Profiles of epidemiological-nutritional transition and burden of morbimortality from COVID-19 in Argentina: an ecological study[Perfis de transição epidemiológica-nutricional e carga de morbimortalidade por COVID-19 na Argentina: Um estudo ecológico][Perfiles de transición epidemiológica-nutricional y carga de morbi-mortalidad por COVID-19 en Argentina: un estudio ecológico]

Scruzzi, Graciela Fabiana ORCID: https://orcid.org/0000-0002-3187-5112, Tumas, Natalia ORCID: https://orcid.org/0000-0003-4730-6624 and Pou, Sonia Alejandra ORCID: https://orcid.org/0000-0002-8571-9318 (2021) Profiles of epidemiological-nutritional transition and burden of morbimortality from COVID-19 in Argentina: an ecological study[Perfis de transição epidemiológica-nutricional e carga de morbimortalidade por COVID-19 na Argentina: Um estudo ecológico][Perfiles de transición epidemiológica-nutricional y carga de morbi-mortalidad por COVID-19 en Argentina: un estudio ecológico]. Cadernos de Saude Publica, 37 (7). ISSN 0102-311X

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Resumen

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-sedentarismcardiometabolic 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.

Tipo de documento:	Artículo
DOI:	https://doi.org/10.1590/0102-311X00345920
Palabras clave:	COVID 19. Transición nutricional. Dinámica poblacional. Epidemiología social.
Temas:	Q Ciencia > QR Microbiología > QR180 Inmunología Q Ciencia > QR Microbiología > QR355 Virología
Unidad académica:	Universidad Católica de Córdoba > Facultad de Ciencias de la Salud
Google Académico:	Ver citaciones
URI:	http://pa.bibdigital.ucc.edu.ar/id/eprint/3319

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