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024 7 _ |a 10.1007/s11154-024-09879-9
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024 7 _ |a 1389-9155
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024 7 _ |a 1573-2606
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037 _ _ |a DKFZ-2024-00757
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Adjei, Nicholas Kofi
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245 _ _ |a Ethnic differences in metabolic syndrome in high-income countries: A systematic review and meta-analysis.
260 _ _ |a Dordrecht [u.a.]
|c 2024
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500 _ _ |a 2024 Aug;25(4):727-750
520 _ _ |a This review aimed to systematically quantify the differences in Metabolic Syndrome (MetS) prevalence across various ethnic groups in high-income countries by sex, and to evaluate the overall prevalence trends from 1996 to 2022. We conducted a systematic literature review using MEDLINE, Web of Science Core Collection, CINAHL, and the Cochrane Library, focusing on studies about MetS prevalence among ethnic groups in high-income countries. We pooled 23 studies that used NCEP-ATP III criteria and included 147,756 healthy participants aged 18 and above. We calculated pooled prevalence estimates and 95% confidence intervals (CI) using both fixed-effect and random-effect intercept logistic regression models. Data were analysed for 3 periods: 1996-2005, 2006-2009, and 2010-2021. The pooled prevalence of MetS in high-income countries, based on the NCEP-ATP III criteria, was 27.4% over the studied period, showing an increase from 24.2% in 1996-2005 to 31.9% in 2010-2021, with men and women having similar rates. When stratified by ethnicity and sex, ethnic minority women experienced the highest prevalence at 31.7%, while ethnic majority women had the lowest at 22.7%. Notably, MetS was more prevalent in ethnic minority women than men. Among ethnic minorities, women had a higher prevalence of MetS than men, and the difference was highest in Asians (about 15 percentage points). Among women, the prevalence of MetS was highest in Asians (41.2%) and lowest in Blacks/Africans (26.7%). Among men, it was highest in indigenous minority groups (34.3%) and lowest among in Blacks/Africans (19.8%). MetS is increasing at an alarming rate in high-income countries, particularly among ethnic minority women. The burden of MetS could be effectively reduced by tailoring interventions according to ethnic variations and risk profiles.
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650 _ 7 |a Ethnicity
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650 _ 7 |a High-income Countries
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650 _ 7 |a Meta-analysis
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650 _ 7 |a Metabolic syndrome
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650 _ 7 |a Prevalence
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700 1 _ |a Samkange-Zeeb, Florence
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700 1 _ |a Boakye, Daniel
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700 1 _ |a Saleem, Maham
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700 1 _ |a Christianson, Lara
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700 1 _ |a Kebede, Mihiretu M
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700 1 _ |a Heise, Thomas L
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700 1 _ |a Brand, Tilman
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700 1 _ |a Esan, Oluwaseun B
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700 1 _ |a Taylor-Robinson, David C
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700 1 _ |a Agyemang, Charles
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700 1 _ |a Zeeb, Hajo
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773 _ _ |a 10.1007/s11154-024-09879-9
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