Cargando…
Is agricultural engagement associated with lower incidence or prevalence of cardiovascular diseases and cardiovascular disease risk factors? A systematic review of observational studies from low- and middle-income countries
Non-communicable diseases, such as cardiovascular diseases (CVDs), diabetes and cancer account for more than half of the global disease burden, and 75% of related deaths occur in low- and middle-income countries (LMICs). Despite large regional variations in CVD incidence and prevalence, CVDs remain...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7108743/ https://www.ncbi.nlm.nih.gov/pubmed/32231387 http://dx.doi.org/10.1371/journal.pone.0230744 |
_version_ | 1783512837322178560 |
---|---|
author | Sørensen, Tina B. Matsuzaki, Mika Gregson, John Kinra, Sanjay Kadiyala, Suneetha Shankar, Bhavani Dangour, Alan D. |
author_facet | Sørensen, Tina B. Matsuzaki, Mika Gregson, John Kinra, Sanjay Kadiyala, Suneetha Shankar, Bhavani Dangour, Alan D. |
author_sort | Sørensen, Tina B. |
collection | PubMed |
description | Non-communicable diseases, such as cardiovascular diseases (CVDs), diabetes and cancer account for more than half of the global disease burden, and 75% of related deaths occur in low- and middle-income countries (LMICs). Despite large regional variations in CVD incidence and prevalence, CVDs remain the leading causes of death worldwide. With urbanisation, developing nations are undergoing unprecedented labour-force transitions out of agriculture and into types of non-agricultural employment, mainly in the industry and service sectors. There are few studies on the effect of these transitions on CVDs and CVD risk factors in LMICs. We systematically searched MEDLINE, PubMed, EMBASE and the Cochrane Library from January 1950 to January 2017 to assess the association of engaging in agriculture compared to types of non-agricultural employment (e.g. services and manufacturing) with CVD incidence, prevalence and risk factors. Studies were included if they: included participants who engaged in agriculture and participants who did not engage in agriculture; measured atherosclerotic CVDs or their modifiable risk factors; and involved adults from LMICs. We assessed the quality of evidence in seven domains of each study. Prevalence ratios with 95% confidence intervals were calculated and compared in forest plots across studies. Study heterogeneity did not permit formal meta-analyses with pooled results. There was a lack of publications on the primary outcomes, atherosclerotic CVDs (n = 2). Limited evidence of varying consistency from 13 studies in five countries reported that compared with non-agricultural workers, mainly living in urban areas, rural agriculture workers had a lower prevalence of hypertension, overweight and obesity; and a higher prevalence of underweight and smoking. High quality evidence is lacking on the associations of engaging in and transitioning out of agriculture with atherosclerotic CVDs and their modifiable risk factors in LMICs. There is a need for interdisciplinary longitudinal studies to understand associations of types of employment and labour-force transitions with CVD burdens in LMICs. |
format | Online Article Text |
id | pubmed-7108743 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-71087432020-04-03 Is agricultural engagement associated with lower incidence or prevalence of cardiovascular diseases and cardiovascular disease risk factors? A systematic review of observational studies from low- and middle-income countries Sørensen, Tina B. Matsuzaki, Mika Gregson, John Kinra, Sanjay Kadiyala, Suneetha Shankar, Bhavani Dangour, Alan D. PLoS One Research Article Non-communicable diseases, such as cardiovascular diseases (CVDs), diabetes and cancer account for more than half of the global disease burden, and 75% of related deaths occur in low- and middle-income countries (LMICs). Despite large regional variations in CVD incidence and prevalence, CVDs remain the leading causes of death worldwide. With urbanisation, developing nations are undergoing unprecedented labour-force transitions out of agriculture and into types of non-agricultural employment, mainly in the industry and service sectors. There are few studies on the effect of these transitions on CVDs and CVD risk factors in LMICs. We systematically searched MEDLINE, PubMed, EMBASE and the Cochrane Library from January 1950 to January 2017 to assess the association of engaging in agriculture compared to types of non-agricultural employment (e.g. services and manufacturing) with CVD incidence, prevalence and risk factors. Studies were included if they: included participants who engaged in agriculture and participants who did not engage in agriculture; measured atherosclerotic CVDs or their modifiable risk factors; and involved adults from LMICs. We assessed the quality of evidence in seven domains of each study. Prevalence ratios with 95% confidence intervals were calculated and compared in forest plots across studies. Study heterogeneity did not permit formal meta-analyses with pooled results. There was a lack of publications on the primary outcomes, atherosclerotic CVDs (n = 2). Limited evidence of varying consistency from 13 studies in five countries reported that compared with non-agricultural workers, mainly living in urban areas, rural agriculture workers had a lower prevalence of hypertension, overweight and obesity; and a higher prevalence of underweight and smoking. High quality evidence is lacking on the associations of engaging in and transitioning out of agriculture with atherosclerotic CVDs and their modifiable risk factors in LMICs. There is a need for interdisciplinary longitudinal studies to understand associations of types of employment and labour-force transitions with CVD burdens in LMICs. Public Library of Science 2020-03-31 /pmc/articles/PMC7108743/ /pubmed/32231387 http://dx.doi.org/10.1371/journal.pone.0230744 Text en © 2020 Sørensen et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Sørensen, Tina B. Matsuzaki, Mika Gregson, John Kinra, Sanjay Kadiyala, Suneetha Shankar, Bhavani Dangour, Alan D. Is agricultural engagement associated with lower incidence or prevalence of cardiovascular diseases and cardiovascular disease risk factors? A systematic review of observational studies from low- and middle-income countries |
title | Is agricultural engagement associated with lower incidence or prevalence of cardiovascular diseases and cardiovascular disease risk factors? A systematic review of observational studies from low- and middle-income countries |
title_full | Is agricultural engagement associated with lower incidence or prevalence of cardiovascular diseases and cardiovascular disease risk factors? A systematic review of observational studies from low- and middle-income countries |
title_fullStr | Is agricultural engagement associated with lower incidence or prevalence of cardiovascular diseases and cardiovascular disease risk factors? A systematic review of observational studies from low- and middle-income countries |
title_full_unstemmed | Is agricultural engagement associated with lower incidence or prevalence of cardiovascular diseases and cardiovascular disease risk factors? A systematic review of observational studies from low- and middle-income countries |
title_short | Is agricultural engagement associated with lower incidence or prevalence of cardiovascular diseases and cardiovascular disease risk factors? A systematic review of observational studies from low- and middle-income countries |
title_sort | is agricultural engagement associated with lower incidence or prevalence of cardiovascular diseases and cardiovascular disease risk factors? a systematic review of observational studies from low- and middle-income countries |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7108743/ https://www.ncbi.nlm.nih.gov/pubmed/32231387 http://dx.doi.org/10.1371/journal.pone.0230744 |
work_keys_str_mv | AT sørensentinab isagriculturalengagementassociatedwithlowerincidenceorprevalenceofcardiovasculardiseasesandcardiovasculardiseaseriskfactorsasystematicreviewofobservationalstudiesfromlowandmiddleincomecountries AT matsuzakimika isagriculturalengagementassociatedwithlowerincidenceorprevalenceofcardiovasculardiseasesandcardiovasculardiseaseriskfactorsasystematicreviewofobservationalstudiesfromlowandmiddleincomecountries AT gregsonjohn isagriculturalengagementassociatedwithlowerincidenceorprevalenceofcardiovasculardiseasesandcardiovasculardiseaseriskfactorsasystematicreviewofobservationalstudiesfromlowandmiddleincomecountries AT kinrasanjay isagriculturalengagementassociatedwithlowerincidenceorprevalenceofcardiovasculardiseasesandcardiovasculardiseaseriskfactorsasystematicreviewofobservationalstudiesfromlowandmiddleincomecountries AT kadiyalasuneetha isagriculturalengagementassociatedwithlowerincidenceorprevalenceofcardiovasculardiseasesandcardiovasculardiseaseriskfactorsasystematicreviewofobservationalstudiesfromlowandmiddleincomecountries AT shankarbhavani isagriculturalengagementassociatedwithlowerincidenceorprevalenceofcardiovasculardiseasesandcardiovasculardiseaseriskfactorsasystematicreviewofobservationalstudiesfromlowandmiddleincomecountries AT dangouraland isagriculturalengagementassociatedwithlowerincidenceorprevalenceofcardiovasculardiseasesandcardiovasculardiseaseriskfactorsasystematicreviewofobservationalstudiesfromlowandmiddleincomecountries |