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Global Prevalence of Cardiometabolic Risk Factors in the Military Population: A Systematic Review and Meta-Analysis Publisher Pubmed



Baygi F1 ; Herttua K1 ; Jensen OC1 ; Djalalinia S2, 3 ; Mahdavi Ghorabi A2 ; Asayesh H4 ; Qorbani M5, 6
Authors
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Authors Affiliations
  1. 1. Centre of Maritime Health and Society, Institute of Public Health, University of Southern Denmark, Esbjerg, Denmark
  2. 2. Non-communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Deputy of Research and Technology, Ministry of Health and Medical Education, Tehran, Iran
  4. 4. Department of Medical emergency, Qom University of Medical Sciences, Qom, Iran
  5. 5. Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran
  6. 6. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

Source: BMC Endocrine Disorders Published:2020


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. © 2020 The Author(s).
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