Prevalence and time trends in diabetes and physical inactivity among adult West African populations: The epidemic has arrived
Prevalence and time trends in diabetes and physical inactivity among adult West African populations: The epidemic has arrived
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DOI：
10.1016/j.puhe.2009.07.009
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发表时间：
2009-09-01
期刊：
影响因子：
5.2
通讯作者：
Bhopal, R. S.
中科院分区：
文献类型：
--
作者：
Abubakari, A. R.;Lauder, W.;Bhopal, R. S.
目的：确定西非成年人中缺乏身体活动和糖尿病的患病率、分布和趋势。设计：系统回顾和荟萃分析。方法：采用四种电子数据库进行文献检索。还进行了期刊手工检索和相关文章引文的检查。纳入的研究必须以人群为基础，使用明确定义的衡量糖尿病和缺乏运动的标准，提供可以计算糖尿病或缺乏运动的患病率的数据，以及样本成年参与者。对检索到的研究进行批判性评价。meta分析采用dersimonan - laird随机效应模型。结果：检索到21份糖尿病报告，检索到15份体力活动报告。大多数研究（10项针对糖尿病，6项针对体育活动）仅在城市人群中进行。西非的糖尿病患病率在城市成年人中约为4.0%(95%置信区间CI为2.0-9.01)，在农村成年人中约为2.6% (95%CI为1.5-4.4)，男女患病率相似[患病率比（PR） 1.36]。95%可信区间0.96 - -1.92)。累积时间趋势分析表明，在过去10年中，西非城市成年人糖尿病患病率从约3.0% （95%CI 1.0-7.0）增加到4.0% （95%CI 2.0-9.0）。西非缺乏运动的患病率为13% （95%CI 9.0-18.0）。不运动与年龄（50岁至50岁）（PR为1.82,95%CI 1.362,44）、女性（PR为1.62,95%CI 1.41-1.87）和城市居住（PR为2.04,95%CI 1.58-2.63）有关。结论：糖尿病和缺乏身体活动是西非城市重要的公共卫生问题，其患病率与富裕的工业化国家相似。决策者、政治家和健康促进专家迫切需要在西非城市采取措施，鼓励积极的生活方式并控制糖尿病。(C) 2009年，皇家公共卫生学会。Elsevier Ltd.出版。版权所有。
Objective: To determine the prevalence and distribution of, and trends in, physical inactivity and diabetes in adult West African populations.Design: Systematic review and meta-analysis.Methods: Literature searches were conducted using four electronic databases. journal hand searches and examination of citations of relevant articles were also undertaken. To be included, studies had to be population based, use clearly defined criteria for measuring diabetes and physical inactivity, present data that allowed calculation of the prevalence of diabetes or physical inactivity, and sample adult participants. Studies retrieved were appraised critically. Meta-analysis was performed using the DerSimonian-Laird random effect model.Results: Twenty-one reports Were retrieved for diabetes and 15 reports were retrieved for physical in/activity. Most studies (10 for diabetes and six for physical activity) were conducted solely among urban populations. The prevalence of diabetes in West Africa was approximately 4.0% 195% confidence interval (CI) 2.0-9.01 in urban adults and 2.6% (95%CI 1.5-4.4) in rural adults, and was similar in men and women [prevalence ratio (PR) 1.36. 95%CI 0.96-1.92]. Cumulative time trend analyses suggested an increase in the prevalence of diabetes among adults in urban West Africa, from approximately 3.0% (95%CI 1.0-7.0) to 4.0% (95%CI 2.0-9.0) in the past 10 years. The prevalence of inactivity in West Africa was 13% (95%CI 9.0-18.0). An association was found between physical inactivity and being older (>50 years) (PR 1.82, 95%CI 1.362,44), female gender (PR 1.62, 95%CI 1.41-1.87) and urban residence (PR 2.04, 95%CI 1.58-2.63).Conclusions: Diabetes and physical inactivity are important public health issues in urban West Africa, with Similar prevalences to wealthy industrialized countries. There is an urgent need for policy makers, politicians and health promotion experts to put measures in place to encourage active lifestyles and control diabetes in urban West Africa. (C) 2009 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.