Impact of the complex humanitarian crisis on the epidemiology of the cardiometabolic risk factors in Venezuela
| Autor: | Diana De Oliveira-Gomes, Livia Machado, Ramfis Nieto-Martinez, María Inés Marulanda, Jeffrey I. Mechanick, Juan P. González-Rivas, Carlos Ponte, Maritza Duran, Rocio Iglesias-Fortes |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Population Context (language use) Hyperlipidemias Risk Factors Diabetes mellitus Epidemiology medicine Prevalence Humans Pharmacology (medical) Prediabetes education General Environmental Science Metabolic Syndrome education.field_of_study business.industry General Engineering Cardiometabolic Risk Factors medicine.disease Venezuela Obesity Cholesterol General Earth and Planetary Sciences Metabolic syndrome Cardiology and Cardiovascular Medicine business Dyslipidemia Demography |
| Zdroj: | Clinica e investigacion en arteriosclerosis : publicacion oficial de la Sociedad Espanola de Arteriosclerosis. 34(2) |
| ISSN: | 1578-1879 |
| Popis: | Background The complex humanitarian crisis (CHC) in Venezuela is characterized by food insecurity, hyperinflation, insufficient basic services, and the collapse of the healthcare system. The evolution of the epidemiology of cardiometabolic risk factors in this context is unknown. Aim To compile the last 20 years evidence on the prevalence of cardiometabolic risk factors in adults of Venezuela in the context of the CHC. Methods A comprehensive literature review of population-based studies of adults in Venezuela from 2000 to 2020. Results Seven studies (National EVESCAM 2014–2017, 3 regions VEMSOLS 2006–2010, Maracaibo city 2007–2010, Merida city 2015, Mucuchies city 2009, Barquisimeto city CARMELA 2003–2005, and Zulia state 1999–2001) with samples sizes ranging from 109 to 3414 subjects were included. Over time, apparent decrease was observed in smoking from 21.8% (2003–2005) to 11.7% (2014–2017) and for obesity from 33.3% (2007–2010) to 24.6% (2014–2017). In contrast, there was an apparent increase in diabetes from 6% (2003–2005) to 12.3% (2014–2017), prediabetes 14.6% (2006–2010) to 34.9% (2014–2017), and hypertension 24.7% (2003–2005) to 34.1% (2014–2017). The most prevalent dyslipidemia – a low HDL-cholesterol – remained between 65.3% (1999–2001) and 63.2% (2014–2017). From 2006–2010 to 2014–2017, the high total cholesterol (22.2% vs 19.8%, respectively) and high LDL-cholesterol (23.3% vs 20.5%, respectively) remained similar, but high triglycerides decreased (39.7% vs 22.7%, respectively). Using the same definition across all the studies, metabolic syndrome prevalence increased from 35.6% (2006–2010) to 47.6% (2014–2017). Insufficient physical activity remained steady from 2007–2010 (34.3%) to 2014–2017 (35.2%). Conclusion Changes in the prevalence of cardiometabolic risk factors in Venezuela are heterogeneous and can be affected by various social determinants of health. Though the Venezuelan healthcare system has not successfully adapted, the dynamics and repercussions of the CHC on population-based cardiometabolic care can be instructive for other at-risk populations. |
| Databáze: | OpenAIRE |
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