SynthesisBMJ open2021
Impact of disasters, including pandemics, on cardiometabolic outcomes across the life-course: a systematic review.
Synthesis in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Article
- After the earthquake: clinical observations in axial spondyloarthritis patients receiving biologic therapy.Clinical rheumatology · 2026Observational
- Trends in obesity defined by body mass index among adults before and during the COVID-19 pandemic: a repeated cross-sectional study of the 2009-2023 Canadian Community Heath Surveys.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025Article
- Effect of COVID-19 Pandemic Related Healthcare Disruption on Hypertension Control: A Retrospective Analysis of Older Adults With Multiple Chronic Conditions in New York City.American journal of hypertension · 2025Article
- Residential natural hazard risk and mental health effects.American journal of epidemiology · 2025Article
- Association between World Trade Center disaster exposures and body mass index in community members enrolled at World Trade Center Environmental Health Center.Environmental pollution (Barking, Essex : 1987) · 2025Article
- Research priorities for cardiometabolic syndrome in humanitarian settings: A global consensus-based agenda.Journal of migration and health · 2025Article
- Early-life famine exposure increases the risk of subsequent physical disability: evidence from a national population-based survey.Frontiers in public health · 2025Article
- Lifestyle and psychosocial predictors of health resilience among Indonesian disaster preparedness cadres (TAGANA): a machine learning approach.Frontiers in public health · 2025Review
- Association of disaster-related damage with inflammatory diet among older survivors of the Great East Japan Earthquake and Tsunami.The British journal of nutrition · 2024Article
- Article
- Differences in the Temporal Extension of Self-Continuity Over the Course of the COVID-19 Pandemic.Self and identity : the journal of the International Society for Self and Identity · 2024Article
- Disaster mycologyBiomedica : revista del Instituto Nacional de Salud · 2023Article
- Strategic multimodal non-invasive assessment of cardiac performance in patients with heart failure.ESC heart failure · 2023Observational
- Women's experience of perinatal support in a high migrant Australian population during the COVID-19 pandemic: a mixed methods study.BMC pregnancy and childbirth · 2023Article
- Health Care Implications of the COVID-19 Pandemic for the Cardiovascular Practitioner.The Canadian journal of cardiology · 2023Review
- Obesity and adverse childhood experiences in relation to stress during the COVID-19 pandemic: an analysis of the Canadian Longitudinal Study on Aging.International journal of obesity (2005) · 2023Article
- Post-Disaster Mental Health and Dietary Patterns among Older Survivors of an Earthquake and Tsunami.The journal of nutrition, health & aging · 2023Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDisasters are events that disrupt the daily functioning of a community or society, and may increase long-term risk of adverse cardiometabolic outcomes, including cardiovascular disease, obesity and diabetes. The objective of this study was to conduct a systematic review to determine the impact of disasters, including pandemics, on cardiometabolic outcomes across the life-course.
designA systematic search was conducted in May 2020 using two electronic databases, EMBASE and Medline. All studies were screened in duplicate at title and abstract, and full-text level. Studies were eligible for inclusion if they assessed the association between a population-level or community disaster and cardiometabolic outcomes ≥1 month following the disaster. There were no restrictions on age, year of publication, country or population. Data were extracted on study characteristics, exposure (eg, type of disaster, region, year), cardiometabolic outcomes and measures of effect. Study quality was evaluated using the Joanna Briggs Institute critical appraisal tools.
resultsA total of 58 studies were included, with 24 studies reporting the effects of exposure to disaster during pregnancy/childhood and 34 studies reporting the effects of exposure during adulthood. Studies included exposure to natural (n=35; 60%) and human-made (n=23; 40%) disasters, with only three (5%) of these studies evaluating previous pandemics. Most studies reported increased cardiometabolic risk, including increased cardiovascular disease incidence or mortality, diabetes and obesity, but not all. Few studies evaluated the biological mechanisms or high-risk subgroups that may be at a greater risk of negative health outcomes following disasters.
conclusionsThe findings from this study suggest that the burden of disasters extend beyond the known direct harm, and attention is needed on the detrimental indirect long-term effects on cardiometabolic health. Given the current COVID-19 pandemic, these findings may inform public health prevention strategies to mitigate the impact of future cardiometabolic risk. PROSPERO REGISTRATION NUMBER: CRD42020186074.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.