Diabetes Prevention Interventions in Latin American Countries: a Scoping Review

Heisler, Michele; Kaselitz, Elizabeth; Rana, Gurpreet; Piette, John D.

doi:10.1007/s11892-016-0778-7

Cited by 15 publications

(15 citation statements)

References 59 publications

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“…In all countries, carbonated sweetened drinks (CSDs) were the most frequently consumed SSB. This pattern of high SSB consumption is similar to that found in a previous survey in these populations (Uruguay was not included in the earlier study) [26] and also reflects several studies in Mexico that have drawn attention to the increase in SSB consumption and its potential contribution to chronic disease [16, 28–30]. …”

Section: Discussionsupporting

confidence: 87%

“…Given the increasing levels of obesity in Latin America, this raises additional cause for concern [15]. The average body mass index (BMI) of Latin Americans increased twice as fast as the global average between 1980 and 2008, with 70% of Mexicans now considered either overweight or obese [16]. Unsurprisingly, this has been accompanied by a rapid increase in associated conditions such as type 2 diabetes, metabolic syndrome and cardiovascular disease [17–19].…”

Section: Introductionmentioning

confidence: 99%

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Fluid intake of Latin American adults: results of four 2016 Liq.In7 national cross-sectional surveys

et al. 2018

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PurposeTo report total fluid intake (TFI) and the intake of different fluid types in adults (≥ 18 years old) from Mexico, Argentina, Brazil and Uruguay. To compare intakes between countries and with recommended adequate intake (AI) of water from fluids.MethodsCross-sectional data were collected using a validated liquid intake 7-day record (Liq.In7) in populations from Argentina (n = 1089), Brazil (n = 477), Mexico (n = 1677) and Uruguay (n = 554). Population characteristics, including age, gender, body mass index and socioeconomic level were recorded. Mean TFI was compared with the AI of water from fluids set by the USA Institute of Medicine.ResultsThe lowest TFI was recorded in Mexican women (1748 mL/day) and the highest in Argentinean men (2318 mL/day). Median daily TFI was significantly different between countries; Uruguay and Argentina had higher values than Mexico and Brazil. In the former, plain water contributed to only 25% of TFI, the remainder being predominantly from hot beverages. Approximately, a third of adults did not drink enough fluid to meet the recommended AI. High SSB consumption was reported, which was significantly different between countries (p < 0.05), the highest being in Mexico (median 25–75th percentiles): 531 (300–895 mL/day.ConclusionsThis survey highlights the need to increase water consumption and reduce SSB intake in this region to avoid potential associated health risks. These findings may be useful information in monitoring public health policy strategies.Electronic supplementary materialThe online version of this article (10.1007/s00394-018-1724-z) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Fluid intake of Latin American adults: results of four 2016 Liq.In7 national cross-sectional surveys

et al. 2018

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“…As is the case in virtually all culturally adapted studies, none assessed the relative importance of various cultural adaptation elements, did not compare culturally adapted interventions and non-adapted approaches ( 380 ), and did not specify participants’ ancestry or country of origin. While budgetary limitations often present barriers to these analyses, it would be important to ascertain the usefulness of elements of cultural adaptation, as well as to determine the variability of health-related behaviors by cultural origin ( 84 , 163 , 382 – 384 ). There is a critical need for culturally adapted interventions to provide more detailed information on the methodology followed in the cultural adaptations, beyond the translation of materials, as well as to address the linguistic needs of many Latin American immigrants from indigenous communities, for whom Spanish is not a first language.…”

Section: Interventions To Prevent Type 2 Dm Among Hispanics/latinosmentioning

confidence: 99%

“…In Latin America, there seem to be no published studies modeled after the DPP, but several RCTs have evaluated the effect of lifestyle interventions on weight and metabolic outcomes among adults in Mexico and Brazil ( 384 ). The RCTs varied in size ( N = 51–241), intervention dosage (weekly to monthly), duration (6–12 months), and specific intervention components.…”

Section: Interventions To Prevent Type 2 Dm Among Hispanics/latinosmentioning

confidence: 99%

From Sea to Shining Sea and the Great Plains to Patagonia: A Review on Current Knowledge of Diabetes Mellitus in Hispanics/Latinos in the US and Latin America

et al. 2017

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The past two decades have witnessed many advances in the prevention, treatment, and control of diabetes mellitus (DM) and its complications. Increased screening has led to a greater recognition of type 2 diabetes mellitus (type 2 DM) and prediabetes; however, Hispanics/Latinos, the largest minority group in the US, have not fully benefited from these advances. The Hispanic/Latino population is highly diverse in ancestries, birth places, cultures, languages, and socioeconomic backgrounds, and it populates most of the Western Hemisphere. In the US, the prevalence of DM varies among Hispanic/Latino heritage groups, being higher among Mexicans, Puerto Ricans, and Dominicans, and lower among South Americans. The risk and prevalence of diabetes among Hispanics/Latinos are significantly higher than in non-Hispanic Whites, and nearly 40% of Hispanics/Latinos with diabetes have not been formally diagnosed. Despite these striking facts, the representation of Hispanics/Latinos in pharmacological and non-pharmacological clinical trials has been suboptimal, while the prevalence of diabetes in these populations continues to rise. This review will focus on the epidemiology, etiology and prevention of type 2 DM in populations of Latin American origin. We will set the stage by defining the terms Hispanic, Latino, and Latin American, explaining the challenges identifying Hispanics/Latinos in the scientific literature and databases, describing the epidemiology of diabetes—including type 2 DM and gestational diabetes mellitus (GDM)—and cardiovascular risk factors in Hispanics/Latinos in the US and Latin America, and discussing trends, and commonalities and differences across studies and populations, including methodology to ascertain diabetes. We will discuss studies on mechanisms of disease, and research on prevention of type 2 DM in Hispanics/Latinos, including women with GDM, youth and adults; and finalize with a discussion on lessons learned and opportunities to enhance research, and, consequently, clinical care oriented toward preventing type 2 DM in Hispanics/Latinos in the US and Latin America.

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“…High BMI and diabetes have several shared risk factors including unhealthy diet and physical inactivity. Evidencebased health policies are available to tackle these shared risk factors and to prevent diabetes in Latin-America; the most effective interventions in the general population have been found to be those that addresses the obesogenic environment, fiscally optimising food choices and reformulating unhealthy foods [39][40][41]. Several efforts are underway in the Andean Latin-America region.…”

Section: Public Health Relevancementioning

confidence: 99%

The Andean Latin-American burden of diabetes attributable to high body mass index: A comparative risk assessment

Carrillo‐Larco

Pearson‐Stuttard

Bernabé‐Ortiz

et al. 2020

Diabetes Research and Clinical Practice

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A B S T R A C TBackground: Body mass index (BMI) has increased in Latin-America, but the implications for the diabetes burden have not been quantified. We estimated the proportion and absolute number of diabetes cases attributable to high BMI in Bolivia, Ecuador and Peru (Andean Latin-America), with estimation of region-level indicators in Peru. Methods: We estimated the population attributable fraction (PAF) of BMI on diabetes (regardless of type 1 or 2) from 1980 to 2014, including the number of cases attributable to overweight (BMI 25-<30), class I (30-<35), class II (BMI 35-<40) and class III (BMI ! 40) obesity. We used age-and sex-specific prevalence estimates of diabetes and BMI categories (NCD-RisC and Peru's DHS survey) combined with relative risks from population-based cohorts in Peru. Findings: Across Andean Latin-America in 2014, there were 1,258,313 diabetes cases attribu-table to high BMI: 209,855 in Bolivia, 367,440 in Ecuador and 681,018 in Peru. Between 1980and 2010, the absolute proportion of diabetes cases attributable to class I obesity increased the most (from 12.9% to 27.2%) across the region. The second greatest increase was for class II obesity (from 3.6% to 16.5%). There was heterogeneity in the fraction of diabetes cases attributable to high BMI by region in Peru, as coastal regions had the largest fractions, and so did high-income regions. Interpretation: Over one million diabetes cases are attributable to high BMI in Andean Latin-America. Public health efforts should focus on implementing population-based interventions to reduce high BMI and to develop focused interventions targeted at those at highest risk of diabetes. (R.M. Carrillo-Larco). d i a b e t e s r e s e a r c h a n d c l i n i c a l p r a c t i c e 1 6 0 ( 2 0 2 0 ) 1 0 7 9 7 8

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Diabetes Prevention Interventions in Latin American Countries: a Scoping Review

Cited by 15 publications

References 59 publications

Fluid intake of Latin American adults: results of four 2016 Liq.In7 national cross-sectional surveys

Fluid intake of Latin American adults: results of four 2016 Liq.In7 national cross-sectional surveys

From Sea to Shining Sea and the Great Plains to Patagonia: A Review on Current Knowledge of Diabetes Mellitus in Hispanics/Latinos in the US and Latin America

The Andean Latin-American burden of diabetes attributable to high body mass index: A comparative risk assessment

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