Journal article
Impact of Energy Intake, Physical Activity, and Population-wide Weight Loss on Cardiovascular Disease and Diabetes Mortality in Cuba, 1980–2005
American journal of epidemiology, v 166(12), pp 1374-1380
15 Dec 2007
PMID: 17881386
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Cuba's economic crisis of 1989–2000 resulted in reduced energy intake, increased physical activity, and sustained population-wide weight loss. The authors evaluated the possible association of these factors with mortality trends. Data on per capita daily energy intake, physical activity, weight loss, and smoking were systematically retrieved from national and local surveys. National vital statistics from 1980–2005 were used to assess trends in mortality from diabetes, coronary heart disease, stroke, cancer, and all causes. The crisis reduced per capita daily energy intake from 2,899 calories to 1,863 calories. During the crisis period, the proportion of physically active adults increased from 30% to 67%, and a 1.5-unit shift in the body mass index distribution was observed, along with a change in the distribution of body mass index categories. The prevalence of obesity declined from 14% to 7%, the prevalence of overweight increased 1%, and the prevalence of normal weight increased 4%. During 1997–2002, there were declines in deaths attributed to diabetes (51%), coronary heart disease (35%), stroke (20%), and all causes (18%). An outbreak of neuropathy and a modest increase in the all-cause death rate among the elderly were also observed. These results suggest that population-wide measures designed to reduce energy stores, without affecting nutritional sufficiency, may lead to declines in diabetes and cardiovascular disease prevalence and mortality.
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Details
- Title
- Impact of Energy Intake, Physical Activity, and Population-wide Weight Loss on Cardiovascular Disease and Diabetes Mortality in Cuba, 1980–2005
- Creators
- Manuel Franco - Johns Hopkins UniversityPedro Orduñez - Hospital Universitario “Dr. Gustavo Aldereguia Lima,” Cienfuegos, CubaBenjamín Caballero - Johns Hopkins UniversityJosé A. Tapia Granados - University of MichiganMariana Lazo - Johns Hopkins UniversityJosé Luís Bernal - Hospital Universitario “Dr. Gustavo Aldereguia Lima,” Cienfuegos, CubaEliseo Guallar - Johns Hopkins UniversityRichard S. Cooper - Loyola University Chicago
- Publication Details
- American journal of epidemiology, v 166(12), pp 1374-1380
- Publisher
- Oxford University Press
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Politics
- Web of Science ID
- WOS:000251334400004
- Scopus ID
- 2-s2.0-36749068336
- Other Identifier
- 991020550492504721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health