Identifying geographical profiles of nutrition-epidemiological transition in Argentina

Autores
Scruzzi, Graciela Fabiana; Tumas, Natalia; Pou, Sonia Alejandra
Año de publicación
2021
Idioma
inglés
Tipo de recurso
documento de conferencia
Estado
versión publicada
Descripción
BACKGROUND AND AIM: Latin America has experienced major shifts over the last decades in its demographic, nutritional, and epidemiological profiles. While the global trends and patterns have been widely described, the differences in the process of nutrition-epidemiological transition among and within low- and middle-income countries have been scarcely explained. This work aimed to identify different geographical profiles of nutrition-epidemiological transition within Argentina in the 2005-2019 period. METHODS: A nationwide ecological study in Argentina was performed, using health statistics and demographic information from official data sources about its 24 geographical units (provinces). Percentages of change (2005-2019) of selected nutritional, epidemiological, and demographic indicators were estimated by geographic unit. Using a Principal Component Analysis coupled with a Hierarchical Cluster Analysis, it was identified geographic clusters representing profiles of nutrition-epidemiological transition (NET) across the Argentinean territory. RESULTS:Three NET profiles (clusters) were identified: 1) "Reemergence of infectious diseases”, mainly characterized by a rising burden of infectious diseases (such as congenital syphilis among others), with a decrease in the years of potential life lost (YPLL) due to cancer and external causes; 2) "Persistence of cardiovascular diseases with improvements in health and lifestyles", with rising arterial hypertension prevalence and decreasing YPLL due to infectious diseases, infant mortality and physical inactivity prevalence; 3) “Consolidation of the obesity-physical inactivity-cardiometabolic diseases triad", characterized by increases in the YPLL due to cardiovascular diseases, in the prevalence of type 2 diabetes and adult obesity, and the proportion of people with a low level of physical activity. These clusters (NET profiles) accounted for 25%, 50%, and 25% of Argentina's provinces, respectively. CONCLUSIONS:The identification of different epidemiological-nutritional profiles indicates that Argentina is facing different transitional processes. Macro-contextual factors may play a major role in shaping these profiles.
Fil: Scruzzi, Graciela Fabiana. Universidad Nacional de Córdoba. Facultad de Medicina. Escuela de Nutrición; Argentina
Fil: Tumas, Natalia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad. Universidad Nacional de Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad; Argentina
Fil: Pou, Sonia Alejandra. Universidad Nacional de Córdoba. Facultad de Medicina. Escuela de Nutrición. Cátedra de Estadística y Bioestadística; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Investigaciones en Ciencias de la Salud. Universidad Nacional de Córdoba. Instituto de Investigaciones en Ciencias de la Salud; Argentina
33rd Annual Conference of the International Society for Environmental Epidemiology: Promoting environmental health and equity in a shifting climate
Nueva York
Estados Unidos
International Society for Environmental Epidemiology
Materia
OBESITY AND METABOLIC DISORDERS
CARDIOVASCULAR DISEASES
ENVIRONMENTAL DISPARITIES
MORTALITY
EPIDEMIOLOGY
INFECTIOUS DISEASES
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/182890

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oai_identifier_str oai:ri.conicet.gov.ar:11336/182890
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Identifying geographical profiles of nutrition-epidemiological transition in ArgentinaScruzzi, Graciela FabianaTumas, NataliaPou, Sonia AlejandraOBESITY AND METABOLIC DISORDERSCARDIOVASCULAR DISEASESENVIRONMENTAL DISPARITIESMORTALITYEPIDEMIOLOGYINFECTIOUS DISEASEShttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3BACKGROUND AND AIM: Latin America has experienced major shifts over the last decades in its demographic, nutritional, and epidemiological profiles. While the global trends and patterns have been widely described, the differences in the process of nutrition-epidemiological transition among and within low- and middle-income countries have been scarcely explained. This work aimed to identify different geographical profiles of nutrition-epidemiological transition within Argentina in the 2005-2019 period. METHODS: A nationwide ecological study in Argentina was performed, using health statistics and demographic information from official data sources about its 24 geographical units (provinces). Percentages of change (2005-2019) of selected nutritional, epidemiological, and demographic indicators were estimated by geographic unit. Using a Principal Component Analysis coupled with a Hierarchical Cluster Analysis, it was identified geographic clusters representing profiles of nutrition-epidemiological transition (NET) across the Argentinean territory. RESULTS:Three NET profiles (clusters) were identified: 1) "Reemergence of infectious diseases”, mainly characterized by a rising burden of infectious diseases (such as congenital syphilis among others), with a decrease in the years of potential life lost (YPLL) due to cancer and external causes; 2) "Persistence of cardiovascular diseases with improvements in health and lifestyles", with rising arterial hypertension prevalence and decreasing YPLL due to infectious diseases, infant mortality and physical inactivity prevalence; 3) “Consolidation of the obesity-physical inactivity-cardiometabolic diseases triad", characterized by increases in the YPLL due to cardiovascular diseases, in the prevalence of type 2 diabetes and adult obesity, and the proportion of people with a low level of physical activity. These clusters (NET profiles) accounted for 25%, 50%, and 25% of Argentina's provinces, respectively. CONCLUSIONS:The identification of different epidemiological-nutritional profiles indicates that Argentina is facing different transitional processes. Macro-contextual factors may play a major role in shaping these profiles.Fil: Scruzzi, Graciela Fabiana. Universidad Nacional de Córdoba. Facultad de Medicina. Escuela de Nutrición; ArgentinaFil: Tumas, Natalia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad. Universidad Nacional de Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad; ArgentinaFil: Pou, Sonia Alejandra. Universidad Nacional de Córdoba. Facultad de Medicina. Escuela de Nutrición. Cátedra de Estadística y Bioestadística; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Investigaciones en Ciencias de la Salud. Universidad Nacional de Córdoba. Instituto de Investigaciones en Ciencias de la Salud; Argentina33rd Annual Conference of the International Society for Environmental Epidemiology: Promoting environmental health and equity in a shifting climateNueva YorkEstados UnidosInternational Society for Environmental EpidemiologyNational Institute of Environmental Health Sciences2021info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/conferenceObjectConferenciaJournalhttp://purl.org/coar/resource_type/c_5794info:ar-repo/semantics/documentoDeConferenciaapplication/pdfapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/182890Identifying geographical profiles of nutrition-epidemiological transition in Argentina; 33rd Annual Conference of the International Society for Environmental Epidemiology: Promoting environmental health and equity in a shifting climate; Nueva York; Estados Unidos; 2021; 186-1861552-99240091-6765CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://ehp.niehs.nih.gov/doi/10.1289/isee.2021.P-171info:eu-repo/semantics/altIdentifier/url/https://www.iseepi.org/past_meetings.phpInternacionalinfo:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-10-22T11:41:37Zoai:ri.conicet.gov.ar:11336/182890instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-10-22 11:41:38.108CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Identifying geographical profiles of nutrition-epidemiological transition in Argentina
title Identifying geographical profiles of nutrition-epidemiological transition in Argentina
spellingShingle Identifying geographical profiles of nutrition-epidemiological transition in Argentina
Scruzzi, Graciela Fabiana
OBESITY AND METABOLIC DISORDERS
CARDIOVASCULAR DISEASES
ENVIRONMENTAL DISPARITIES
MORTALITY
EPIDEMIOLOGY
INFECTIOUS DISEASES
title_short Identifying geographical profiles of nutrition-epidemiological transition in Argentina
title_full Identifying geographical profiles of nutrition-epidemiological transition in Argentina
title_fullStr Identifying geographical profiles of nutrition-epidemiological transition in Argentina
title_full_unstemmed Identifying geographical profiles of nutrition-epidemiological transition in Argentina
title_sort Identifying geographical profiles of nutrition-epidemiological transition in Argentina
dc.creator.none.fl_str_mv Scruzzi, Graciela Fabiana
Tumas, Natalia
Pou, Sonia Alejandra
author Scruzzi, Graciela Fabiana
author_facet Scruzzi, Graciela Fabiana
Tumas, Natalia
Pou, Sonia Alejandra
author_role author
author2 Tumas, Natalia
Pou, Sonia Alejandra
author2_role author
author
dc.subject.none.fl_str_mv OBESITY AND METABOLIC DISORDERS
CARDIOVASCULAR DISEASES
ENVIRONMENTAL DISPARITIES
MORTALITY
EPIDEMIOLOGY
INFECTIOUS DISEASES
topic OBESITY AND METABOLIC DISORDERS
CARDIOVASCULAR DISEASES
ENVIRONMENTAL DISPARITIES
MORTALITY
EPIDEMIOLOGY
INFECTIOUS DISEASES
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv BACKGROUND AND AIM: Latin America has experienced major shifts over the last decades in its demographic, nutritional, and epidemiological profiles. While the global trends and patterns have been widely described, the differences in the process of nutrition-epidemiological transition among and within low- and middle-income countries have been scarcely explained. This work aimed to identify different geographical profiles of nutrition-epidemiological transition within Argentina in the 2005-2019 period. METHODS: A nationwide ecological study in Argentina was performed, using health statistics and demographic information from official data sources about its 24 geographical units (provinces). Percentages of change (2005-2019) of selected nutritional, epidemiological, and demographic indicators were estimated by geographic unit. Using a Principal Component Analysis coupled with a Hierarchical Cluster Analysis, it was identified geographic clusters representing profiles of nutrition-epidemiological transition (NET) across the Argentinean territory. RESULTS:Three NET profiles (clusters) were identified: 1) "Reemergence of infectious diseases”, mainly characterized by a rising burden of infectious diseases (such as congenital syphilis among others), with a decrease in the years of potential life lost (YPLL) due to cancer and external causes; 2) "Persistence of cardiovascular diseases with improvements in health and lifestyles", with rising arterial hypertension prevalence and decreasing YPLL due to infectious diseases, infant mortality and physical inactivity prevalence; 3) “Consolidation of the obesity-physical inactivity-cardiometabolic diseases triad", characterized by increases in the YPLL due to cardiovascular diseases, in the prevalence of type 2 diabetes and adult obesity, and the proportion of people with a low level of physical activity. These clusters (NET profiles) accounted for 25%, 50%, and 25% of Argentina's provinces, respectively. CONCLUSIONS:The identification of different epidemiological-nutritional profiles indicates that Argentina is facing different transitional processes. Macro-contextual factors may play a major role in shaping these profiles.
Fil: Scruzzi, Graciela Fabiana. Universidad Nacional de Córdoba. Facultad de Medicina. Escuela de Nutrición; Argentina
Fil: Tumas, Natalia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad. Universidad Nacional de Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad; Argentina
Fil: Pou, Sonia Alejandra. Universidad Nacional de Córdoba. Facultad de Medicina. Escuela de Nutrición. Cátedra de Estadística y Bioestadística; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Investigaciones en Ciencias de la Salud. Universidad Nacional de Córdoba. Instituto de Investigaciones en Ciencias de la Salud; Argentina
33rd Annual Conference of the International Society for Environmental Epidemiology: Promoting environmental health and equity in a shifting climate
Nueva York
Estados Unidos
International Society for Environmental Epidemiology
description BACKGROUND AND AIM: Latin America has experienced major shifts over the last decades in its demographic, nutritional, and epidemiological profiles. While the global trends and patterns have been widely described, the differences in the process of nutrition-epidemiological transition among and within low- and middle-income countries have been scarcely explained. This work aimed to identify different geographical profiles of nutrition-epidemiological transition within Argentina in the 2005-2019 period. METHODS: A nationwide ecological study in Argentina was performed, using health statistics and demographic information from official data sources about its 24 geographical units (provinces). Percentages of change (2005-2019) of selected nutritional, epidemiological, and demographic indicators were estimated by geographic unit. Using a Principal Component Analysis coupled with a Hierarchical Cluster Analysis, it was identified geographic clusters representing profiles of nutrition-epidemiological transition (NET) across the Argentinean territory. RESULTS:Three NET profiles (clusters) were identified: 1) "Reemergence of infectious diseases”, mainly characterized by a rising burden of infectious diseases (such as congenital syphilis among others), with a decrease in the years of potential life lost (YPLL) due to cancer and external causes; 2) "Persistence of cardiovascular diseases with improvements in health and lifestyles", with rising arterial hypertension prevalence and decreasing YPLL due to infectious diseases, infant mortality and physical inactivity prevalence; 3) “Consolidation of the obesity-physical inactivity-cardiometabolic diseases triad", characterized by increases in the YPLL due to cardiovascular diseases, in the prevalence of type 2 diabetes and adult obesity, and the proportion of people with a low level of physical activity. These clusters (NET profiles) accounted for 25%, 50%, and 25% of Argentina's provinces, respectively. CONCLUSIONS:The identification of different epidemiological-nutritional profiles indicates that Argentina is facing different transitional processes. Macro-contextual factors may play a major role in shaping these profiles.
publishDate 2021
dc.date.none.fl_str_mv 2021
dc.type.none.fl_str_mv info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/conferenceObject
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http://purl.org/coar/resource_type/c_5794
info:ar-repo/semantics/documentoDeConferencia
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format conferenceObject
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/182890
Identifying geographical profiles of nutrition-epidemiological transition in Argentina; 33rd Annual Conference of the International Society for Environmental Epidemiology: Promoting environmental health and equity in a shifting climate; Nueva York; Estados Unidos; 2021; 186-186
1552-9924
0091-6765
CONICET Digital
CONICET
url http://hdl.handle.net/11336/182890
identifier_str_mv Identifying geographical profiles of nutrition-epidemiological transition in Argentina; 33rd Annual Conference of the International Society for Environmental Epidemiology: Promoting environmental health and equity in a shifting climate; Nueva York; Estados Unidos; 2021; 186-186
1552-9924
0091-6765
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
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info:eu-repo/semantics/altIdentifier/url/https://www.iseepi.org/past_meetings.php
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dc.publisher.none.fl_str_mv National Institute of Environmental Health Sciences
publisher.none.fl_str_mv National Institute of Environmental Health Sciences
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