ArticleJournal of epidemiology and community health2018
Trajectories of body mass index and waist circumference in four Peruvian settings at different level of urbanisation: the CRONICAS Cohort Study.
Article in Journal of epidemiology and community health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.
- Abdominal obesity prevalence in Latin America: a systematic review and meta-analysis comparing ATP III and IDF criteria.Frontiers in endocrinology · 2025Pooled it
- Prevalence of Hypertension in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis.Medicine · 2015Pooled it
- Prevalence of obesity according to body mass index, waist circumference, and waist-to-height ratio in Peru: A systematic review and meta-analysis.Obesity pillars · 2025Article
- Urbanization, Altitude and Cardiovascular Risk.Global heart · 2022Article
- Urbanization in Peru is inversely associated with double burden of malnutrition: Pooled analysis of 92,841 mother-child pairs.Obesity (Silver Spring, Md.) · 2021Article
- Measured and Perceived Body Weight Status of Women in the Peruvian Amazon.Medicina (Kaunas, Lithuania) · 2020Article
- The shift of obesity burden by socioeconomic status between 1998 and 2017 in Latin America and the Caribbean: a cross-sectional series study.The Lancet. Global health · 2019Article
- Altitude and its inverse association with abdominal obesity in an Andean country: a cross-sectional study.F1000Research · 2019Article
- Correlation and agreement between the body mass index and abdominal perimeter with the waist-to-height ratio in peruvian adults aged 18 to 59 years.Revista peruana de medicina experimental y salud publicaArticle
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 3 countries.
Funding
Abstract
backgroundStudies have reported the incidence/risk of becoming obese, but few have described the trajectories of body mass index (BMI) and waist circumference (WC) over time, especially in low/middle-income countries. We assessed the trajectories of BMI and WC according to sex in four sites in Peru.
methodsData from the population-based CRONICAS Cohort Study were analysed. We fitted a population-averaged model by using generalised estimating equations. The outcomes of interest, with three data points over time, were BMI and WC. The exposure variable was the factorial interaction between time and study site.
resultsAt baseline mean age was 55.7 years (SD: 12.7) and 51.6% were women. Mean follow-up time was 2.5 years (SD: 0.4). Over time and across sites, BMI and WC increased linearly. The less urbanised sites showed a faster increase than more urbanised sites, and this was also observed after sex stratification. Overall, the fastest increase was found for WC compared with BMI. Compared with Lima, the fastest increase in WC was in rural Puno (coefficient=0.73, P<0.001), followed by urban Puno (coefficient=0.59, P=0.001) and Tumbes (coefficient=0.22, P=0.088).
conclusionsThere was a linear increase in BMI and WC across study sites, with the greatest increase in less urbanised areas. The ongoing urbanisation process, common to Peru and other low/middle-income countries, is accompanied by different trajectories of increasing obesity-related markers.
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