Cardiometabolic Risk Markers for Aboriginal and Torres Strait Islander Children and Youths: A Systematic Review of Data Quality and Population Prevalence

Eamon O’Bryan (), Christopher D. McKay, Sandra Eades, Lina Gubhaju, Odette Pearson, Jessica A. Kerr, Alex Brown and Peter S. Azzopardi
Additional contact information
Eamon O’Bryan: Global Adolescent Health Group, Maternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, VIC 3010, Australia
Christopher D. McKay: Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC 3010, Australia
Sandra Eades: Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC 3010, Australia
Lina Gubhaju: Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC 3010, Australia
Odette Pearson: Aboriginal Health Equity Theme, South Australian Health and Medical Research Institute, Adelaide, SA 5000, Australia
Jessica A. Kerr: Department of Psychological Medicine, University of Otago Christchurch, Christchurch 8011, New Zealand
Alex Brown: Telethon Kids Institute, Perth, WA 6009, Australia
Peter S. Azzopardi: Global Adolescent Health Group, Maternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, VIC 3010, Australia

IJERPH, 2023, vol. 20, issue 13, 1-19

Abstract: Cardiovascular disease and type 2 diabetes mellitus are leading contributors to the health inequity experienced by Aboriginal and Torres Strait Islander peoples, and their antecedents can be identified from early childhood. We aimed to establish the quality of available data and the prevalence of cardiometabolic risk markers among Aboriginal and Torres Strait Islander children and youths (0–24-year-olds) to inform public health approaches. A systematic review of the peer-reviewed and grey literature was conducted between 1 January 2000–28 February 2021. Included studies reported population prevalence of cardiometabolic risks, including elevated blood pressure, obesity, central adiposity, dyslipidaemia, hyperglycaemia, and ‘metabolic syndrome’ for Aboriginal and Torres Strait Islander people aged 0–24 years. Fifteen studies provided population estimates. Data quality was limited by low response rates (10/15 studies) and suboptimal outcome measurements. Obesity is the most reported risk (13/15 studies). Aboriginal and Torres Strait Islander children have an excess risk of obesity from early childhood and prevalence increases with age: 32.1% of Aboriginal and Torres Strait Islander 18–24-year-olds had obesity and 50.8% had central adiposity. In a cohort of 486 9–14-year-olds in Darwin, 70% had ≥1 component of metabolic syndrome; 14% met the full criteria for the syndrome. The prevalence of cardiometabolic risk in Aboriginal and Torres Strait Islander young people is difficult to estimate due to limitations in measurement quality and sampling representativeness. Available data suggest that cardiometabolic risk markers are evident from early childhood. The establishment of national and state-level datasets and a core outcome set for cardiometabolic screening would provide opportunities for preventative action.

Keywords: Aboriginal and Torres Strait Islander; Australia; Indigenous; child; youth; cardiometabolic; disease risk; prevalence; metabolic syndrome; obesity; central adiposity; dyslipidaemia (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/20/13/6228/pdf (application/pdf)
https://www.mdpi.com/1660-4601/20/13/6228/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:20:y:2023:i:13:p:6228-:d:1179601

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().