Universidad Peruana Cayetano Heredia

The Andean Latin-American burden of diabetes attributable to high body mass index: a comparative risk assessment

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dc.contributor.author Carrillo Larco, Rodrigo Martín
dc.contributor.author Pearson-Stuttard, Jonathan
dc.contributor.author Bernabé Ortiz, Antonio
dc.contributor.author Gregg, Edward W.
dc.date.accessioned 2020-07-14T00:01:01Z
dc.date.available 2020-07-14T00:01:01Z
dc.date.issued 2020
dc.identifier.uri https://hdl.handle.net/20.500.12866/8254
dc.description.abstract BACKGROUND: Body mass index (BMI) has increased in Latin-America, but the implications for the diabetes burden have not been quantified. We estimated the proportion and absolute number of diabetes cases attributable to high BMI in Bolivia, Ecuador and Peru (Andean Latin-America), with estimation of region-level indicators in Peru. METHODS: We estimated the population attributable fraction (PAF) of BMI on diabetes (regardless of type 1 or 2) from 1980 to 2014, including the number of cases attributable to overweight (BMI 25-<30), class I (30-<35), class II (BMI 35-<40) and class III (BMI >/= 40) obesity. We used age- and sex-specific prevalence estimates of diabetes and BMI categories (NCD-RisC and Peru's DHS survey) combined with relative risks from population-based cohorts in Peru. FINDINGS: Across Andean Latin-America in 2014, there were 1,258,313 diabetes cases attributable to high BMI: 209,855 in Bolivia, 367,440 in Ecuador and 681,018 in Peru. Between 1980 and 2010, the absolute proportion of diabetes cases attributable to class I obesity increased the most (from 12.9% to 27.2%) across the region. The second greatest increase was for class II obesity (from 3.6% to 16.5%). There was heterogeneity in the fraction of diabetes cases attributable to high BMI by region in Peru, as coastal regions had the largest fractions, and so did high-income regions. INTERPRETATION: Over one million diabetes cases are attributable to high BMI in Andean Latin-America. Public health efforts should focus on implementing population-based interventions to reduce high BMI and to develop focused interventions targeted at those at highest risk of diabetes. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartofseries Diabetes Research and Clinical Practice
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Peru en_US
dc.subject prevalence en_US
dc.subject Article en_US
dc.subject cohort analysis en_US
dc.subject controlled study en_US
dc.subject female en_US
dc.subject human en_US
dc.subject major clinical study en_US
dc.subject male en_US
dc.subject mortality risk en_US
dc.subject risk factor en_US
dc.subject middle income country en_US
dc.subject public health en_US
dc.subject adult en_US
dc.subject risk assessment en_US
dc.subject prospective study en_US
dc.subject urban area en_US
dc.subject low income country en_US
dc.subject physical activity en_US
dc.subject health care en_US
dc.subject Bolivia en_US
dc.subject South and Central America en_US
dc.subject body height en_US
dc.subject body mass en_US
dc.subject body weight en_US
dc.subject Ecuador en_US
dc.subject health care policy en_US
dc.subject highest income group en_US
dc.subject insulin dependent diabetes mellitus en_US
dc.subject non insulin dependent diabetes mellitus en_US
dc.subject obesity en_US
dc.subject rural area en_US
dc.subject social aspect en_US
dc.title The Andean Latin-American burden of diabetes attributable to high body mass index: a comparative risk assessment en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/j.diabres.2019.107978
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.18
dc.relation.issn 1872-8227


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