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[Profiles of epidemiological-nutritional transition and burden of morbimortality from COVID-19 in Argentina: an ecological study]
Non-conventional in Spanish | WHO COVID | ID: covidwho-1319536
ABSTRACT
The study aimed to identify epidemiological-nutritional profiles in Argentina and to compare the burden of morbimortality from COVID-19. A multigroup ecological study was conducted with 24 geographic units in Argentina. We estimated the percent change from 2005 to 2018 in indicators of the epidemiological-nutritional transition and sociodemographic indicators according to geographic unit. We performed principal components analysis and hierarchical cluster analysis to identify geographic groupings to define profiles in the epidemiological-nutritional transition. By group, we calculated summary measures of COVID-19 cumulative incidence (CI), mortality, and case fatality (epidemiological week 50), establishing comparisons via Student's t test. Three profiles were identified (1) reemergence of infectious diseases, (2) persistence of cardiovascular diseases despite social, health, and lifestyle improvements, and (3) consolidation of the triad obesity-sedentarism-cardiometabolic diseases. Mean COVID-19 cumulative incidence and mortality were higher in provinces with profile 1 compared to profile 2 (CI p = 0.0159;mortality p = 0.0187) and profile 3 (CI p = 0.0205). Case-fatality was higher in profile 3, which includes provinces with more unfavorable socioeconomic conditions, showing significant differences from profile 2 (p=0.0307). In conclusion, there are distinct epidemiological-nutritional profiles in Argentina which tend to differ in terms of their COVID-19 epidemiological situation. Strategies to fight COVID-19 should consider the underlying epidemiological, nutritional, and sociodemographic characteristics.
Full text: Available Collection: Databases of international organizations Database: WHO COVID Type of study: Observational study Country/Region as subject: South America / Argentina Language: Spanish Document Type: Non-conventional

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Full text: Available Collection: Databases of international organizations Database: WHO COVID Type of study: Observational study Country/Region as subject: South America / Argentina Language: Spanish Document Type: Non-conventional