Universidad Peruana Cayetano Heredia

Effect of rural-to-urban within-country migration on cardiovascular risk factors in low- and middle-income countries: A systematic review

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dc.contributor.author Hernández, A.V.
dc.contributor.author Pasupuleti, V.
dc.contributor.author Deshpande, A.
dc.contributor.author Bernabé Ortiz, Antonio
dc.contributor.author Miranda, J. Jaime
dc.date.accessioned 2022-01-18T19:26:54Z
dc.date.available 2022-01-18T19:26:54Z
dc.date.issued 2012
dc.identifier.uri https://hdl.handle.net/20.500.12866/11005
dc.description.abstract Context: Limited information is available of effects of rural-to-urban within-country migration on cardiovascular (CV) risk factors in low- and middle- income countries (LMIC). Objective: A systematic review of studies evaluating these effects was performed with rural and/or urban control groups. Study selection: Two teams of investigators searched observational studies in Medline, Web of Science and Scopus until May . Studies evaluating international migration were excluded. Data extraction: Three investigators extracted the information stratified by gender. Information on 17 known CV risk factors was obtained. Results: Eighteen studies (n=58 536) were included. Studies were highly heterogeneous with respect to study design, migrant sampling frame, migrant urban exposure and reported CV risk factors. In migrants, commonly reported CV risk factors - systolic and diastolic blood pressure, body mass index, obesity, total cholesterol and low-density lipoprotein - were usually higher or more common than in the rural group and usually lower or less common than in the urban group. This gradient was usually present in both genders. Anthropometric (waist-to-hip ratio, hip/waist circumference, triceps skinfolds) and metabolic (fasting glucose/insulin, insulin resistance) risk factors usually followed the same gradient, but conclusions were weak as information was insufficient. Hypertension, high-density lipoprotein, fibrinogen and C-reactive protein did not follow any pattern. Conclusions: In LMIC, most but not all, CV risk factors are higher or more common in migrants than in rural groups but lower or less common than in urban groups. Such gradients may or may not be associated with differential CV events and long-term evaluations are necessary. en_US
dc.language.iso eng
dc.publisher BMJ Publishing Group
dc.relation.ispartofseries Heart
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Humans en_US
dc.subject Rural Area en_US
dc.subject Hypertension en_US
dc.subject Urban Population en_US
dc.subject Poverty en_US
dc.subject Body Mass en_US
dc.subject C Reactive Protein en_US
dc.subject Insulin Resistance en_US
dc.subject Obesity en_US
dc.subject Rural Population en_US
dc.subject Systematic Review en_US
dc.subject Urban Area en_US
dc.subject Social Status en_US
dc.subject Anthropometric Parameters en_US
dc.subject Cholesterol Blood Level en_US
dc.subject Morbidity en_US
dc.subject Insulin en_US
dc.subject Diastolic Blood Pressure en_US
dc.subject Cholesterol en_US
dc.subject Population Dynamics|Income Group en_US
dc.subject Bibliographic Database en_US
dc.subject Fibrinogen en_US
dc.subject Fibrinogen Blood Level en_US
dc.subject Hip Waist Circumference en_US
dc.subject Insulin Blood Level en_US
dc.subject Lipoprotein Blood Level en_US
dc.subject Low Density Lipoprotein en_US
dc.title Effect of rural-to-urban within-country migration on cardiovascular risk factors in low- and middle-income countries: A systematic review en_US
dc.type info:eu-repo/semantics/review
dc.identifier.doi https://doi.org/10.1136/heartjnl-2011-300599
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.04
dc.relation.issn 1468-201X


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