Prevalence and trends of metabolic syndrome among adults in the asia-pacific region: a systematic review.
Prevalence and trends of metabolic syndrome among adults in the asia-pacific region: a systematic review.
复制标题
亚太地区成年人中代谢综合征的患病率和趋势：系统评价。
DOI：
10.1186/s12889-017-4041-1
复制
发表时间：
2017-01-21
影响因子：
4.5
通讯作者：
Misra A
中科院分区：
文献类型：
--
作者：
Ranasinghe P;Mathangasinghe Y;Jayawardena R;Hills AP;Misra A
亚太地区人口占世界总人口的近一半。该地区肥胖症、2型糖尿病和心血管疾病的患病率最近迅速上升。本文系统综述了亚太地区各国成年人中代谢综合征(METS)的最新流行情况和趋势。通过使用网状词条‘代谢综合征X’和‘流行病学/EP’搜索在线Medline数据库，使用逐步过程获得亚太国家的甲硫咪唑类药物的数据。为了描述各个国家的患病率数据，纳入了最近的、具有全国代表性的或样本量最大的研究。在评估一个国家的流行率的长期趋势时，我们只考虑了评估相似人群之间流行率的时间变化的研究、基于相同人口的前瞻性研究或在不同时期进行的国家调查。本次文献检索共检索到757篇文献，通过参考文献列表筛选确定了另外5篇文献。在这一总数中，有18项研究有资格纳入最终分析。在51个亚太国家(WHO)中，我们只找到了15个国家的数据。不同国家之间甲型肝炎的患病率差异很大。菲律宾2003年进行的一项全国调查显示，根据NCEP ATPIII标准，报告的患病率最低，为11.9%。相比之下，该地区有记录的最高流行率(49.0%)来自于在巴基斯坦城市进行的一项研究(卡拉奇，2004年)。大多数研究报告称，女性和城市居民的Met患病率较高。中国、韩国和台湾都有长期趋势的数据。观察到这三个国家的甲型肝炎患病率都有所增加。尽管研究对象在方法、诊断标准和年龄方面存在差异，但亚太地区正面临严重的甲型肝炎疫情。在大多数国家，近五分之一的成年人口或更多的人感染Met，患病率长期上升。需要采取旨在进行初级预防的战略，以缓解这种流行病的进一步增加，并减少与甲型肝炎有关的发病率和死亡率。本文的在线版本(doi：10.1186/s12889-0174041-1)包含补充材料，授权用户可以使用。
The Asia-Pacific region is home to nearly half of the world’s population. The region has seen a recent rapid increase in the prevalence of obesity, type-2 diabetes and cardiovascular disease. The present systematic review summarizes the recent prevalence and trends of Metabolic Syndrome (MetS) among adults in countries of the Asia-Pacific Region. Data on MetS in Asia-Pacific countries were obtained using a stepwise process by searching the online Medline database using MeSH terms ‘Metabolic Syndrome X’ and ‘Epidemiology/EP’. For the purpose of describing prevalence data for the individual countries, studies that were most recent, nationally representative or with the largest sample size were included. When evaluating secular trends in prevalence in a country we only considered studies that evaluated the temporal change in prevalence between similar populations, prospective studies based on the same population or National surveys conducted during different time periods. This literature search yielded a total of 757 articles, and five additional article were identified by screening of reference lists. From this total, 18 studies were eligible to be included in the final analysis. Of the 51 Asia-Pacific countries (WHO) we only located data for 15. There was wide between country variation in prevalence of MetS. A national survey from Philippines conducted in 2003 revealed the lowest reported prevalence of 11.9% according to NCEP ATP III criteria. In contrast, the highest recorded prevalence in the region (49.0%) came from a study conducted in urban Pakistan (Karachchi, 2004). Most studies reported a higher prevalence of MetS in females and urban residents. Data on secular trends were available for China, South Korea and Taiwan. An increase in the prevalence of MetS was observed in all three countries. Despite differences in methodology, diagnostic criteria and age of subjects studied, the Asia-Pacific region is facing a significant epidemic of MetS. In most countries nearly 1/5th of the adult population or more were affected by MetS with a secular increase in prevalence. Strategies aimed at primary prevention are required to ameliorate a further increase in the epidemic and for the reduction of the morbidity and mortality associated with MetS. The online version of this article (doi:10.1186/s12889-017-4041-1) contains supplementary material, which is available to authorized users.