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

NCD Risk Factor Collaboration (NCD-RisC)

Author	NCD Risk Factor Collaboration (NCD-RisC)
Access date	2020-01-06T18:02:56Z
Available date	2020-01-06T18:02:56Z
Document date	2020
Citation	NCD RISK FACTOR COLLABORATION (NCD-RISC). Trends in cardiometabolic risk factors in the Americas between 1980 and 2014: a pooled analysis of population-based surveys. The Lancet Global Health, v. 8, n. 1, p. e123-e133, 1 Jan. 2020.
ISSN	2214-109X
URI	https://www.arca.fiocruz.br/handle/icict/39003
Description	Maria Fernanda Furtado de Lima e Costa - Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brasil. Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não consta a informação no documento.	pt_BR
Description	Sérgio Viana Peixoto - Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brasil. Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não conta a informação no documento.	pt_BR
Description	NCD Risk Factor Collaboration (NCD-RisC)—America Working Group Members contributed equally. - J. Jaime Miranda (Universidad Peruana Cayetano Heredia, Peru); Rodrigo M. Carrillo-Larco (Imperial College London, London, UK); Catterina Ferreccio (Pontificia Universidad Católica de Chile, Chile); Ian R. Hambleton (The University of the West Indies, Barbados); Paulo A. Lotufo (University of São Paulo, São Paulo, Brazil); Ramfis Nieto-Martínez (Miami Veterans Affairs Healthcare System, USA); Bin Zhou (Imperial College London, London, UK); James Bentham (University of Kent, UK); Honor Bixby (Imperial College London, London, UK); Kaveh Hajifathalian (Cleveland Clinic, USA); Yuan Lu (Yale University, USA); Cristina Taddei (Imperial College London, London, UK); Leandra Abarca-Gómez (Caja Costarricense de Seguro Social, Costa Rica); Benjamin Acosta-Cazares (Instituto Mexicano del Seguro Social, Mexico); Carlos A. Aguilar-Salinas (Instituto Nacional de Ciencias Médicas y Nutrición, Mexico); Dolores S. Andrade (Universidad de Cuenca, Ecuador); Maria Cecília F. Assunção (Federal University of Pelotas, Brazil); Alberto Barceló (Pan American Health Organization, USA); Aluisio J. D. Barros (Federal University of Pelotas, Brazil); Mauro V. G. Barros (University of Pernambuco, Brazil); Iqbal Bata (Dalhousie University, Canada); Rosangela L. Batista (Federal University of Maranhao, Brazil); Mikhail Benet (CAFAM University Foundation, Colombia); Antonio Bernabe-Ortiz (Universidad Peruana Cayetano Heredia, Peru); Heloisa Bettiol (University of São Paulo, Brazil); Jose G. Boggia (Universidad de la República, Uruguay); Carlos P. Boissonnet (Centro de Educación Médica e Investigaciones Clínicas, Argentina); Lizzy M. Brewster (University of Amsterdam, Amsterdam, Netherlands); Christine Cameron (Canadian Fitness and Lifestyle Research Institute, Canada); Ana Paula C. Cândido (Universidade Federal de Juiz de Fora, Brazil); Viviane C. Cardoso (University of São Paulo, Brazil); Queenie Chan (Imperial College London, London, UK); Diego G. Christofaro (Universidade Estadual Paulista, Brazil); Susana C. Confortin (Universidade Federal de Santa Catarina, Brazil); Cora L. Craig (Canadian Fitness and Lifestyle Research Institute, Canada); Eleonora d’Orsi (Universidade Federal de Santa Catarina, Brazil); Hélène Delisle (University of Montreal, Canada); Paula Duarte de Oliveira (Federal University of Pelotas, Brazil); Juvenal Soares Dias-da-Costa (Universidade do Vale do Rio dos Sinos, Brazil); Alejandro Diaz (National Council of Scientific and Technical Research, Argentina); Silvana P. Donoso (Universidad de Cuenca, Ecuador); Paul Elliott (Imperial College London, London, UK); Jorge Escobedo-de la Peña (Instituto Mexicano del Seguro Social, Mexico); Trevor S. Ferguson (The University of the West Indies, Jamaica); Romulo A. Fernandes (Universidade Estadual Paulista, Brazil); Daniel Ferrante (Ministry of Health, Argentina); Eric Monterubio Flores (Instituto Nacional de Salud Pública, Mexico); Damian K. Francis (The University of the West Indies, Jamaica); Maria do Carmo Franco (Federal University of São Paulo, Brazil); Flavio D. Fuchs (Hospital de Clinicas de Porto Alegre, Brazil); Sandra C. Fuchs (Universidade Federal do Rio Grande do Sul, Brazil); David Goltzman (McGill University, Canada); Helen Gonçalves (Federal University of Pelotas, Brazil); Juan P. González-Rivas (The Andes Clinic of Cardio-Metabolic Studies, Venezuela); Mariano Bonet Gorbea (National Institute of Hygiene, Epidemiology and Microbiology, Cuba); Ronald D. Gregor (Dalhousie University, Canada); Ramiro Guerrero (Universidad Icesi, Colombia); Andre L. Guimaraes (State University of Montes Claros, Brazil); Martin C. Gulliford (King’s College London, London, UK); Laura Gutierrez (Institute for Clinical Effectiveness and Health Policy, Argentina); Leticia Hernandez Cadena (National Institute of Public Health, Mexico); Victor M. Herrera (Universidad Autónoma de Bucaramanga, Colombia); Wilma M. Hopman (Kingston General Hospital, Canada); Andrea R. V. R. Horimoto (Heart Institute, Brazil); Claudia M. Hormiga (Fundación Oftalmológica de Santander, Colombia); Bernardo L. Horta (Federal University of Pelotas, Brazil); Christina Howitt (The University of the West Indies, Barbados); Vilma E. Irazola (Institute for Clinical Effectiveness and Health Policy, Argentina); Santa Magaly Jiménez-Acosta (National Institute of Hygiene, Epidemiology and Microbiology, Cuba); Michel Joffres (Simon Fraser University, Canada); Patrick Kolsteren (Institute of Tropical Medicine, Belgium); Orlando Landrove (Ministerio de Salud Pública, Cuba); Yanping Li (Harvard TH Chan School of Public Health, USA); Christa L. Lilly (West Virginia University, USA); M. Fernanda Lima-Costa (Oswaldo Cruz Foundation Rene Rachou Research Institute, Brazil); Maria Wany Louzada Strufaldi (Federal University of São Paulo, Brazil); George L. L. Machado-Coelho (Universidade Federal de Ouro Preto, Brazil); Marcia Makdisse (Hospital Israelita Albert Einstein, Brazil); Paula Margozzini (Pontificia Universidad Católica de Chile, Chile); Larissa Pruner Marques (Universidade Federal de Santa Catarina, Brazil); Reynaldo Martorell (Emory University, USA); Luis Mascarenhas (Western Paraná State University, Brazil), Alicia Matijasevich (University of São Paulo, Brazil); Anselmo J. McDonald Posso (Gorgas Memorial Institute of Health Studies, Panama); Shelly R. McFarlane (The University of the West Indies, Jamaica); Scott B. McLean (Statistics Canada, Canada); Ana Maria B. Menezes (Federal University of Pelotas, Brazil); Juan Francisco Miquel (Pontificia Universidad Católica de Chile, Chile); Salim Mohanna (Universidad Peruana Cayetano Heredia, Peru); Eric A. Monterrubio (Instituto Nacional de Salud Pública, Mexico); Leila B. Moreira (Universidade Federal do Rio Grande do Sul, Brazil); Alain Morejon (University Medical Science, Cuba); Jorge Motta (Gorgas Memorial Institute of Public Health, Panama); William A. Neal (West Virginia University, USA); Flavio Nervi (Pontificia Universidad Católica de Chile, Chile); Oscar A. Noboa (Universidad de la República, Uruguay); Angélica M. Ochoa-Avilés (Universidad de Cuenca, Ecuador); Maria Teresa Anselmo Olinto (University of Vale do Rio dos Sinos, Brazil); Isabel O. Oliveira (Federal University of Pelotas, Brazil); Lariane M. Ono (Universidade Federal de Santa Catarina, Brazil); Pedro Ordunez (Pan American Health Organization, USA); Ana P. Ortiz (University of Puerto Rico, Puerto Rico); Johanna A. Otero (Fundación Oftalmológica de Santander, Colombia); Alberto Palloni (University of Wisconsin-Madison, USA); Sergio Viana Peixoto (Oswaldo Cruz Foundation Rene Rachou Research Institute, Brazil); Alexandre C. Pereira (Heart Institute, Brazil); Cynthia M. Pérez (University of Puerto Rico Medical Sciences Campus, Puerto Rico); Daniel A. Rangel Reina (Gorgas Memorial Institute of Health Studies, Panama); Robespierre Ribeiro (Minas Gerais State Secretariat for Health, Brazil); Raphael M. Ritti-Dias (Universidade Nove de Julho, Brazil); Juan A. Rivera (Instituto Nacional de Salud Pública, Mexico); Cynthia Robitaille (Public Health Agency of Canada, Canada); Laura A. Rodríguez-Villamizar (Universidad Industrial de Santander, Colombia); Rosalba Rojas-Martinez (Instituto Nacional de Salud Pública, Mexico); Joel G. R. Roy (Statistics Canada, Canada); Adolfo Rubinstein (Institute for Clinical Effectiveness and Health Policy, Argentina); Blanca Sandra Ruiz-Betancourt (Instituto Mexicano del Seguro Social, Mexico); Eduardo Salazar Martinez (National Institute of Public Health, Mexico); Jose Sánchez-Abanto (National Institute of Health, Peru); Ina S. Santos (Federal University of Pelotas, Brazil); Renata Nunes dos Santos (University of Sao Paulo Clinics Hospital, Brazil); Marcia Scazufca (University of Sao Paulo Clinics Hospital, Brazil); Herman Schargrodsky (Hospital Italiano de Buenos Aires, Argentina); Antonio M. Silva (Federal University of Maranhao, Brazil); Diego Augusto Santos Silva (Federal University of Santa Catarina, Brazil); Aryeh D. Stein (Emory University, USA); Ramón Suárez-Medina (National Institute of Hygiene, Epidemiology and Microbiology, Cuba); Carolina B. Tarqui-Mamani (National Institute of Health, Peru); Marshall K. Tulloch-Reid (The University of the West Indies, Jamaica); Peter Ueda (Harvard TH Chan School of Public Health, USA); Eunice E. Ugel (Universidad Centro-Occidental Lisandro Alvarado, Venezuela); Gonzalo Valdivia (Pontificia Universidad Católica de Chile, Chile); Patricia Varona (Epidemiology and Microbiology Institute, Cuba): Gustavo Velasquez-Melendez (Universidade Federal de Minas Gerais, Brazil); Roosmarijn Verstraeten (Institute of Tropical Medicine, Belgium); Cesar G. Victora (Federal University of Pelotas, Brazil); Rildo S. Wanderley Jr. (University of Pernambuco, Brazil); Ming-Dong Wang (Public Health Agency of Canada, Canada); Rainford J. Wilks (The University of the West Indies, Jamaica); Roy A. Wong-McClure (Caja Costarricense de Seguro Social, Costa Rica); Novie O. Younger-Coleman (The University of the West Indies, Jamaica); Julio Zuñiga Cisneros (Gorgas Memorial Institute of Public Health, Panama); Goodarz Danaei (Harvard TH Chan School of Public Health, USA); Gretchen A. Stevens (World Health Organization, Switzerland); Leanne M. Riley (World Health Organization, Switzerland); Majid Ezzati (Imperial College London, London, UK); Mariachiara Di Cesare (Middlesex University, UK).	en_US
Sponsorship	Alliance for Health Policy and Systems Research (HQHSR1206660)
Sponsorship	Fogarty International Center (R21TW009982, D71TW010877)
Sponsorship	Grand Challenges Canada (0335-04)
Sponsorship	Inter-American Institute for Global Change Research (IAI CRN3036)
Sponsorship	National Cancer Institute (1P20CA217231)
Sponsorship	National Heart, Lung, and Blood Institute (HHSN268200900033C, 5U01HL114180, 1UM1HL134590)
Sponsorship	National Institute of Mental Health (1U19MH098780)
Sponsorship	Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (40P740-160366)
Sponsorship	World Diabetes Foundation (WDF15-1224)
Sponsorship	Bernard Lown Scholars in Cardiovascular Health Program at Harvard T H Chan School of Public Health (BLSCHP-1902)
Sponsorship	Newton-Paulet Fund (223-2018, 224-2018)
Sponsorship	DFID/MRC/Wellcome Global Health Trials (MR/M007405/1)
Sponsorship	International Development Research Center Canada (IDRC 106887, 108167)
Sponsorship	Medical Research Council (MR/P008984/1, MR/P024408/1, MR/P02386X/1)
Sponsorship	Wellcome (074833/Z/04/Z, 093541/Z/10/Z, 107435/Z/15/Z, 103994/Z/14/Z, 205177/Z/16/Z, 214185/Z/18/Z)
Language	eng	en_US
Publisher	Elsevier
Rights	open access
Subject in Portuguese	Doenças negligenciadas	pt_BR
Subject in Portuguese	Risco cardiometabólico	pt_BR
Subject in Portuguese	Tendências	pt_BR
Subject in Portuguese	Doenças cardiovasculares	pt_BR
Subject in Portuguese	Derrame	pt_BR
Subject in Portuguese	Infarto do miocárdio	pt_BR
Title	Trends in cardiometabolic risk factors in the Americas between 1980 and 2014: a pooled analysis of population-based surveys	en_US
Type	Article
DOI	10.1016/S2214-109X(19)30484-X
Abstract	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.	en
Affilliation	Múltipla - ver em Notas.
Subject	Neglected diseases	en_US
Subject	Cardiometabolic risk	en_US
Subject	Trends	en_US
Subject	Cardiovascular diseases	en_US
Subject	Stroke	en_US
Subject	Myocardial infarction	en_US
xmlui.metadata.dc.subject.ods	03 Saúde e Bem-Estar

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