Global prevalence of cardiometabolic risk factors in the military population: a systematic review and meta-analysis
Abstract Background Although there are numerous studies on the global prevalence of cardiometabolic risk factors (CMRFs) in military personnel, the pooled prevalence of CMRFs in this population remains unclear. We aimed to systematically review the literature on the estimation of the global prevalen...
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doaj-4ad62cf4cde7430b8f0630c35c9f16c72021-01-17T12:20:42ZengBMCBMC Endocrine Disorders1472-68232020-01-0120111710.1186/s12902-020-0489-6Global prevalence of cardiometabolic risk factors in the military population: a systematic review and meta-analysisFereshteh Baygi0Kimmo Herttua1Olaf Chresten Jensen2Shirin Djalalinia3Armita Mahdavi Ghorabi4Hamid Asayesh5Mostafa Qorbani6Center of Maritime Health and Society, Department of Public Health, University of Southern DenmarkCenter of Maritime Health and Society, Department of Public Health, University of Southern DenmarkCenter of Maritime Health and Society, Department of Public Health, University of Southern DenmarkNon-communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesNon-communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesDepartment of Medical emergency, Qom University of Medical SciencesNon-communicable Diseases Research Center, Alborz University of Medical SciencesAbstract Background Although there are numerous studies on the global prevalence of cardiometabolic risk factors (CMRFs) in military personnel, the pooled prevalence of CMRFs in this population remains unclear. We aimed to systematically review the literature on the estimation of the global prevalence of CMRFs in the military population. Methods We simultaneously searched PubMed and NLM Gateway (for MEDLINE), Institute of Scientific Information (ISI), and SCOPUS with using standard keywords. All papers published up to March 2018 were reviewed. Two independent reviewers assessed papers and extracted the data. Chi-square-based Q test was used to assess the heterogeneity of reported prevalence among studies. The overall prevalence of all CMRFs, including overweight, obesity, high low-density lipoprotein (LDL), high total cholesterol (TC), high triglyceride (TG), low high-density lipoprotein (HDL), hypertension (HTN) and high fasting blood sugar (FBS) was estimated by using the random effects meta-analysis. A total of 37 studies met the eligibility criteria and were included in the meta-analysis. Results According the random effect meta-analysis, the global pooled prevalence (95% confidence interval) of MetS, high LDL, high TC, high TG, low HDL and high FBS were 21% (17–25), 32% (27–36), 34% (10–57), 24% (16–31), 28% (17–38) and 9% (5–12), respectively. Moreover, global pooled prevalence of overweight, generalized obesity, abdominal obesity and HTN were estimated to be 35% (31–39), 14% (13–16), 29% (20–39) and 26 (19–34), respectively. Conclusions The overall prevalence of some cardio-metabolic risk factors was estimated to be higher in military personnel. Therefore, the necessary actions should be taken to reduce risk of developing cardiovascular diseases. Systematic review registration number in PROSPERO CRD42018103345https://doi.org/10.1186/s12902-020-0489-6Metabolic syndromeObesityMilitary personnelSystematic review |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Fereshteh Baygi Kimmo Herttua Olaf Chresten Jensen Shirin Djalalinia Armita Mahdavi Ghorabi Hamid Asayesh Mostafa Qorbani |
spellingShingle |
Fereshteh Baygi Kimmo Herttua Olaf Chresten Jensen Shirin Djalalinia Armita Mahdavi Ghorabi Hamid Asayesh Mostafa Qorbani Global prevalence of cardiometabolic risk factors in the military population: a systematic review and meta-analysis BMC Endocrine Disorders Metabolic syndrome Obesity Military personnel Systematic review |
author_facet |
Fereshteh Baygi Kimmo Herttua Olaf Chresten Jensen Shirin Djalalinia Armita Mahdavi Ghorabi Hamid Asayesh Mostafa Qorbani |
author_sort |
Fereshteh Baygi |
title |
Global prevalence of cardiometabolic risk factors in the military population: a systematic review and meta-analysis |
title_short |
Global prevalence of cardiometabolic risk factors in the military population: a systematic review and meta-analysis |
title_full |
Global prevalence of cardiometabolic risk factors in the military population: a systematic review and meta-analysis |
title_fullStr |
Global prevalence of cardiometabolic risk factors in the military population: a systematic review and meta-analysis |
title_full_unstemmed |
Global prevalence of cardiometabolic risk factors in the military population: a systematic review and meta-analysis |
title_sort |
global prevalence of cardiometabolic risk factors in the military population: a systematic review and meta-analysis |
publisher |
BMC |
series |
BMC Endocrine Disorders |
issn |
1472-6823 |
publishDate |
2020-01-01 |
description |
Abstract Background Although there are numerous studies on the global prevalence of cardiometabolic risk factors (CMRFs) in military personnel, the pooled prevalence of CMRFs in this population remains unclear. We aimed to systematically review the literature on the estimation of the global prevalence of CMRFs in the military population. Methods We simultaneously searched PubMed and NLM Gateway (for MEDLINE), Institute of Scientific Information (ISI), and SCOPUS with using standard keywords. All papers published up to March 2018 were reviewed. Two independent reviewers assessed papers and extracted the data. Chi-square-based Q test was used to assess the heterogeneity of reported prevalence among studies. The overall prevalence of all CMRFs, including overweight, obesity, high low-density lipoprotein (LDL), high total cholesterol (TC), high triglyceride (TG), low high-density lipoprotein (HDL), hypertension (HTN) and high fasting blood sugar (FBS) was estimated by using the random effects meta-analysis. A total of 37 studies met the eligibility criteria and were included in the meta-analysis. Results According the random effect meta-analysis, the global pooled prevalence (95% confidence interval) of MetS, high LDL, high TC, high TG, low HDL and high FBS were 21% (17–25), 32% (27–36), 34% (10–57), 24% (16–31), 28% (17–38) and 9% (5–12), respectively. Moreover, global pooled prevalence of overweight, generalized obesity, abdominal obesity and HTN were estimated to be 35% (31–39), 14% (13–16), 29% (20–39) and 26 (19–34), respectively. Conclusions The overall prevalence of some cardio-metabolic risk factors was estimated to be higher in military personnel. Therefore, the necessary actions should be taken to reduce risk of developing cardiovascular diseases. Systematic review registration number in PROSPERO CRD42018103345 |
topic |
Metabolic syndrome Obesity Military personnel Systematic review |
url |
https://doi.org/10.1186/s12902-020-0489-6 |
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