Abstract

Drs Schooling and Leung provide a number of hypotheses on why cardiometabolic diseases and risks may still be conditions of affluence. Our study1 on the associations of 4 cardiometabolic risks with macroeconomic variables provides a bird’s eye view of global risk-factor distributions and inequalities at snapshots in time, including how these distributions have changed over nearly 3 decades. As emphasized in our study, these cross-sectional associations should not be interpreted as the causal influences of macroeconomic variables on cardiometabolic risk factors in specific countries. For example, although high-income countries on average had lower …

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