Data on prevalence of metabolic syndrome in Turkey: Systematic review, meta-analysis and meta-regression of epidemiological studies on cardiovascular risk factors

Objective: The incidence of metabolic syndrome varies greatly in developed and developing countries. In the last 10 to 15 years, important studies have been performed examining the incidence of metabolic syndrome in Turkey. This article is a meta-analysis of the studies that investigated the inciden...

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Main Authors: Adnan Abacı, Mustafa Kılıçkap, Hüseyin Göksülük, Doruk Karaaslan, Cem Barçın, Meral Kayıkçıoğlu, Necla Özer, Mehmet Birhan Yılmaz, Mahmut Şahin, Lale Tokgözoğlu
Format: Article
Language:English
Published: KARE Publishing 2018-10-01
Series:Türk Kardiyoloji Derneği Arşivi
Subjects:
Online Access:https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-00878
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author Adnan Abacı
Mustafa Kılıçkap
Hüseyin Göksülük
Doruk Karaaslan
Cem Barçın
Meral Kayıkçıoğlu
Necla Özer
Mehmet Birhan Yılmaz
Mahmut Şahin
Lale Tokgözoğlu
author_facet Adnan Abacı
Mustafa Kılıçkap
Hüseyin Göksülük
Doruk Karaaslan
Cem Barçın
Meral Kayıkçıoğlu
Necla Özer
Mehmet Birhan Yılmaz
Mahmut Şahin
Lale Tokgözoğlu
author_sort Adnan Abacı
collection DOAJ
description Objective: The incidence of metabolic syndrome varies greatly in developed and developing countries. In the last 10 to 15 years, important studies have been performed examining the incidence of metabolic syndrome in Turkey. This article is a meta-analysis of the studies that investigated the incidence of metabolic syndrome this country. Methods: Epidemiological studies from the last 15 years that provided information about the incidence of metabolic syndrome in Turkey were screened in the Ovid Medline, the Web of Science Core Collection, and the Turkish Academic Network and Information Center (ULAKBIM) databases. In addition, web pages of the Ministry of Health, the Turkish Statistical Institute, and the associations of the related medical discipilnes were screened for appropriate studies. A bias tool that is developed by our team was used to categorize the included studies as having low- or high risk of bias. A random effects model was used in the meta-analysis. Linear and nonlinear meta-regression analyses were performed to evaluate heterogeneity and temporal variations in prevalence rates. Results: Four studies (n=34893) were identified that provided information about the status of metabolic syndrome in Turkey using the Adult Treatment Panel III definition. There was excellent interobserver agreement regarding the selection of studies and the scoring of the selected research with respect to bias. The meta-analysis revealed a prevalence of 32.9% (95% confidence interval [CI]: 30.2–35) overall, 38.3% (95% CI: 35.8–40.8) in women, and 26.8% (95% CI: 23.4–30.3) in men. Two studies (n=8568) provided data according to the International Diabetes Federation definition of metabolic syndrome. The random effects model used in the meta-analysis of these studies demonstrated a prevalence of metabolic syndrome of 43.3% (95% CI: 41.9–44.7) overall, 50.4% (95% CI: 49.0–51.9) in women, and 35.4% (95% CI: 32.5–38.5) in men. Conclusion: In Turkey, the incidence of metabolic syndrome is 1 in every 4 men, and 1 in every 3 women. The rate is particularly high among women. Studies designed to prevent the development of metabolic syndrome are needed.
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spelling doaj.art-4d76581e906e4e0ca132f3bd7506bb202023-02-15T16:10:20ZengKARE PublishingTürk Kardiyoloji Derneği Arşivi1016-51692018-10-0146759160110.5543/tkda.2018.00878TKDA-00878Data on prevalence of metabolic syndrome in Turkey: Systematic review, meta-analysis and meta-regression of epidemiological studies on cardiovascular risk factorsAdnan Abacı0Mustafa Kılıçkap1Hüseyin Göksülük2Doruk Karaaslan3Cem Barçın4Meral Kayıkçıoğlu5Necla Özer6Mehmet Birhan Yılmaz7Mahmut Şahin8Lale Tokgözoğlu9Department of Cardiology, Gazi University, Faculty of Medicine, Ankara, TurkeyDepartment of Cardiology, Faculty of Medicine, Ankara University, Ankara, TurkeyDepartment of Cardiology, Faculty of Medicine, Ankara University, Ankara, TurkeyKoç University Faculty of Medicine, İstanbulDepartment of Cardiology, Gülhane Training and Research Hospital, Ankara, TurkeyDepartment of Cardiology, Ege University Faculty of Medicine, Izmir, TurkeyDepartment of Cardiology, Hacettepe University, Faculty of Medicine, Ankara, TurkeyDepartment of Cardiology, Cumhuriyet University Faculty of Medicine, Sivas, TurkeyDepartment of Cardiology, Ondokuz Mayıs University Faculty of Medicine, Samsun, TurkeyDepartment of Cardiology, Hacettepe University, Faculty of Medicine, Ankara, TurkeyObjective: The incidence of metabolic syndrome varies greatly in developed and developing countries. In the last 10 to 15 years, important studies have been performed examining the incidence of metabolic syndrome in Turkey. This article is a meta-analysis of the studies that investigated the incidence of metabolic syndrome this country. Methods: Epidemiological studies from the last 15 years that provided information about the incidence of metabolic syndrome in Turkey were screened in the Ovid Medline, the Web of Science Core Collection, and the Turkish Academic Network and Information Center (ULAKBIM) databases. In addition, web pages of the Ministry of Health, the Turkish Statistical Institute, and the associations of the related medical discipilnes were screened for appropriate studies. A bias tool that is developed by our team was used to categorize the included studies as having low- or high risk of bias. A random effects model was used in the meta-analysis. Linear and nonlinear meta-regression analyses were performed to evaluate heterogeneity and temporal variations in prevalence rates. Results: Four studies (n=34893) were identified that provided information about the status of metabolic syndrome in Turkey using the Adult Treatment Panel III definition. There was excellent interobserver agreement regarding the selection of studies and the scoring of the selected research with respect to bias. The meta-analysis revealed a prevalence of 32.9% (95% confidence interval [CI]: 30.2–35) overall, 38.3% (95% CI: 35.8–40.8) in women, and 26.8% (95% CI: 23.4–30.3) in men. Two studies (n=8568) provided data according to the International Diabetes Federation definition of metabolic syndrome. The random effects model used in the meta-analysis of these studies demonstrated a prevalence of metabolic syndrome of 43.3% (95% CI: 41.9–44.7) overall, 50.4% (95% CI: 49.0–51.9) in women, and 35.4% (95% CI: 32.5–38.5) in men. Conclusion: In Turkey, the incidence of metabolic syndrome is 1 in every 4 men, and 1 in every 3 women. The rate is particularly high among women. Studies designed to prevent the development of metabolic syndrome are needed.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-00878metabolic syndromeprevalence; turkey.
spellingShingle Adnan Abacı
Mustafa Kılıçkap
Hüseyin Göksülük
Doruk Karaaslan
Cem Barçın
Meral Kayıkçıoğlu
Necla Özer
Mehmet Birhan Yılmaz
Mahmut Şahin
Lale Tokgözoğlu
Data on prevalence of metabolic syndrome in Turkey: Systematic review, meta-analysis and meta-regression of epidemiological studies on cardiovascular risk factors
Türk Kardiyoloji Derneği Arşivi
metabolic syndrome
prevalence; turkey.
title Data on prevalence of metabolic syndrome in Turkey: Systematic review, meta-analysis and meta-regression of epidemiological studies on cardiovascular risk factors
title_full Data on prevalence of metabolic syndrome in Turkey: Systematic review, meta-analysis and meta-regression of epidemiological studies on cardiovascular risk factors
title_fullStr Data on prevalence of metabolic syndrome in Turkey: Systematic review, meta-analysis and meta-regression of epidemiological studies on cardiovascular risk factors
title_full_unstemmed Data on prevalence of metabolic syndrome in Turkey: Systematic review, meta-analysis and meta-regression of epidemiological studies on cardiovascular risk factors
title_short Data on prevalence of metabolic syndrome in Turkey: Systematic review, meta-analysis and meta-regression of epidemiological studies on cardiovascular risk factors
title_sort data on prevalence of metabolic syndrome in turkey systematic review meta analysis and meta regression of epidemiological studies on cardiovascular risk factors
topic metabolic syndrome
prevalence; turkey.
url https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-00878
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