Rosana Poggio

Rosana Poggio
Institute for Clinical Effectiveness and Health Policy | IECS · Cardiovascular epidemiology

MD, MSc, PhD candidate

About

53
Publications
4,652
Reads
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906
Citations
Citations since 2017
24 Research Items
709 Citations
2017201820192020202120222023020406080100120140
2017201820192020202120222023020406080100120140
2017201820192020202120222023020406080100120140
2017201820192020202120222023020406080100120140
Additional affiliations
September 2009 - present
Institute for Clinical Effectiveness and Health Policy
Position
  • Senior Researcher
December 2008 - present
FLENI Fundation
Position
  • Cardiologist

Publications

Publications (53)
Article
Full-text available
Background Elevated Lipoprotein(a) [Lp(a)] is independently associated with increased cardiovascular disease (CVD) risk. There are discrepancies regarding its epidemiology due to great variability in different populations. This study aimed to evaluate the prevalence of elevated Lp(a) in people with moderate CVD risk and increased LDL-c and to deter...
Article
In Argentina, cardiovascular disease (CVD) represents the first cause of mortality, but effective coverage for CVD prevention is low. Strategies based on behavioral economics are emerging worldwide as key pieces to increase the effectiveness of CVD prevention approaches. The aim of this study was to evaluate whether the implementation of two strate...
Article
Full-text available
Previous studies have shown the influence of the physical and social environments on the development of obesity and non-communicable diseases (NCD). An obesogenic environment promotes higher dietary energy intakes and sedentary behaviors while limiting opportunities or incentives for active living. This paper presents a dataset with key attributes...
Article
Full-text available
Background and Aims In the Southern Cone of Latin America, previous studies have shown that blood hypertension is one of the most significant risk factor for cardiovascular disease, and diet plays a fundamental role. We analyzed the cross-sectional relationship between dietary patterns (DP) and blood pressure values in people involved in the CESCAS...
Preprint
Full-text available
Background The effective management of cardiovascular (CVD) prevention among the uninsured population in Argentina is low since less than 30% of the individuals with predicted 10-year CVD risk ≥10% attend a clinical visit for CVD risk factors control in the primary care clinics (PCCs). Methods We conducted a non-controlled feasibility study using a...
Article
Full-text available
Background: Early repolarization pattern (ERP) is a frequent finding in asymptomatic subjects with controversial implications regarding to its prognosis. This study aims to estimate the prevalence of ERP and its association with sociodemographic characteristics and cardiovascular risk factors among the adult population in the Southern Cone of Latin...
Article
Introduction: Lifestyle modification, such as healthy diet habits, regular physical activity, and maintaining a normal body weight, must be prescribed to all hypertensive individuals. This study aims to test whether a multicomponent intervention is effective in improving lifestyle and body weight among low-income families. Study design: Cluster...
Article
Objective: To examine whether dietary patterns (DP) are associated with endothelial dysfunction (ED) markers in an Argentinian population. Research methods & procedures: Cross-sectional study. The sample belonged to 1,983 subjects from two mid-sized cities of Argentina, involved in CESCAS I Study. To define DP, a food-frequency questionnaire was...
Article
Introduction: Statins are essential drugs for high cardiovascular disease (CVD) risk management; however, there is still low adherence to good clinical practice guidelines for statin use at the primary care level in low- and middle-income countries. This study aimed to test whether a complex intervention targeting physicians improves treatment and...
Article
Introduction: The Hypertension Control Program in Argentina (HCPIA), a cluster-randomized trial of a community health worker-led multicomponent intervention on blood pressure (BP) control in low-income patients in Argentina, previously reported a significant reduction in systolic BP in the intervention compared to the control group over 18 months (...
Article
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INTRODUCTION: Breast cancer (BC) and colorectal cancer (CRC) both present a high burden of disease in Argentina. Hence, studying the epidemiology of these tumors constitutes a public health priority. The objective of this study was to describe the prevalence of family history of BC and CRC and to estimate the incidence of these tumors in adults age...
Article
Introduction: To examine the relationship between suicidal ideation (SI) and cardiovascular disease (CVD) in the general adult population of four cities in the Southern Cone of Latin America (Argentina, Uruguay, Chile) and the role that depression, stressful life events (SLEs) and physical functional impairment may play in this association. Methods...
Article
Objective: We explore the association between occupational physical activity (OPA) and cardiovascular risk factors in 4 cities of the Southern Cone. Methods: Robust multivariable linear regression models were used to examine the associations RESULTS:: The working population was constituted by 1,868 men and 1,672 women. Men performing high levels...
Article
Objective: The American Heart Association developed the concept of 'Ideal Cardiovascular Health', which is based on the presence of ideal levels across seven health factors. The goal of this study is to assess the prevalence of Ideal Cardiovascular Health in the Southern Cone of Latin America. Study design: We conducted a cross-sectional analysi...
Article
Background: Inaccurate estimates of demographic cardiovascular risk may lead to an inadequate management of preventive medical interventions such as the use of statins. Objectives: The aim of this study was to evaluate the external validity of cardiovascular risk equations in the general population of the Southern Cone of Latin America. Methods: Eq...
Article
Importance: Despite extensive knowledge of hypertension treatment, the prevalence of uncontrolled hypertension is high and increasing in low- and middle-income countries. Objective: To test whether a community health worker-led multicomponent intervention would improve blood pressure (BP) control among low-income patients with hypertension. Des...
Article
Full-text available
Aims To determine the prevalence, treatment and control of diabetes mellitus (DM) and impaired fasting glucose (IFG) as well as associated factors in the adult population of four cities of the Southern Cone of Latin America (SCLA). Methods This is a cross-sectional population-based study that included 7407 adults between 35 and 74 years old in fou...
Data
Diabetes in the Southern Cone Database. (XLSX)
Article
Full-text available
The maximum content of sodium in selected processed foods (PF) in Argentina was limited by a law enacted in 2013. Data about intake of these and other foods are necessary for policy planning, implementation, evaluation, and monitoring. We examined data from the CESCAS I population-based cohort study to assess the main dietary sources among PF and f...
Article
Introduction: There are no published data in relation to this topic at population level from the Southern Cone of Latin America. Hence, we assessed the hypothesis that higher levels of occupational PA will be associated with lower plasma levels of lipoproteins, apolipoproteins, C reactive protein, blood pressure and lower body mass index (BMI) comp...
Article
Several previous epidemiological studies from developed countries have shown that an unhealthy dietary pattern affects plasma lipid levels and inflammation biomarkers. We assessed the cross-sectional associations between dietary patterns and cardiovascular risk factors among 961 adults from a multi-city cohort in South America. We conducted a princ...
Article
Full-text available
Introduction Hypercholesterolaemia is estimated to cause 2.6 million deaths annually and one-third of the cases of ischaemic heart disease. In Argentina, the prevalence of hypercholesterolaemia increased between 2005 and 2013 from 27.9% to 29.8%. Only one out of four subjects with a self-reported diagnosis of coronary heart disease is taking statin...
Article
Full-text available
Background Obesity is a major determinant of cardiovascular disease in South America. However, population-based data are limited. Methods A total of 7,524 women and men, aged 35 to 74 years old, were randomly selected from 4 cities in the Southern Cone of Latin America between February 2010 and December 2011. Obesity clinical measurements and card...
Article
BACKGROUND Hypertension is the leading global preventable risk factor for premature death. While hypertension prevalence has been declining in high-income countries, it has increased continuously in low- and middle-income countries. METHODS We conducted a cross-sectional survey in 7,524 women and men aged 35–74 years from randomly selected samples...
Article
Full-text available
Background: Early Repolarization pattern (ERP) has been considered a benign finding. However, this has been recently challenged due to its association with idiopathic ventricular fibrillation. The exact prevalence and characterization in the Southern Cone of Latin America are unknown. Purpose: The main objective of the study was to determine the pr...
Article
Full-text available
Background: Few data are available on population level regarding domain-specific correlates of physical activity (PA) in Latin America. Objective: The aim of this study was to examine the relationships among PA patterns and their main sociodemographic determinants and cardiovascular risk factors in the Southern Cone of Latin America. Methods:...
Article
Introduction: In Argentina physical inactivity was the fifth leading risk factor for all-cause mortality in 2010. The aim of this project was to estimate the numbers of ischaemic heart disease (IHD) and stroke deaths in Argentina attributable to different levels of physical activity (PA). Materials and Methods: We conducted a population-level compa...
Article
Full-text available
Objective To estimate the impact of Argentine policies to reduce trans fatty acids (TFA) on coronary heart disease (CHD), disability-adjusted life years (DALYs) and associated health-care costs. Methods We estimated the baseline intake of TFA before 2004 to be 1.5% of total energy intake. We built a policy model including baseline intake of TFA, t...
Article
Introduction: In the Southern Cone of Latin America physical inactivity has become the fifth most important determinant of death. There is no published data describing and comparing physical activity (PA) patterns among different cities in this region. METHODS: CESCAS I is an observational, prospective cohort study entailing a probabilistic sample...
Article
Background: Yerba mate tea, made from tree leaves of Ilex paraguariensis, is a widely consumed beverage in South America. Animal studies have reported improvement in serum lipids parameters and reduction in cholesterol content and size of aortic lesions with consumption of ilex paraguariensis extracts, that contain potentially bioactive saponin, ph...
Article
In Argentina, cardiovascular diseases cause an estimated 100,000 deaths and more than 250,000 coronary heart disease and stroke events annually, at a cost of more than $1 billion international dollars. Despite progress in the implementation of several programs to combat noncommunicable diseases in Argentina over the past few years, most health reso...
Article
: Although the efficacy and effectiveness of lifestyle modifications and antihypertensive pharmaceutical treatment for the prevention and control of hypertension and concomitant cardiovascular disease have been demonstrated in randomized controlled trials, this scientific knowledge has not been fully applied in the general population, especially in...
Article
Full-text available
Objective: The purpose of the present study was to determine whether elevated dietary Na intake could be associated with CVD mortality. Design: We performed a systematic review and meta-analysis of prospective studies representing the general population. The adjusted relative risks and their 95 % confidence intervals were pooled by the inverse v...
Article
Background: In the last decades, the nutrition transition in Latin America turned to diets with higher total caloric intake and lower consumption of vegetables, cereals and fruits. An unhealthy dietary pattern affects plasma levels of apolipoprotein (Apo) AI, Apo B and C-reactive protein (CRP) which are independently associated with the incidence o...
Article
Objectives: Industrial trans fatty acids (TFA) increase CHD risk, but use remains high in developing nations. From 2004-2014, Argentina initiated policies to reduce industrial TFA: voluntary agreements with industry in 2004, mandatory labeling in 2006, and elimination by Food Code by 2014. We aimed to evaluate the policy’s impact on CHD, DALYs and...
Article
Objectives: to identify Diet Patterns (DP) in the adult population of Argentina, and explore associations with gender, age and educational level. Methods: We defined DP among 3,010 adults between 35 to 74 years old, participating in CESCAS I, a population-based cohort study carried out in two cities in Argentina, Marcos Paz and Bariloche. Data on f...
Article
Objective: Hypertension is the major preventable risk factor for cardiovascular disease (CVD) and premature deaths worldwide. We conducted a population-based cross-sectional study in a multistage-probabilistic sample of around 8,000 subjects aged 35-74 years old from 4 cities of the Southern Cone of Latin America (SCLA): Bariloche and Marcos Paz in...
Article
Objective: Diabetes Mellitus (DM) is a common chronic illness and a preventable risk factor for cardiovascular morbidity and mortality worldwide. Almost two-thirds of these deaths occurred in low-middle-income countries. In Argentina, Chile and Uruguay, only the prevalence of self-reported diagnosed DM are available. We conducted a population-based...
Article
Full-text available
Objectives: Cardiac resynchronization therapy (CRT) has recently been shown to reduce both mid-term and long-term mortality in patients with mild heart failure. Although proven effective, it is unclear whether CRT is cost-effective in low and middle-income countries (LMIC). Therefore, we set out to analyze the cost-effectiveness of CRT in Argentina...
Article
Full-text available
Introduction Cardiovascular diseases (CVD) are increasing throughout the world and cause 16.7 million deaths each year, 80% of which occur in low and middle income countries. In Argentina, Chile and Uruguay, the available data on cardiovascular risk factors come predominantly from cross-sectional studies that are principally based on self-report or...
Article
Background Systemic inflammatory response syndrome is a frequent postoperative complication of cardiovascular surgery that can develop vasoplegic shock and organ or multiorgan dysfunction in tlie most severe cases. Preoperative and postoperative predictors associated with this complication have been described; however, a subclinical preoperative in...
Article
Peak VO2 has traditionally been used for prognostic evaluation in systolic heart failure. However, in the past years, VE/VCO2 slope has been shown to be similar or even superior in many studies. We performed a systematic review and a meta-analysis of diagnostic studies of VE/VCO2 slope to assess its ability to predict cardiovascular events in systo...
Article
Full-text available
The risk of hyperkalaemia in patients with heart failure has increased in the past few years together with the evolution of pharmacological treatment for these patients. This significant change has been associated with the introduction of angiotensin converting enzyme (ACE) inhibitors, angiotensin II receptor blockers (ARBs), and aldosterone antago...
Article
Background: Systemic inflammatory response syndrome is a frequent postoperative complication of cardiovascular surgery that can develop vasoplegic shock and organ or multiorgan dysfunction in the most severe cases. Preoperative and postoperative predictors associated with this complication have been described; however, a subclinical preoperative in...
Article
To correlate pulmonary artery catheterization (PAC) use and 30-day outcomes and to characterize the use of pulmonary artery catheters among patients with acute coronary syndromes (ACS). We retrospectively studied 26437 ACS patients from two large multicenter, international randomized clinical trials. Multivariable and causal inference analyses were...

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Projects (3)
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