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; Tumas, Natalia; Pou, Sonia Alejandra

dc.creator	Scruzzi, Graciela Fabiana
dc.creator	Tumas, Natalia
dc.creator	Pou, Sonia Alejandra
dc.date	2021
dc.date.accessioned	2022-09-21T22:03:37Z
dc.date.available	2022-09-21T22:03:37Z
dc.identifier	http://pa.bibdigital.ucc.edu.ar/3319/1/A_Scruzzi_Tumas_Pou.pdf
dc.identifier.uri	https://hdl.handle.net/20.500.12032/46173
dc.description	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.
dc.description	Fil: Scruzzi, Graciela Fabiana. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas; Argentina
dc.description	Fil: Scruzzi, Graciela Fabiana. Universidad Católica de Córdoba. Facultad de Ciencias de la Salud; Argentina
dc.description	Fil: Tumas, Natalia. Universidad Católica de Córdoba. Facultad de Ciencias de la Salud; Argentina
dc.description	Fil: Tumas, Natalia. Universidad Nacional de Córdoba. CONICET. Centro de Investigaciones y Estudios sobre Cultura y Sociedad; Argentina
dc.description	Fil: Pou, Sonia Alejandra. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas; Argentina
dc.description	Fil: Pou, Sonia Alejandra. Universidad Nacional de Córdoba. CONICET. Instituto de Investigaciones en Ciencias de la Salud; Argentina
dc.format	application/pdf
dc.language	spa
dc.publisher	Fundacao Oswaldo Cruz
dc.relation	http://pa.bibdigital.ucc.edu.ar/3319/
dc.relation	https://www.scielo.br/j/csp/a/wrWZhTpQmWz9xxkvRTFwPgb/?lang=es
dc.relation	info:eu-repo/semantics/altIdentifier/doi/https://doi.org/10.1590/0102-311X00345920
dc.rights	info:eu-repo/semantics/openAccess
dc.rights	https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.source	Scruzzi, Graciela Fabiana ORCID: https://orcid.org/0000-0002-3187-5112 <https://orcid.org/0000-0002-3187-5112>, Tumas, Natalia ORCID: https://orcid.org/0000-0003-4730-6624 <https://orcid.org/0000-0003-4730-6624> and Pou, Sonia Alejandra ORCID: https://orcid.org/0000-0002-8571-9318 <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
dc.subject	QR180 Inmunología
dc.subject	QR355 Virología
dc.title	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]
dc.type	info:eu-repo/semantics/article
dc.type	info:ar-repo/semantics/artículo

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