Prevalence and incidence of diabetic retinopathy in patients with diabetes of Latin America and the Caribbean: A systematic review and meta-analysis.

OBJECTIVES: This systematic review aimed to assess the prevalence and incidence of diabetic retinopathy in patients with diabetes of Latin America and the Caribbean. METHODS: We searched Web of Science (WoS)/Core Collection, WoS/MEDLINE, WoS/Scielo, Scopus, PubMed/Medline and Embase databases until January 16, 2023. We meta-analyzed prevalences according to type 1 diabetes mellitus (T1DM) and type 2 diabetes mellitus (T2DM). RESULTS: Forty-three prevalence studies (47 585 participants) and one incidence study (436 participants) were included. The overall prevalence of retinopathy in patients with T1DM was 40.6% (95% CI: 34.7 to 46.6; I2: 92.1%) and in T2DM was 37.3% (95% CI: 31.0 to 43.8; I2: 97.7), but the evidence is very uncertain (very low certainty of evidence). In meta-regression, we found that age (T1DM) and time in diabetes (T2DM) were factors associated with the prevalence. On the other hand, one study found a cumulative incidence of diabetic retinopathy of 39.6% at 9 years of follow-up. CONCLUSIONS: Two out of five patients with T1DM or T2DM may present diabetic retinopathy in Latin America and the Caribbean, but the evidence is very uncertain. This is a major public health problem, and policies and strategies for early detection and opportunely treatment should be proposed.

Prevalence of computer vision syndrome: A systematic review and meta-analysis

Purpose This review aimed to estimate the prevalence of computer vision syndrome (CVS) in the general population and subgroups. Methods A search was conducted in the following the databases: PubMed, SCOPUS, EMBASE, and Web of Science until February 13, 2023. We included studies that assessed the prevalence of CVS in any population. The Joanna Briggs Institute's critical appraisal tool was used to evaluate the methodological quality. A meta-analysis of the prevalence of CVS was done using a random-effects model, assessing the sources of heterogeneity using subgroup and meta-regression analyses. Results A total of 103 cross-sectional studies with 66 577 participants were included. The prevalence of CVS was 69.0% (95% CI: 62.3 to 75.3; I2: 99.7%), ranging from 12.1 to 97.3% across studies. Point prevalence was higher in women than in men (71.4 vs. 61.8%), university students (76.1%), Africa (71.2%), Asia (69.9%), contact lens wearers (73.1% vs. 63.8%) in studies conducted before the COVID-19 pandemic (72.8%), and in those that did not use the CVS-Q questionnaire (75.4%). In meta-regression, using the CVS-Q scale was associated with a lower prevalence of CVS. Conclusion Seven out of ten people suffer from CVS. Preventive strategies and interventions are needed to decrease the prevalence of this condition which can affect productivity and quality of life. Future studies should standardize a definition of CVS. (AU)

Prevalence of computer vision syndrome: A systematic review and meta-analysis.

PURPOSE: This review aimed to estimate the prevalence of computer vision syndrome (CVS) in the general population and subgroups. METHODS: A search was conducted in the following the databases: PubMed, SCOPUS, EMBASE, and Web of Science until February 13, 2023. We included studies that assessed the prevalence of CVS in any population. The Joanna Briggs Institute's critical appraisal tool was used to evaluate the methodological quality. A meta-analysis of the prevalence of CVS was done using a random-effects model, assessing the sources of heterogeneity using subgroup and meta-regression analyses. RESULTS: A total of 103 cross-sectional studies with 66 577 participants were included. The prevalence of CVS was 69.0% (95% CI: 62.3 to 75.3; I2: 99.7%), ranging from 12.1 to 97.3% across studies. Point prevalence was higher in women than in men (71.4 vs. 61.8%), university students (76.1%), Africa (71.2%), Asia (69.9%), contact lens wearers (73.1% vs. 63.8%) in studies conducted before the COVID-19 pandemic (72.8%), and in those that did not use the CVS-Q questionnaire (75.4%). In meta-regression, using the CVS-Q scale was associated with a lower prevalence of CVS. CONCLUSION: Seven out of ten people suffer from CVS. Preventive strategies and interventions are needed to decrease the prevalence of this condition which can affect productivity and quality of life. Future studies should standardize a definition of CVS.

Prevalence of hypertension in adults living at altitude in Latin America and the Caribbean: A systematic review and meta-analysis.

OBJECTIVE: The objective of this systematic review and meta-analysis was to assess the prevalence of hypertension in populations living at altitude in Latin America and the Caribbean. METHODS: We conducted a systematic search from January 1, 2000 to January 10, 2023 in Web of Science (WoS)/Core Collection, WoS/Medline, WoS/Scielo, Scopus, PubMed and Embase databases. We included studies that assessed the prevalence of hypertension in altitude populations (>1500 m.a.s.l.) and these were meta-analyzed using a random-effects model. To assess the sources of heterogeneity, we performed subgroup and meta-regression analyses. RESULTS: Thirty cross-sectional studies (117 406 participants) met the inclusion criteria. Studies used different cut-off points. The prevalence of hypertension in the studies that considered the cut-off point of ≥ 140/90 mmHg in the general population was 19.1%, ≥ 130/85 mmHg was 13.1%, and ≥ 130/80 mmHg was 43.4%. There was a tendency for the prevalence of hypertension to be higher in men. In meta-regression analyses, no association was found between altitude, mean age, year of publication, risk of bias and prevalence of hypertension. CONCLUSION: The prevalence of hypertension in the altitude population of Latin America and the Caribbean is lower than that reported in populations living at sea level and lower than other altitude populations such as Tibetans. PROSPERO: CRD42021275229.

Green space exposure and type 2 diabetes mellitus incidence: A systematic review.

INTRODUCTION: Epidemiological studies have suggested that exposure to green spaces is associated with a lower prevalence of diabetes. The aim of this systematic review was to summarize the evidence on green spaces and diabetes mellitus II (T2DM) in longitudinal studies. METHODS: We searched PubMed, SCOPUS, Web of Science (WoS)/Core Collection, WoS/MEDLINE, and EMBASE until February 2023. We included cohort studies that assessed the incidence of T2DM according to the level of exposure to green spaces. Two authors independently performed study selection, data extraction, and analysis of risk of bias. No meta-analysis was performed due to clinical heterogeneity between studies. RESULTS: We included 13 cohort studies with a sample size ranging from 1700 to 1 922 545 participants. Studies presented different ways of defining (quartiles, percentages) and measuring (tools, buffers) green spaces. Similarly, the definition of T2DM was heterogeneous (self-reports, medical records, clinical criteria). Twelve studies showed that individuals with higher exposure to green spaces had a decreased incidence of T2DM. Out of these 12 studies, 10 revealed statistically significant differences. All studies were of high methodological quality, except for one. CONCLUSION: Our findings suggest that exposure to green space could be a protective factor for the development of T2DM. Promoting policies to preserve and increase green space could help to reduce T2DM at the community level. More standardization of green space exposure definition is needed in studies on green space and T2DM.

Prevalence of Nomophobia in University Students: A Systematic Review and Meta-Analysis.

OBJECTIVES: The aim of this study was to assess the prevalence of nomophobia in university students. METHODS: A systematic search was conducted of the following databases: Web of Science/ Core Collection, Scopus, PubMed, Embase, and Ovid/ MEDLINE until March 2021. Cross-sectional studies reporting the prevalence of nomophobia in undergraduate or postgraduate university students that assessed nomophobia with the 20-item Nomophobia Questionnaire (NMP-Q) tool were included. Study selection, data extraction, and risk of bias assessment were performed in duplicate. A meta-analysis of proportions was performed using a random-effects model. Heterogeneity was assessed using sensitivity analysis according to the risk of bias, and subgrouping by country, sex, and major. RESULTS: We included 28 cross-sectional studies with a total of 11,300 participants from eight countries, of which 23 were included in the meta-analysis. The prevalence of mild nomophobia was 24% (95% confidence interval [CI], 20%-28%; I2 = 95.3%), that of moderate nomophobia was 56% (95% CI, 53%-60%; I2 = 91.2%), and that of severe nomophobia was 17% (95% CI, 15%-20%; I2 = 91.7%). Regarding countries, Indonesia had the highest prevalence of severe nomophobia (71%) and Germany had the lowest (3%). The prevalence was similar according to sex and major. CONCLUSIONS: We found a high prevalence of moderate and severe nomophobia in university students. Interventions are needed to prevent and treat this problem in educational institutions.

Cambios hematológicos relacionados con componentes del síndrome metabólico en personal de salud con alimentación balanceada / Hematological changes related to metabolic syndrome components in healthpersonnel with a balanced diet

INTRODUCCIÓN: El síndrome metabólico (SM) es un conjunto de trastornos interrelacionados que produce alteraciones en diversos sistemas biológicos. OBJETIVO: El objetivo de este estudio fue evaluar los cambios hematológicos en presencia de síndrome metabólico en personal de salud con alimentación balanceada. Materiales y MÉTODOS: Se realizó un estudio transversal donde se analizó la base de datos del personal de salud que participó del Plan de Prevención de Enfermedades Transmisibles y no Transmisibles del Hospital de Huaycán, Perú. La evaluación del SM se realizó usando los criterios de la Asociación Latinoamericana de Diabetes (ALAD) en los trabajadores que presentaron alimentación balanceada según el cuestionario "FANTÁSTICO". La relación entre los cambios hematológicos y componentes del SM se realizó a través de la correlación de Spearman mientras que la comparación de grupos acumulados de componentes de SM y cambios hematológicos se realizó con el test de Kruskal-Wallis y posterior análisis pos hoc de Bonferroni. RESULTADOS: Se analizaron los datos de 285 participantes, 31.2% hombres y 68.8% mujeres con una edad media de 46.1 ± 10.5 años. La prevalencia del SM fue de 36.2%, solo las mujeres presentaron cambios en los parámetros hematológicos en presencia de SM. La relación entre los componentes del SM y cambios hematológicos fue fuerte con el aumento del perímetro abdominal y los niveles séricos de triglicéridos; de igual manera, el acúmulo de más de 2 componentes del SM aumenta significativamente los niveles de hemoglobina y hematocrito en mujeres. CONCLUSIONES: En nuestro estudio las mujeres presentaron cambios hematológicos principalmente en la serie roja relacionados al SM y determinados componentes del mismo. Se requieren más estudios poblacionales para corroborar nuestros hallazgos

INTRODUCTION: Metabolic syndrome (MS) is a set of interrelated disorders that produce alterations in various biological systems. OBJECTIVE: This study aimed to evaluate the hematological changes in the presence of metabolic syndrome in health personnel with a balanced diet. MATERIALS AND METHODS: A cross-sectional study was conducted where the database of health personnel who participated in the Plan for the Prevention of Communicable and Non-Communicable Diseases of the Hospital of Huaycan, Peru, was analyzed. The evaluation of the SM was carried out using the criteria of the Latin American Association of Diabetes (ALAD) in the workers who presented a balanced diet according to the questionnaire "FANTASTIC". The relationship between hematological changes and SM components was made through Spearman's correlation while the comparison of accumulated groups of SM components and hematological changes was made with the Kruskal-wallis test andlater Bonferroni's post hoc analysis. RESULTS: Data from 285 participants were analyzed, 31.2% men and 68.8% women with a mean age of 46.1 ± 10.5 years. The prevalence of MS was 36.2%, only women presented changes in hematological parameters in the presence of MS. The relationship between the components of MS and hematological changes was strong with the increase in abdominal circumference and triglycerides; likewise, the accumulation of more than 2 components of MS significantly increases the levels of hemoglobin and hematocrit in women. CONCLUSIONS: In our study the women presented hematological changes mainly in the red series related to MS and certain components of it. Further population-based studies are needed to corroborate our findings