Adjei, Nicholas Kofi 
ORCID: 0000-0002-0644-1881, Samkange-Zeeb, Florence, Boakye, Daniel, Saleem, Maham, Christianson, Lara, Kebede, Mihiretu M, Heise, Thomas L, Brand, Tilman, Esan, Oluwaseun B ORCID: 0000-0001-7903-8770, Taylor-Robinson, David C ORCID: 0000-0002-5828-7724 et al (show 2 more authors)
(2024)
Ethnic differences in metabolic syndrome in high-income countries: A systematic review and meta-analysis.
Reviews in endocrine & metabolic disorders, 25 (4).
pp. 727-750.
ISSN 1389-9155, 1573-2606
Abstract
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.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Metabolic syndrome, Ethnicity, Prevalence, Burden, High-income Countries, Meta-analysis, PROSPERO, CRD42020157189 |
| Divisions: | Faculty of Health & Life Sciences Faculty of Health & Life Sciences > Inst. Population Health |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 15 Apr 2024 07:34 |
| Last Modified: | 22 May 2026 19:20 |
| DOI: | 10.1007/s11154-024-09879-9 |
| Open Access URL: | https://link.springer.com/article/10.1007/s11154-0... |
| Related Websites: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3180308 |
| Disclaimer: | The University of Liverpool is not responsible for content contained on other websites from links within repository metadata. Please contact us if you notice anything that appears incorrect or inappropriate. |
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