Evidence map›Paper›PMID 31221119›Full record

ArticleBMC public health2019

Prevalence and determinants of cardiovascular disease risk factors using the WHO STEPS approach in Cochabamba, Bolivia.

Yercin Mamani-Ortiz, Miguel San Sebastián, Ada X Armaza, Jenny M Luizaga, Daniel E Illanes, Marcia Ferrel, Paola A Mosquera

Abstract read
In one paragraph

Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yercin Mamani-OrtizBiomedical and Social Research Institute, Faculty of Medicine, San Simon University, Aniceto Arce Avenue, 371, Cochabamba, Bolivia. yercin2003@hotmail.com.ORCID http://orcid.org/0000-0003-0400-0414
Miguel San SebastiánDepartment of Epidemiology and Global Health, Umeå University, Umeå, Sweden.
Ada X ArmazaBiomedical and Social Research Institute, Faculty of Medicine, San Simon University, Aniceto Arce Avenue, 371, Cochabamba, Bolivia.
Jenny M LuizagaBiomedical and Social Research Institute, Faculty of Medicine, San Simon University, Aniceto Arce Avenue, 371, Cochabamba, Bolivia.
Daniel E IllanesBiomedical and Social Research Institute, Faculty of Medicine, San Simon University, Aniceto Arce Avenue, 371, Cochabamba, Bolivia.
Marcia FerrelDepartmental Health Service, Cochabamba, Bolivia.
Paola A MosqueraDepartment of Epidemiology and Global Health, Umeå University, Umeå, Sweden.

Funding

Swedish International Development Cooperation Agency 5410004501
6 · The paper itself

Abstract

backgroundCardiovascular diseases (CVDs) are considered the number one cause of death worldwide, especially in low- and middle-income countries, Bolivia included. Lack of reliable estimates of risk factor distribution can lead to delay in implementation of evidence-based interventions. However, little is known about the prevalence of risk factors in the country. The aim of this study was to assess the prevalence of preventable risk factors associated with CVDs and to identify the demographic and socioeconomic factors associated with them in Cochabamba, Bolivia.

methodsA cross-sectional community-based study was conducted among youth and adults (N = 10,704) with permanent residence in Cochabamba, selected through a multistage sampling technique, from July 2015 to November 2016. An adapted version of the WHO STEPS survey was used to collect information. The prevalence of relevant behavioural risk factors and anthropometric measures were obtained. The socio-demographic variables included were age, ethnicity, level of education, occupation, place of residence, and marital status. Proportions with 95% confidence intervals were first calculated, and prevalence ratios were estimated for each CVD risk factor, both with crude and adjusted models.

resultsMore than half (57.38%) were women, and the mean age was 37.89 ± 18 years. The prevalence of behavioural risk factors were: current smoking, 11.6%; current alcohol consumption, 42.76%; low consumption of fruits and vegetables, 76.73%; and low level of physical activity, 64.77%. The prevalence of overweight was 35.84%; obesity, 20.49%; waist risk or abdominal obesity, 54.13%; and raised blood pressure, 17.5%. Indigenous populations and those living in the Andean region showed in general a lower prevalence of most of the risk factors evaluated.

conclusionWe provide the first CVD risk factor profile of people living in Cochabamba, Bolivia, using a standardized methodology. Overall, findings suggest that the prevalence of CVD risk factors in Cochabamba is high. This result highlights the need for interventions to improve early diagnosis, monitoring, management, and especially prevention of these risk factors.

Indexed as

AdolescentAdultBoliviaCardiovascular DiseasesCross-Sectional StudiesFemaleHumansMaleMiddle AgedPrevalenceRisk FactorsYoung AdultAlcoholBoliviaCardiovascular risk factorsHypertensionObesityTobaccoWHO STEPS approach

Identifiers

PMID31221119
PMCPMC6587294

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.