{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T20:34:15Z","timestamp":1774643655859,"version":"3.50.1"},"reference-count":43,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.es","elsevier.es","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Cl\u00ednica e Investigaci\u00f3n en Arteriosclerosis"],"published-print":{"date-parts":[[2022,3]]},"DOI":"10.1016\/j.arteri.2021.04.002","type":"journal-article","created":{"date-parts":[[2021,7,24]],"date-time":"2021-07-24T17:01:38Z","timestamp":1627146098000},"page":"97-104","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["Impact of the complex humanitarian crisis on the epidemiology of the cardiometabolic risk factors in Venezuela"],"prefix":"10.1016","volume":"34","author":[{"given":"Juan P.","family":"Gonz\u00e1lez-Rivas","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey I.","family":"Mechanick","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Ponte","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana","family":"de Oliveira-Gomes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rocio","family":"Iglesias-Fortes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Livia","family":"Machado","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maritza","family":"Duran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria In\u00e9s","family":"Marulanda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramfis","family":"Nieto-Mart\u00ednez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.arteri.2021.04.002_bib0005","doi-asserted-by":"crossref","first-page":"1254","DOI":"10.1016\/S0140-6736(19)30344-7","article-title":"Venezuela's public health crisis: a regional emergency","volume":"393","author":"Page","year":"2019","journal-title":"Lancet"},{"key":"10.1016\/j.arteri.2021.04.002_bib0010","series-title":"Humanitarian overview: an analysis of key crises into 2018","first-page":"60","author":"ACAPS","year":"2017"},{"key":"10.1016\/j.arteri.2021.04.002_bib0015","series-title":"Venezuela situation","author":"United Nations High Commissioner for Refugees (UNHCR)","year":"2020"},{"key":"10.1016\/j.arteri.2021.04.002_bib0020","series-title":"Venezuela Regional Crisis Fact Sheet #3, Fiscal Year (Fy) [Internet]","author":"USAID","year":"2019"},{"key":"10.1016\/j.arteri.2021.04.002_bib0025","series-title":"Coordination platform for refugees and migrants from Venezuela. Refugee and migrants response plan. Response for Venezuelans (R4V)","year":"2020"},{"key":"10.1016\/j.arteri.2021.04.002_bib0030","unstructured":"United Nations High Commissioner for Refugees (UNHCR). Syria emergency [Internet]. Available from: https:\/\/www.unhcr.org\/syria-emergency.html?query=syria."},{"key":"10.1016\/j.arteri.2021.04.002_bib0035","series-title":"Venezuelan refugee crisis grows in 2019 [Internet]","author":"Buchholz","year":"2020"},{"key":"10.1016\/j.arteri.2021.04.002_bib0040","doi-asserted-by":"crossref","first-page":"2095","DOI":"10.1016\/S0140-6736(17)31435-6","article-title":"Data reveal state of Venezuelan health system","volume":"389","author":"Fraser","year":"2017","journal-title":"Lancet"},{"key":"10.1016\/j.arteri.2021.04.002_bib0045","first-page":"1","article-title":"Venezuela. Country profile","volume":"6736","author":"Institute for Health Metrics and Evaluation (IHME)","year":"2016","journal-title":"Glob Burd Dis Comp"},{"key":"10.1016\/j.arteri.2021.04.002_bib0050","article-title":"Cardiometabolic risk factors in Venezuela. The EVESCAM study: a national cross-sectional survey in adults","author":"Nieto-Mart\u00ednez","year":"2020","journal-title":"Prim Care Diab"},{"key":"10.1016\/j.arteri.2021.04.002_bib0055","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1016\/j.pcd.2017.11.005","article-title":"Prevalence of diabetes in three regions of Venezuela. The VEMSOLS study results","volume":"12","author":"Nieto-Mart\u00ednez","year":"2018","journal-title":"Prim Care Diab"},{"key":"10.1016\/j.arteri.2021.04.002_bib0060","first-page":"169","article-title":"Prevalence of the metabolic syndrome, insulin resistance index, leptin and thyroid hormone levels in the general population of Merida (Venezuela)","volume":"56","author":"Uzc\u00e1tegui","year":"2015","journal-title":"Invest Clin"},{"key":"10.1016\/j.arteri.2021.04.002_bib0065","first-page":"30","article-title":"Prevalence of dyslipidemias in three regions in Venezuela: the VEMSOLS study results","volume":"110","author":"Gonz\u00e1lez-Rivas","year":"2018","journal-title":"Arq Bras Cardiol"},{"key":"10.1016\/j.arteri.2021.04.002_bib0070","first-page":"364","article-title":"High prevalence and poor control of hypertension in five venezuelan populations: the VEMSOLS study","volume":"57","author":"Gonz\u00e1lez-Rivas","year":"2016","journal-title":"Invest Clin"},{"key":"10.1016\/j.arteri.2021.04.002_bib0075","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2016\/9405105","article-title":"Prevalence and associated factors of insulin resistance in adults from Maracaibo city, Venezuela","volume":"2016","author":"Bermudez","year":"2016","journal-title":"Adv Prev Med"},{"key":"10.1016\/j.arteri.2021.04.002_bib0080","doi-asserted-by":"crossref","first-page":"565","DOI":"10.12688\/f1000research.14571.2","article-title":"Cigarette smoking and metabolic syndrome components: a cross-sectional study from Maracaibo City, Venezuela","volume":"7","author":"Bermudez","year":"2018","journal-title":"F1000Research"},{"key":"10.1016\/j.arteri.2021.04.002_bib0085","first-page":"16","article-title":"Prevalencia del s\u00edndrome metab\u00f3lico en la poblaci\u00f3n urbana de Mucuch\u00edes, M\u00e9rida-Venezuela","volume":"7","author":"Leal","year":"2009","journal-title":"Rev Venez Endocrinol Metab"},{"key":"10.1016\/j.arteri.2021.04.002_bib0090","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.amjmed.2007.08.038","article-title":"CARMELA: assessment of cardiovascular risk in seven latin American cities","volume":"121","author":"Schargrodsky","year":"2008","journal-title":"Am J Med"},{"key":"10.1016\/j.arteri.2021.04.002_bib0095","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/j.diabres.2004.11.018","article-title":"Prevalence and risk factors associated with the metabolic syndrome and dyslipidemia in White, Black, Amerindian and Mixed Hispanics in Zulia State, Venezuela","volume":"69","author":"Florez","year":"2005","journal-title":"Diabetes Res Clin Pract"},{"key":"10.1016\/j.arteri.2021.04.002_bib0100","first-page":"603","article-title":"Prevalence of metabolic syndrome in three regions in Venezuela: the VEMSOLS study","volume":"31","author":"Brajkovich","year":"2018","journal-title":"Int J Cardiovasc Sci"},{"key":"10.1016\/j.arteri.2021.04.002_bib0105","doi-asserted-by":"crossref","first-page":"1357","DOI":"10.2105\/AJPH.2006.094128","article-title":"Tobacco industry \u201cyouth smoking prevention\u201d programs to undermine meaningful tobacco control in Latin America","volume":"97","author":"Sebri\u00e9","year":"2007","journal-title":"Am J Public Health"},{"key":"10.1016\/j.arteri.2021.04.002_bib0110","unstructured":"Pan American Health Organization. Report on Tobacco Control in the Region of the Americas, 2018.Washington, D.C.: PAHO; 2018."},{"key":"10.1016\/j.arteri.2021.04.002_bib0115","doi-asserted-by":"crossref","first-page":"1377","DOI":"10.1016\/S0140-6736(16)30054-X","article-title":"Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19.2 million participants","volume":"387","author":"Di Cesare","year":"2016","journal-title":"Lancet"},{"key":"10.1016\/j.arteri.2021.04.002_bib0120","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1136\/bmj.f1515","article-title":"Population-wide weight loss and regain in relation to diabetes burden and cardiovascular mortality in Cuba 1980\u20132010: Repeated cross sectional surveys and ecological comparison of secular trends","volume":"346","author":"Franco","year":"2013","journal-title":"BMJ"},{"key":"10.1016\/j.arteri.2021.04.002_bib0125","doi-asserted-by":"crossref","first-page":"e123","DOI":"10.1016\/S2214-109X(19)30484-X","article-title":"Trends in cardiometabolic risk factors in the Americas between 1980 and 2014: a pooled analysis of population-based surveys","volume":"8","year":"2020","journal-title":"Lancet Glob Heal"},{"key":"10.1016\/j.arteri.2021.04.002_bib0130","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1016\/j.pcd.2017.11.005","article-title":"Prevalence of diabetes in three regions of Venezuela. The VEMSOLS study results","volume":"12","author":"Nieto-Mart\u00ednez","year":"2018","journal-title":"Prim Care Diabetes"},{"key":"10.1016\/j.arteri.2021.04.002_bib0135","series-title":"Diabetes atlas. 9a edition","first-page":"1","author":"International Diabetes Federation","year":"2019"},{"key":"10.1016\/j.arteri.2021.04.002_bib0140","doi-asserted-by":"crossref","first-page":"1126","DOI":"10.1097\/HJH.0000000000002072","article-title":"Latin American Consensus on themanagement of hypertension in the patient with diabetes and the metabolic syndrome","volume":"37","author":"L\u00f3pez-Jaramillo","year":"2019","journal-title":"J Hypertens"},{"key":"10.1016\/j.arteri.2021.04.002_bib0145","first-page":"1","article-title":"Does greater individual social capital improve the management of hypertension? Cross-national analysis of 61 229 individuals in 21 countries","volume":"2","author":"Palafox","year":"2017","journal-title":"BMJ Glob Heal"},{"key":"10.1016\/j.arteri.2021.04.002_bib0150","doi-asserted-by":"crossref","first-page":"1813","DOI":"10.1097\/HJH.0000000000002108","article-title":"Prevalence, awareness, treatment and control of hypertension in rural and urban communities in Latin American countries","volume":"37","author":"Lamelas","year":"2019","journal-title":"J Hypertens"},{"key":"10.1016\/j.arteri.2021.04.002_bib0155","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1038\/s41586-020-2338-1","article-title":"Repositioning of the global epicentre of non-optimal cholesterol","volume":"582","author":"Taddei","year":"2020","journal-title":"Nature"},{"key":"10.1016\/j.arteri.2021.04.002_bib0160","doi-asserted-by":"crossref","first-page":"1","DOI":"10.7554\/eLife.57980","article-title":"A systematic review of population-based studies on lipid profiles in latin america and the caribbean","volume":"9","author":"Carrillo-Larco","year":"2020","journal-title":"Elife"},{"key":"10.1016\/j.arteri.2021.04.002_bib0165","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1016\/j.ijcard.2017.05.059","volume":"243","author":"Ponte-Negretti","year":"2017","journal-title":"Int J Cardiol"},{"key":"10.1016\/j.arteri.2021.04.002_bib0170","doi-asserted-by":"crossref","first-page":"1702","DOI":"10.1017\/S1368980010003320","article-title":"The prevalence of metabolic syndrome in Latin America: a systematic review","volume":"14","author":"M\u00e1rquez-Sandoval","year":"2011","journal-title":"Public Health Nutr"},{"key":"10.1016\/j.arteri.2021.04.002_bib0175","doi-asserted-by":"crossref","first-page":"1237","DOI":"10.1093\/ajcn\/83.6.1237","article-title":"The metabolic syndrome: is this diagnosis necessary?","volume":"83","author":"Reaven","year":"2006","journal-title":"Am J Clin Nutr"},{"key":"10.1016\/j.arteri.2021.04.002_bib0180","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1016\/j.jacc.2019.11.044","article-title":"Cardiometabolic-based chronic disease, adiposity and dysglycemia drivers: JACC state-of-the-art review","volume":"75","author":"Mechanick","year":"2020","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.arteri.2021.04.002_bib0185","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1016\/j.jacc.2019.11.046","article-title":"Cardiometabolic-based chronic disease, addressing knowledge and clinical practice gaps: JACC state-of-the-art review","volume":"75","author":"Mechanick","year":"2020","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.arteri.2021.04.002_bib0190","doi-asserted-by":"crossref","first-page":"372","DOI":"10.4158\/EP161688.PS","article-title":"Adiposity-based chronic disease as a new diagnostic term: the American association of clinical endocrinologists and American college of endocrinology position statement","volume":"23","author":"Mechanick","year":"2017","journal-title":"Endocr Pract"},{"key":"10.1016\/j.arteri.2021.04.002_bib0195","doi-asserted-by":"crossref","first-page":"995","DOI":"10.4158\/PS-2018-0139","article-title":"Dysglycemia-based chronic disease: an American association of clinical endocrinologists position statement","volume":"24","author":"Mechanick","year":"2018","journal-title":"Endocr Pract"},{"key":"10.1016\/j.arteri.2021.04.002_bib0200","doi-asserted-by":"crossref","first-page":"e1077","DOI":"10.1016\/S2214-109X(18)30357-7","article-title":"Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants","volume":"6","author":"Guthold","year":"2018","journal-title":"Lancet Glob Heal"},{"key":"10.1016\/j.arteri.2021.04.002_bib0205","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s40795-020-00362-7","article-title":"Dietary intake and cardiometabolic risk factors among Venezuelan adults: a nationally representative analysis","volume":"6","author":"Goodman","year":"2020","journal-title":"BMC Nutr"},{"key":"10.1016\/j.arteri.2021.04.002_bib0210","first-page":"1","volume":"2017","author":"Medicos x la Salud","year":"2017"},{"key":"10.1016\/j.arteri.2021.04.002_bib0215","first-page":"1","volume":"2019","author":"Medicos x la Salud","year":"2019"}],"container-title":["Cl\u00ednica e Investigaci\u00f3n en Arteriosclerosis"],"original-title":[],"language":"es","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0214916821000942?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0214916821000942?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T13:33:03Z","timestamp":1759325583000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0214916821000942"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3]]},"references-count":43,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,3]]}},"alternative-id":["S0214916821000942"],"URL":"https:\/\/doi.org\/10.1016\/j.arteri.2021.04.002","relation":{},"ISSN":["0214-9168"],"issn-type":[{"value":"0214-9168","type":"print"}],"subject":[],"published":{"date-parts":[[2022,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Impact of the complex humanitarian crisis on the epidemiology of the cardiometabolic risk factors in Venezuela","name":"articletitle","label":"Article Title"},{"value":"Cl\u00ednica e Investigaci\u00f3n en Arteriosclerosis","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arteri.2021.04.002","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 Sociedad Espa\u00f1ola de Arteriosclerosis. Published by Elsevier Espa\u00f1a, S.L.U. All rights reserved.","name":"copyright","label":"Copyright"}]}}