Cardiometabolic risk factors in South American children: A systematic review and meta-analysis.

<h4>Background</h4>Cardiometabolic risk factors (impaired fasting glucose, abdominal obesity, high blood pressure, dyslipidemia) cluster in children, may predict adult disease burden, and are inadequately characterized in South American children.<h4>Objectives</h4>To quantify...

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Main Authors: Carolyn M H Singleton, Sumeer Brar, Nicole Robertson, Lauren DiTommaso, George J Fuchs, Aric Schadler, Aurelia Radulescu, Suzanna L Attia
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0293865&type=printable
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author Carolyn M H Singleton
Sumeer Brar
Nicole Robertson
Lauren DiTommaso
George J Fuchs
Aric Schadler
Aurelia Radulescu
Suzanna L Attia
author_facet Carolyn M H Singleton
Sumeer Brar
Nicole Robertson
Lauren DiTommaso
George J Fuchs
Aric Schadler
Aurelia Radulescu
Suzanna L Attia
author_sort Carolyn M H Singleton
collection DOAJ
description <h4>Background</h4>Cardiometabolic risk factors (impaired fasting glucose, abdominal obesity, high blood pressure, dyslipidemia) cluster in children, may predict adult disease burden, and are inadequately characterized in South American children.<h4>Objectives</h4>To quantify the burden of cardiometabolic risk factors in South American children (0-21 years) and identify knowledge gaps.<h4>Methods</h4>We systematically searched PubMed, Google Scholar, and the Latin American and Caribbean Health Sciences Literature via Virtual Health Library from 2000-2021 in any language. Two independent reviewers screened and extracted all data.<h4>Results</h4>179 studies of 2,181 screened were included representing 10 countries (n = 2,975,261). 12.2% of South American children experienced obesity, 21.9% elevated waist circumference, 3.0% elevated fasting glucose, 18.1% high triglycerides, 29.6% low HDL cholesterol, and 8.6% high blood pressure. Cardiometabolic risk factor definitions varied widely. Chile exhibited the highest prevalence of obesity/overweight, low HDL, and impaired fasting glucose. Ecuador exhibited the highest prevalence of elevated blood pressure. Rural setting (vs. urban or mixed) and indigenous origin protected against most cardiometabolic risk factors.<h4>Conclusions</h4>South American children experience high rates of obesity, overweight, and dyslipidemia. International consensus on cardiometabolic risk factor definitions for children will lead to improved diagnosis of cardiometabolic risk factors in this population, and future research should ensure inclusion of unreported countries and increased representation of indigenous populations.
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spelling doaj.art-99fe2beec9274d988618f26362798cc82023-12-12T05:33:33ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-011811e029386510.1371/journal.pone.0293865Cardiometabolic risk factors in South American children: A systematic review and meta-analysis.Carolyn M H SingletonSumeer BrarNicole RobertsonLauren DiTommasoGeorge J FuchsAric SchadlerAurelia RadulescuSuzanna L Attia<h4>Background</h4>Cardiometabolic risk factors (impaired fasting glucose, abdominal obesity, high blood pressure, dyslipidemia) cluster in children, may predict adult disease burden, and are inadequately characterized in South American children.<h4>Objectives</h4>To quantify the burden of cardiometabolic risk factors in South American children (0-21 years) and identify knowledge gaps.<h4>Methods</h4>We systematically searched PubMed, Google Scholar, and the Latin American and Caribbean Health Sciences Literature via Virtual Health Library from 2000-2021 in any language. Two independent reviewers screened and extracted all data.<h4>Results</h4>179 studies of 2,181 screened were included representing 10 countries (n = 2,975,261). 12.2% of South American children experienced obesity, 21.9% elevated waist circumference, 3.0% elevated fasting glucose, 18.1% high triglycerides, 29.6% low HDL cholesterol, and 8.6% high blood pressure. Cardiometabolic risk factor definitions varied widely. Chile exhibited the highest prevalence of obesity/overweight, low HDL, and impaired fasting glucose. Ecuador exhibited the highest prevalence of elevated blood pressure. Rural setting (vs. urban or mixed) and indigenous origin protected against most cardiometabolic risk factors.<h4>Conclusions</h4>South American children experience high rates of obesity, overweight, and dyslipidemia. International consensus on cardiometabolic risk factor definitions for children will lead to improved diagnosis of cardiometabolic risk factors in this population, and future research should ensure inclusion of unreported countries and increased representation of indigenous populations.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0293865&type=printable
spellingShingle Carolyn M H Singleton
Sumeer Brar
Nicole Robertson
Lauren DiTommaso
George J Fuchs
Aric Schadler
Aurelia Radulescu
Suzanna L Attia
Cardiometabolic risk factors in South American children: A systematic review and meta-analysis.
PLoS ONE
title Cardiometabolic risk factors in South American children: A systematic review and meta-analysis.
title_full Cardiometabolic risk factors in South American children: A systematic review and meta-analysis.
title_fullStr Cardiometabolic risk factors in South American children: A systematic review and meta-analysis.
title_full_unstemmed Cardiometabolic risk factors in South American children: A systematic review and meta-analysis.
title_short Cardiometabolic risk factors in South American children: A systematic review and meta-analysis.
title_sort cardiometabolic risk factors in south american children a systematic review and meta analysis
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0293865&type=printable
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