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Prevalence and trends of metabolic syndrome among adults in the asia-pacific region: a systematic review


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Ranasinghe, P, Mathangasinghe, Y, Jayawardena, R, Hills, AP ORCID: 0000-0002-7787-7201 and Misra, A 2017 , 'Prevalence and trends of metabolic syndrome among adults in the asia-pacific region: a systematic review' , BMC Public Health, vol. 17 , pp. 1-9 , doi: 10.1186/s12889-017-4041-1.

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Background: The Asia-Pacific region is home to nearly half of the world’s population. The region has seen a recentrapid increase in the prevalence of obesity, type-2 diabetes and cardiovascular disease. The present systematicreview summarizes the recent prevalence and trends of Metabolic Syndrome (MetS) among adults in countries ofthe Asia-Pacific Region.Methods: Data on MetS in Asia-Pacific countries were obtained using a stepwise process by searching the onlineMedline database using MeSH terms ‘Metabolic Syndrome X’ and ‘Epidemiology/EP’. For the purpose of describingprevalence data for the individual countries, studies that were most recent, nationally representative or with thelargest sample size were included. When evaluating secular trends in prevalence in a country we only consideredstudies that evaluated the temporal change in prevalence between similar populations, prospective studies basedon the same population or National surveys conducted during different time periods.Results: This literature search yielded a total of 757 articles, and five additional article were identified by screeningof reference lists. From this total, 18 studies were eligible to be included in the final analysis. Of the 51 Asia-Pacificcountries (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% accordingto NCEP ATP III criteria. In contrast, the highest recorded prevalence in the region (49.0%) came from a studyconducted in urban Pakistan (Karachchi, 2004). Most studies reported a higher prevalence of MetS in females andurban residents. Data on secular trends were available for China, South Korea and Taiwan. An increase in theprevalence of MetS was observed in all three countries.Conclusion: Despite differences in methodology, diagnostic criteria and age of subjects studied, the Asia-Pacificregion is facing a significant epidemic of MetS. In most countries nearly 1/5th of the adult population or morewere affected by MetS with a secular increase in prevalence. Strategies aimed at primary prevention are requiredto ameliorate a further increase in the epidemic and for the reduction of the morbidity and mortality associatedwith MetS.

Item Type: Article
Authors/Creators:Ranasinghe, P and Mathangasinghe, Y and Jayawardena, R and Hills, AP and Misra, A
Keywords: Metabolic syndrome; Prevalence; Trends; Asia-Pacific
Journal or Publication Title: BMC Public Health
Publisher: BioMed Central
ISSN: 1471-2458
DOI / ID Number: 10.1186/s12889-017-4041-1
Copyright Information:

Copyright 2017 The Authors. Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0)

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