Abdominal obesity prevalence in Latin America: a systematic review and meta-analysis comparing ATP III and IDF criteria
BackgroundAbdominal obesity (AO) represents a significant cardiovascular risk factor with distinctive characteristics in Latin American populations. Its prevalence has increased substantially in recent decades, although estimates vary according to the diagnostic criteria.ObjectiveTo determine the pr...
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Frontiers Media S.A.
2025-06-01
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| Series: | Frontiers in Endocrinology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fendo.2025.1562060/full |
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| author | Víctor Juan Vera-Ponce Víctor Juan Vera-Ponce Joan A. Loayza-Castro Fiorella E. Zuzunaga-Montoya Luisa Erika Milagros Vásquez-Romero Nataly Mayely Sanchez-Tamay Nataly Mayely Sanchez-Tamay Juan Carlos Bustamante-Rodríguez Juan Carlos Bustamante-Rodríguez Jhosmer Ballena-Caicedo Jhosmer Ballena-Caicedo Carmen Inés Gutierrez De Carrillo Carmen Inés Gutierrez De Carrillo |
| author_facet | Víctor Juan Vera-Ponce Víctor Juan Vera-Ponce Joan A. Loayza-Castro Fiorella E. Zuzunaga-Montoya Luisa Erika Milagros Vásquez-Romero Nataly Mayely Sanchez-Tamay Nataly Mayely Sanchez-Tamay Juan Carlos Bustamante-Rodríguez Juan Carlos Bustamante-Rodríguez Jhosmer Ballena-Caicedo Jhosmer Ballena-Caicedo Carmen Inés Gutierrez De Carrillo Carmen Inés Gutierrez De Carrillo |
| author_sort | Víctor Juan Vera-Ponce |
| collection | DOAJ |
| description | BackgroundAbdominal obesity (AO) represents a significant cardiovascular risk factor with distinctive characteristics in Latin American populations. Its prevalence has increased substantially in recent decades, although estimates vary according to the diagnostic criteria.ObjectiveTo determine the prevalence of AO in Latin American populations through a systematic review with meta-analysis, comparing ATP III and IDF criteria.MethodsA systematic search was conducted across SCOPUS, Web of Science, PubMed, and EMBASE databases. Observational studies evaluating AO prevalence in Latin American populations using either ATP III (≥102/88 cm) or IDF (≥90/80 cm) criteria were included. Meta-regressions were performed to assess the influence of publication year and sample size.ResultsSixty-one studies were included (n=281,694 participants). The pooled prevalence according to ATP III criteria was 40% (95% CI: 34-46%) and 62% (95% CI: 56-68%) according to IDF criteria. Sex-stratified analysis revealed significantly higher prevalences in women (ATP III: 50% vs 27%; IDF: 74.3% vs 46.8%). Temporal meta-regression demonstrated an upward trend, particularly in studies utilizing IDF criteria, while sample size showed no significant influence on prevalence estimates. Substantial geographic variations were observed, with Mexico and Venezuela exhibiting the highest prevalences. Heterogeneity was considerably high (I²>99%) across all analyses.ConclusionsAO prevalence in Latin America is high and demonstrates significant sexual dimorphism. These findings challenge the validity of current cut-off points and suggest the need to develop Latin American-specific criteria based on clinically relevant outcomes. |
| format | Article |
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| institution | DOAJ |
| issn | 1664-2392 |
| language | English |
| publishDate | 2025-06-01 |
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| series | Frontiers in Endocrinology |
| spelling | doaj-art-0bc348138d0b41a0ab65fa2bf10bccc92025-08-20T02:40:07ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922025-06-011610.3389/fendo.2025.15620601562060Abdominal obesity prevalence in Latin America: a systematic review and meta-analysis comparing ATP III and IDF criteriaVíctor Juan Vera-Ponce0Víctor Juan Vera-Ponce1Joan A. Loayza-Castro2Fiorella E. Zuzunaga-Montoya3Luisa Erika Milagros Vásquez-Romero4Nataly Mayely Sanchez-Tamay5Nataly Mayely Sanchez-Tamay6Juan Carlos Bustamante-Rodríguez7Juan Carlos Bustamante-Rodríguez8Jhosmer Ballena-Caicedo9Jhosmer Ballena-Caicedo10Carmen Inés Gutierrez De Carrillo11Carmen Inés Gutierrez De Carrillo12Instituto de Investigación de Enfermedades Tropicales, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas (UNTRM), Amazonas, PeruFacultad de Medicina (FAMED), Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas (UNTRM), Amazonas, PeruInstituto de Investigación de Enfermedades Tropicales, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas (UNTRM), Amazonas, PeruUniversidad Continental, Lima, PeruInstituto de Investigación de Enfermedades Tropicales, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas (UNTRM), Amazonas, PeruInstituto de Investigación de Enfermedades Tropicales, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas (UNTRM), Amazonas, PeruFacultad de Medicina (FAMED), Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas (UNTRM), Amazonas, PeruInstituto de Investigación de Enfermedades Tropicales, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas (UNTRM), Amazonas, PeruFacultad de Medicina (FAMED), Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas (UNTRM), Amazonas, PeruInstituto de Investigación de Enfermedades Tropicales, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas (UNTRM), Amazonas, PeruFacultad de Medicina (FAMED), Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas (UNTRM), Amazonas, PeruInstituto de Investigación de Enfermedades Tropicales, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas (UNTRM), Amazonas, PeruFacultad de Medicina (FAMED), Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas (UNTRM), Amazonas, PeruBackgroundAbdominal obesity (AO) represents a significant cardiovascular risk factor with distinctive characteristics in Latin American populations. Its prevalence has increased substantially in recent decades, although estimates vary according to the diagnostic criteria.ObjectiveTo determine the prevalence of AO in Latin American populations through a systematic review with meta-analysis, comparing ATP III and IDF criteria.MethodsA systematic search was conducted across SCOPUS, Web of Science, PubMed, and EMBASE databases. Observational studies evaluating AO prevalence in Latin American populations using either ATP III (≥102/88 cm) or IDF (≥90/80 cm) criteria were included. Meta-regressions were performed to assess the influence of publication year and sample size.ResultsSixty-one studies were included (n=281,694 participants). The pooled prevalence according to ATP III criteria was 40% (95% CI: 34-46%) and 62% (95% CI: 56-68%) according to IDF criteria. Sex-stratified analysis revealed significantly higher prevalences in women (ATP III: 50% vs 27%; IDF: 74.3% vs 46.8%). Temporal meta-regression demonstrated an upward trend, particularly in studies utilizing IDF criteria, while sample size showed no significant influence on prevalence estimates. Substantial geographic variations were observed, with Mexico and Venezuela exhibiting the highest prevalences. Heterogeneity was considerably high (I²>99%) across all analyses.ConclusionsAO prevalence in Latin America is high and demonstrates significant sexual dimorphism. These findings challenge the validity of current cut-off points and suggest the need to develop Latin American-specific criteria based on clinically relevant outcomes.https://www.frontiersin.org/articles/10.3389/fendo.2025.1562060/fullabdominal obesitywaist circumferenceLatin Americaprevalencesystematic reviewmeta-analysis |
| spellingShingle | Víctor Juan Vera-Ponce Víctor Juan Vera-Ponce Joan A. Loayza-Castro Fiorella E. Zuzunaga-Montoya Luisa Erika Milagros Vásquez-Romero Nataly Mayely Sanchez-Tamay Nataly Mayely Sanchez-Tamay Juan Carlos Bustamante-Rodríguez Juan Carlos Bustamante-Rodríguez Jhosmer Ballena-Caicedo Jhosmer Ballena-Caicedo Carmen Inés Gutierrez De Carrillo Carmen Inés Gutierrez De Carrillo Abdominal obesity prevalence in Latin America: a systematic review and meta-analysis comparing ATP III and IDF criteria Frontiers in Endocrinology abdominal obesity waist circumference Latin America prevalence systematic review meta-analysis |
| title | Abdominal obesity prevalence in Latin America: a systematic review and meta-analysis comparing ATP III and IDF criteria |
| title_full | Abdominal obesity prevalence in Latin America: a systematic review and meta-analysis comparing ATP III and IDF criteria |
| title_fullStr | Abdominal obesity prevalence in Latin America: a systematic review and meta-analysis comparing ATP III and IDF criteria |
| title_full_unstemmed | Abdominal obesity prevalence in Latin America: a systematic review and meta-analysis comparing ATP III and IDF criteria |
| title_short | Abdominal obesity prevalence in Latin America: a systematic review and meta-analysis comparing ATP III and IDF criteria |
| title_sort | abdominal obesity prevalence in latin america a systematic review and meta analysis comparing atp iii and idf criteria |
| topic | abdominal obesity waist circumference Latin America prevalence systematic review meta-analysis |
| url | https://www.frontiersin.org/articles/10.3389/fendo.2025.1562060/full |
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