Rostami Hosein, Tavakoli Hamid Reza, Rahimi Mohammad Hossein, Mohammadi Mohammad
Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Mil Med. 2019 Oct 1;184(9-10):e417-e425. doi: 10.1093/milmed/usz144.
Metabolic syndrome (MetS) is closely linked to type 2 diabetes and cardiovascular disease. Various studies have reported the prevalence of MetS in different armed forces personnel in different countries. However, performing a systematic review and meta-analysis on this subject seems necessary. The aim of this study was to estimate the pooled prevalence of MetS among armed forces personnel including members of the military and police forces.
A systematic review was carried out on all associated papers published in PubMed, Scopus, Web of Science and Cochrane Library, encompassing the timeframe: November, 2018 to January 2000. The overall prevalence of MetS, and its prevalence based on different diagnostic criteria [National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATP III), American Heart Association (AHA) and International Diabetes Federation (IDF)] were pooled using a random-effects model.
Twenty five eligible studies were selected for the meta-analysis. Among all police officers contained in this study group, the overall prevalence of MetS was 26.2% (95% CI: 19.7-34%; Q = 229.45, p = 0.00). Among different military personnel contained in this study group, the overall estimation of MetS prevalence was 8.3% (95% CI: 6.3-11%; Q = 540.88, p = 0.00) the prevalence of MetS was 8.0% (95% CI: 5.7-11%; Q = 409.76, p = 0.00) according to the NCEP-ATP III criterion.
The findings from the present meta-analyses displayed a low prevalence of metabolic syndrome in armed forces in general. These findings will allow healthcare providers and policy-makers to find solutions in order to take action to reduce MetS risks on a wider scale, especially among police officers.
代谢综合征（MetS）与2型糖尿病和心血管疾病密切相关。各项研究报告了不同国家不同武装部队人员中代谢综合征的患病率。然而，对此主题进行系统评价和荟萃分析似乎很有必要。本研究的目的是估计武装部队人员（包括军队和警察部队成员）中代谢综合征的合并患病率。
对发表于PubMed、Scopus、科学网和考克兰图书馆的所有相关论文进行系统评价，时间范围为2000年11月至2018年1月。使用随机效应模型汇总代谢综合征的总体患病率及其基于不同诊断标准[美国国家胆固醇教育计划成人治疗小组第三次报告（NCEP-ATP III）、美国心脏协会（AHA）和国际糖尿病联盟（IDF）]的患病率。
选择了25项符合条件的研究进行荟萃分析。在该研究组的所有警察中，代谢综合征的总体患病率为26.2%（95%置信区间：19.7 - 34%；Q = 229.45，p = 0.00）。在该研究组的不同军事人员中，代谢综合征患病率的总体估计值为8.3%（95%置信区间：6.3 - 11%；Q = 540.88，p = 0.00），根据NCEP-ATP III标准，患病率为8.0%（95%置信区间：5.7 - 11%；Q = 409.76，p = 0.00）。
本次荟萃分析的结果显示，总体而言武装部队中代谢综合征的患病率较低。这些结果将使医疗保健提供者和政策制定者能够找到解决方案，以便采取行动在更广泛的范围内降低代谢综合征风险，尤其是在警察中。
