Impact of disasters, including pandemics, on cardiometabolic outcomes across the life-course: A systematic review

摘要: ObjectivesDisasters, such as the current COVID-19 pandemic, disrupt daily life, increase uncertainty and stress, may long-term risk of adverse cardiometabolic outcomes, including heart disease, obesity diabetes. The objective was to conduct a systematic review determine impact disasters, pandemics, on outcomes across life-course. DesignA search conducted in May 2020 using two electronic databases, EMBASE Medline. All studies were screened duplicate at title abstract, full-text level. Studies eligible for inclusion if they assessed an association with population-level or community disaster outcomes. There no restrictions year publication, country population. Non-English earthquake-related excluded. Data extracted study characteristics, exposure (e.g., type disaster, name specific event, region, year), measures effect. Study quality evaluated Joanna Briggs Institute critical appraisal tools. ResultsA total 58 included, 24 reporting effects during pregnancy/childhood 34 adulthood. included natural (60%) human-made (40%) only 3 (5%) these evaluating previous pandemics. Most North America (62%). reported increased risk, cardiovascular disease incidence mortality, diabetes, obesity. Few investigated potential mechanisms identified high subgroups. ConclusionsUnderstanding consequences disasters life-course inform public health strategies pandemic. This found strong evidence between life-course, although more research is needed better understand preventative efforts. PROSPERO registrationCRD - 42020186074 Strengths limitations this studyO_LIThis one first literature subsequent throughout C_LIO_LIA comprehensive strategy developed consultation Health Science Librarians McMaster University, which resulted that into review. C_LIO_LIDue heterogeneity studies, meta-analysis not conducted. C_LIO_LIThis contributes synthesis can help C_LI