Garegnani, Luis and Franco, Juan Victor Ariel and Liquitay, Camila Micaela Escobar and Brant, Luisa Campos Caldeira and Lim, Hooi Min and Jessen, Neusa Perina de Jesus and Singh, Kavita and Ware, Lisa Jayne and Labarthe, Darwin and Perman, Gaston (2023) Cardiovascular health metrics in low and middle-income countries: A scoping review. Preventive Medicine, 172. ISSN 0091-7435, DOI https://doi.org/10.1016/j.ypmed.2023.107534.
Full text not available from this repository.Abstract
Background: In 2010 the American Heart Association defined the concept of ideal cardiovascular health to renew the focus on primordial prevention for cardiovascular disease. Evidence primarily from high-income countries suggests ideal CVH prevalence is low and decreases with age, with vulnerable populations differentially affected. We aimed to identify and characterize the evidence relevant to CVH metrics in low-and middle-income countries (LMICs).Methods: We followed the Joanna Briggs Institute guideline for the conduct of this scoping review. We searched MEDLINE, Embase, LILACS and study registers from inception to 14 March 2022. We included cross-sectional and cohort studies in populations representing a geographically-defined unit (urban or rural) in LMICs, and with data on CVH metrics i.e. all health or clinical factors (cholesterol, blood pressure, glycemia and body mass index) and at least one health behavior (smoking, diet or physical activity). We report findings following the PRISMA-Scr extension for scoping reviews.Results: We included 251 studies; 85% were cross-sectional. Most studies (70.9%) came from just ten countries. Only 6.8% included children younger than 12 years old. Only 34.7% reported seven metrics; 25.1%, six. Health behaviors were mostly self-reported; 45.0% of studies assessed diet, 58.6% physical activity, and 90.0% smoking status.Conclusions: We identified a substantial and heterogeneous body of research presenting CVH metrics in LMICs. Few studies assessed all components of CVH, especially in children and in low-income settings. This review will facilitate the design of future studies to bridge the evidence gap. This scoping review protocol was previously registered on OSF: https://osf.io/sajnh
| Item Type: | Article |
|---|---|
| Funders: | None |
| Uncontrolled Keywords: | Epidemiology; Cardiovascular disease; Risk factors; Risk assessment; Developing countries; Scoping review |
| Subjects: | R Medicine > RA Public aspects of medicine |
| Divisions: | Faculty of Medicine > Primary Care Medicine Department |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 06 Oct 2025 08:22 |
| Last Modified: | 06 Oct 2025 08:22 |
| URI: | http://eprints.um.edu.my/id/eprint/48295 |
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