ArticleBMC public health2017
Cardiovascular risk status of Afro-origin populations across the spectrum of economic development: findings from the Modeling the Epidemiologic Transition Study.
Article in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Type 2 diabetes-associated gut microbial composition and short chain fatty acids differ across the epidemiologic transition in African origin populations.Gut microbes reports · 2027Article
- Use of mathematical modelling to estimate the impact of interventions and risk factors on cardiovascular diseases in Africa: A scoping review.Malawi medical journal : the journal of Medical Association of Malawi · 2026Review
- The relationship between leptin-to-adiponectin ratio and HOMA-IR and metabolic syndrome in five African-origin populations.International journal of obesity (2005) · 2025Article
- Obesity phenotypes and dyslipidemia in adults from four African countries: An H3Africa AWI-Gen study.PloS one · 2025Article
- The utility of physical activity questionnaires among African origin populations; lost in translation?Research square · 2024Article
- Genes, environment, and African ancestry in cardiometabolic disorders.Trends in endocrinology and metabolism: TEM · 2023Review
- Ethnodemographic characterization of stroke incidence and burden of disease in hospital discharge records in Ecuador.Frontiers in neurology · 2023Article
- Article
- Transcriptome prediction performance across machine learning models and diverse ancestries.HGG advances · 2021Article
- A comparison of the associations between adiposity and lipids in Malawi and the United Kingdom.BMC medicine · 2020Article
- Integrated screening and treatment services for HIV, hypertension and diabetes in Kenya: assessing the epidemiological impact and cost-effectiveness from a national and regional perspective.Journal of the International AIDS Society · 2020Article
- Comparison of Cardiovascular Risk Factors among Somalis Living in Norway and Somaliland.International journal of environmental research and public health · 2019Article
- Decreased microbial co-occurrence network stability and SCFA receptor level correlates with obesity in African-origin women.Scientific reports · 2018Article
- The Association of Dietary Fiber Intake with Cardiometabolic Risk in Four Countries across the Epidemiologic Transition.Nutrients · 2018Article
- Independent association of resting energy expenditure with blood pressure: confirmation in populations of the African diaspora.BMC cardiovascular disorders · 2018Article
- Article
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14 authors.
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Abstract
backgroundCardiovascular risk factors are increasing in most developing countries. To date, however, very little standardized data has been collected on the primary risk factors across the spectrum of economic development. Data are particularly sparse from Africa.
methodsIn the Modeling the Epidemiologic Transition Study (METS) we examined population-based samples of men and women, ages 25-45 of African ancestry in metropolitan Chicago, Kingston, Jamaica, rural Ghana, Cape Town, South Africa, and the Seychelles. Key measures of cardiovascular disease risk are described.
resultsThe risk factor profile varied widely in both total summary estimates of cardiovascular risk and in the magnitude of component factors. Hypertension ranged from 7% in women from Ghana to 35% in US men. Total cholesterol was well under 200 mg/dl for all groups, with a mean of 155 mg/dl among men in Ghana, South Africa and Jamaica. Among women total cholesterol values varied relatively little by country, following between 160 and 178 mg/dl for all 5 groups. Levels of HDL-C were virtually identical in men and women from all study sites. Obesity ranged from 64% among women in the US to 2% among Ghanaian men, with a roughly corresponding trend in diabetes. Based on the Framingham risk score a clear trend toward higher total risk in association with socioeconomic development was observed among men, while among women there was considerable overlap, with the US participants having only a modestly higher risk score.
conclusionsThese data provide a comprehensive estimate of cardiovascular risk across a range of countries at differing stages of social and economic development and demonstrate the heterogeneity in the character and degree of emerging cardiovascular risk. Severe hypercholesterolemia, as characteristic in the US and much of Western Europe at the onset of the coronary epidemic, is unlikely to be a feature of the cardiovascular risk profile in these countries in the foreseeable future, suggesting that stroke may remain the dominant cardiovascular event.
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