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...
Main Authors: | , , , , , , , |
---|---|
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 |
_version_ | 1797394630408404992 |
---|---|
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. |
first_indexed | 2024-03-09T00:22:33Z |
format | Article |
id | doaj.art-99fe2beec9274d988618f26362798cc8 |
institution | Directory Open Access Journal |
issn | 1932-6203 |
language | English |
last_indexed | 2024-03-09T00:22:33Z |
publishDate | 2023-01-01 |
publisher | Public Library of Science (PLoS) |
record_format | Article |
series | PLoS ONE |
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 |
work_keys_str_mv | AT carolynmhsingleton cardiometabolicriskfactorsinsouthamericanchildrenasystematicreviewandmetaanalysis AT sumeerbrar cardiometabolicriskfactorsinsouthamericanchildrenasystematicreviewandmetaanalysis AT nicolerobertson cardiometabolicriskfactorsinsouthamericanchildrenasystematicreviewandmetaanalysis AT laurenditommaso cardiometabolicriskfactorsinsouthamericanchildrenasystematicreviewandmetaanalysis AT georgejfuchs cardiometabolicriskfactorsinsouthamericanchildrenasystematicreviewandmetaanalysis AT aricschadler cardiometabolicriskfactorsinsouthamericanchildrenasystematicreviewandmetaanalysis AT aureliaradulescu cardiometabolicriskfactorsinsouthamericanchildrenasystematicreviewandmetaanalysis AT suzannalattia cardiometabolicriskfactorsinsouthamericanchildrenasystematicreviewandmetaanalysis |