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Adolescent cohorts assessing growth, cardiovascular and cognitive outcomes in low and middle-income countries

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  • Joseph L Ward
  • Katherine Harrison
  • Russell M Viner
  • Anthony Costello
  • Michelle Heys

Abstract

Introduction: Life-course studies are needed to explore how exposures during adolescence, particularly puberty, contribute to later cardiovascular risk and cognitive health in low and middle-income countries (LMIC), where 90% of the world’s young people live. The extent of any existing cohorts investigating these outcomes in LMIC has not previously been described. Methods: We performed a systematic literature review to identify population cohort studies of adolescents in LMIC that assessed anthropometry and any of cardiovascular risk (blood pressure, physical activity, plasma glucose/lipid profile and substance misuse), puberty (age at menarche, Tanner staging, or other form of pubertal staging) or cognitive outcomes. Studies that recruited participants on the basis of a pre-existing condition or involved less than 500 young people were excluded. Findings: 1829 studies were identified, and 24 cohorts fulfilled inclusion criteria based in Asia (10), Africa (6) and South / Central America (8). 14 (58%) of cohorts identified were based in one of four countries; India, Brazil, Vietnam or Ethiopia. Only 2 cohorts included a comprehensive cardiovascular assessment, tanner pubertal staging, and cognitive outcomes. Conclusion: Improved utilisation of existing datasets and additional cohort studies of adolescents in LMIC that collect contemporaneous measures of growth, cognition, cardiovascular risk and pubertal development are needed to better understand how this period of the life course influences future non-communicable disease morbidity and cognitive outcomes.

Suggested Citation

  • Joseph L Ward & Katherine Harrison & Russell M Viner & Anthony Costello & Michelle Heys, 2018. "Adolescent cohorts assessing growth, cardiovascular and cognitive outcomes in low and middle-income countries," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-12, January.
    • Handle: RePEc:plo:pone00:0190443
    DOI: 10.1371/journal.pone.0190443
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    References listed on IDEAS

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    1. Schooling, C.M. & Jiang, C. & Lam, T.H. & Thomas, G.N. & Heys, M. & Lao, X. & Zhang, W. & Adab, P. & Cheng, K.K. & Leung, G.M., 2007. "Height, its components, and cardiovascular risk among older Chinese: A cross-sectional analysis of the Guangzhou Biobank Cohort Study," American Journal of Public Health, American Public Health Association, vol. 97(10), pages 1834-1841.
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    1. Felix Akpojene Ogbo & Blessing J. Akombi & Kedir Y. Ahmed & Abdon G. Rwabilimbo & Akorede O. Ogbo & Noel E. Uwaibi & Osita K. Ezeh & Kingsley E. Agho & on behalf of the Global Maternal and Child Healt, 2020. "Breastfeeding in the Community—How Can Partners/Fathers Help? A Systematic Review," IJERPH, MDPI, vol. 17(2), pages 1-13, January.
    2. Joseph K. Kamara & Blessing J. Akombi & Kingsley Agho & Andre M. N. Renzaho, 2018. "Resilience to Climate-Induced Disasters and Its Overall Relationship to Well-Being in Southern Africa: A Mixed-Methods Systematic Review," IJERPH, MDPI, vol. 15(11), pages 1-27, October.

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