, and their changes, from 1990 to 2022 for adults and school-aged children and adolescents in 200 countries and territories. Methods: We used data from 3663 population-based studies with 222 million participants that...


Children's and adolescents' rising animal-source food intakes in 1990-2018 were...

Miller, V; Webb, P; Cudhea, F; Zhang, J; Reedy, J; Shi, P; Erndt Marino, J; Coates, J; Micha, R; Mozaffarian, D; Bas, M; Ali, JH; Abumweis, S

Animal-source foods (ASF) provide nutrition for children and adolescents physical and cognitive development. Here, we use data from the Global Dietary Database and Bayesian hierarchical models to quantify global, regional and national ASF intakes between 1990 and 2018 by age group across 185 countries, representing 93% of the worlds child population. Mean ASF intake was 1.9 servings per day, representing 16% of...


Diagnostic testing for hypertension, diabetes, and hypercholesterolaemia in low...

Ochmann, S; von Polenz, I; Marcus, ME; Theilmann, M; Flood, D; Agoudavi, K; Aryal, KK; Bahendeka, S; Bicaba, B; Bovet, P; Campos Caldeira Brant, L

Background Testing for the risk factors of cardiovascular disease, which include hypertension, diabetes, and hypercholesterolaemia, is important for timely and effective risk management. Yet few studies have quantified and analysed testing of cardiovascular risk factors in low-income and middle-income countries (LMICs) with respect to sociodemographic inequalities. We aimed to address this knowledge gap. Method...


Aspirin for Secondary Prevention of Cardiovascular Disease in 51 Low-, Middle-,...

Yoo, SGK; Chung, GS; Bahendeka, SK; Sibai, AM; Damasceno, A; Farzadfar, F; Rohloff, P; Houehanou, C; Norov, B; Karki, KB; Azangou-Khyavy, M; Marcus, ME

"Importance Aspirin is an effective and low-cost option for reducing atherosclerotic cardiovascular disease (CVD) events and improving mortality rates among individuals with established CVD. To guide efforts to mitigate the global CVD burden, there is a need to understand current levels of aspirin use for secondary prevention of CVD. Objective To report and evaluate aspirin use for secondary prevention of CVD a...


Incident type 2 diabetes attributable to suboptimal diet in 184 countries

OHearn, M; Lara Castor, L; Cudhea, F; Miller, V; Reedy, J; Shi, P; Zhang, J; Wong, JB; Economos, CD; Micha, R; Mozaffarian, D; Bas, M; Ali, JH

The global burden of diet-attributable type 2 diabetes (T2D) is not well established. This risk assessment model estimated T2D incidence among adults attributable to direct and body weight-mediated effects of 11 dietary factors in 184 countries in 1990 and 2018. In 2018, suboptimal intake of these dietary factors was estimated to be attributable to 14.1 million (95% uncertainty interval (UI), 13.814.4 million) ...


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