Imperial College London
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ProfessorMajidEzzati

Faculty of Medicine, School of Public Health

Chair in Global Environmental Health
 
 
 
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Contact

 

majid.ezzati Website

 
 
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Location

 

Sir Michael Uren HubWhite City Campus

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Summary

 

Publications

Citation

BibTex format

@article{Carrillo:2019,
author = {Carrillo, Larco R and Di, Cesare MC and Ezzati, M and Zhou, B},
journal = {The Lancet Global Health},
title = {Transitions of cardio-metabolic risk factors in the Americas between 1980 and 2014},
url = {http://hdl.handle.net/10044/1/74683},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Background:  Describing  the  levels  and  trends  of  cardio-metabolic  risk factors  associated  with  non-communicable  diseases  (NCDs)  is  vital  for  monitoring  progress,  planning  prevention and  provide evidence to support policy efforts. We aimed to analyse the transition in body-mass index (BMI), obesity, blood pressure, raised blood pressure (RBP) and diabetes in the Americas, 1980-2014.Methods:  Pooled  analysis  of  population-based  studies with  data  on  anthropometric  measurements, biomarkers for diabetes, and blood pressure from adults aged 18+ years. A Bayesian model was used to estimate trends in BMI, RBP (systolic blood pressure ≥140 mmHg or diastolic blood pressure ≥90 mmHg) and diabetes(fasting plasma glucose ≥7.0 mmol/l, history of diabetes, or diabetes treatment) from 1980 to 2014 in 37 countries and 6 sub-regions of the Americas.Findings: 389 population-based surveys from the Americas were available. Comparing the 2014 with the 1980 prevalence estimates, the obesity ratio was the largest in the non-English-speaking Caribbean sub-region (4.71 in men and 2.50 in women) showing that the prevalence in 2014 for men is almost five times  larger  than  it  was  in  1980.  The  English-speaking  Caribbean  sub-region  had  the  largest  ratio regarding  diabetes  (2.14  in men  and  2.13 in  women). Conversely,  the ratio for  RBP  signals that the frequency of this condition has diminished across the region; the largest decrease was found in North America (0.56 in men and 0.54 in women).  Interpretation:  Despite  the  generally  high  prevalence  of  cardio-metabolic  risk  factors  across  the Americas region, estimates also show a high level of heterogeneity in the transition between countries.
AU  - Carrillo,Larco R
AU  - Di,Cesare MC
AU  - Ezzati,M
AU  - Zhou,B
PY  - 2019///
SN  - 2214-109X
TI  - Transitions of cardio-metabolic risk factors in the Americas between 1980 and 2014
T2  - The Lancet Global Health
UR  - http://hdl.handle.net/10044/1/74683
ER  -
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