Association between urbanization and metabolic syndrome in low- and middle-income countries: A systematic review and meta-analysis.

Autor: Nsabimana P; School of Agriculture and Food Sciences, College of Agriculture, Animal Sciences and Veterinary Medicine, University of Rwanda, P.O Box 210 Musanze, Rwanda; Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, B-9000 Gent, Belgium. Electronic address: nsaphe@gmail.com., Sombié OO; Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, B-9000 Gent, Belgium; Unité Nutrition et Maladies Métaboliques, Institut de Recherche en Sciences de la Santé/ Direction Régionale de l'Ouest (IRSS-DRO), 01 P.O Box 545, Bobo Dioulasso, Burkina Faso., Pauwels NS; Knowledge Centre for Health, Ghent University Hospital, B-9000 Ghent, Belgium., Boynito WG; Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, B-9000 Gent, Belgium; School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia., Tariku EZ; Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, B-9000 Gent, Belgium; School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia., Vasanthakaalam H; School of Agriculture and Food Sciences, College of Agriculture, Animal Sciences and Veterinary Medicine, University of Rwanda, P.O Box 210 Musanze, Rwanda., De Henauw S; Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, B-9000 Gent, Belgium., Abbeddou S; Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, B-9000 Gent, Belgium.
Jazyk: angličtina
Zdroj: Nutrition, metabolism, and cardiovascular diseases : NMCD [Nutr Metab Cardiovasc Dis] 2024 Feb; Vol. 34 (2), pp. 235-250. Date of Electronic Publication: 2023 Aug 19.
DOI: 10.1016/j.numecd.2023.07.040
Abstrakt: Aims: The prevalence of metabolic syndrome (MetS) is on the rise in an increasingly urbanized world. The study aimed to review the association between urbanization and MetS in low- and middle-income countries (LMICs).
Data Synthesis: A comprehensive search of five databases (MEDLINE, Web of Science, Scopus, EMBASE, and CENTRAL) was performed in January 2022 and updated in October 2022. Peer-reviewed studies that met the eligibility selection criteria were included. Search terms were used for the main concepts which are MetS, dietary patterns, and urbanization in LMICs. Study selection was done in two stages and in duplicate. Random effects models were used to calculate the overall pooled prevalence and main study-level characteristics. Out of 9,773 identified studies, nineteen were included in the systematic review and meta-analysis. The studies were done on 313,644 participants (149,616 urban and 164,028 rural). The pooled risk ratio (RR, 95% confidence interval) of MetS between urban and rural dwellers was RR = 1.24; 95%CI [1.15, 1.34] (I 2  = 96.0%, P < 0.0001). A relatively higher prevalence of MetS among urban than rural residents has been observed, especially with the International Diabetes Federation criteria (RR = 1.54; 95%CI [1.21, 1.96]; I 2  = 65.0%), and in the population in India (RR = 2.19; 95%CI = 1.24, 3.88, I 2  = 85%). Overall, the role of dietary patterns in the development of MetS was inconsistent, and few studies showed a lower risk of MetS with adherence to recommended healthy dietary patterns.
Conclusions: There was an association between urbanization and the high prevalence of MetS. Interventions and policies to reduce the risk of MetS are needed.
Competing Interests: Declaration of competing interest The authors declare no competing interests.
(Copyright © 2023 The Italian Diabetes Society, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition and the Department of Clinical Medicine and Surgery, Federico II University. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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