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南亚人腹型肥胖与代谢综合征:预防与管理。

Abdominal obesity and metabolic syndrome in South Asians: prevention and management.

机构信息

Department of Physiology, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.

School of Exercise & Nutrition Sciences, Queensland University of Technology, Brisbane, Queensland, Australia.

出版信息

Expert Rev Endocrinol Metab. 2021 Nov;16(6):339-349. doi: 10.1080/17446651.2021.1982381. Epub 2021 Sep 29.

Abstract

INTRODUCTION

The prevalence of metabolic syndrome (MetS) and abdominal obesity are in South countries. It is well established that MetS is associated with increased risk for both Type 2 diabetes mellitus and cardiovascular diseases. South Asians have an increased risk of MetS due to a variety of factors including unhealthy lifestyle and their unique body composition.

AREAS COVERED

In this review, we discuss the prevalence, associated risk factors, and evidence-based preventive and curative strategies for MetS and abdominal obesity in South Asians. A literature search through PubMed®, Web of Science®, and Scopus® was performed for studies published before 31 April 2021. A combination of the following keywords was used with the names of the individual South Asian countries: 'metabolic syndrome,' 'syndrome X,' 'abdominal obesity,' 'central obesity,' 'visceral obesity,' 'prevention,' and 'management.'

EXPERT OPINION

According to current evidence, MetS and abdominal obesity are highly prevalent among South Asians. Several risk factors, such as lifestyle, socio-demography, cultural, and body composition, are associated with MetS. Limited research shows culturally tailored lifestyle interventions are effective in preventing and managing MetS and abdominal obesity among South Asians.

摘要

简介

代谢综合征(MetS)和腹部肥胖在南方国家很普遍。代谢综合征与 2 型糖尿病和心血管疾病风险增加密切相关,这一点已得到充分证实。南亚人由于不健康的生活方式和独特的身体成分等多种因素,患代谢综合征的风险增加。

涵盖领域

在这篇综述中,我们讨论了代谢综合征和腹部肥胖在南亚人群中的流行情况、相关危险因素以及基于证据的预防和治疗策略。通过 PubMed®、Web of Science®和 Scopus®对截至 2021 年 4 月 31 日发表的研究进行了文献检索。使用了以下关键词的组合,并结合了个别南亚国家的名称:“代谢综合征”、“X 综合征”、“腹部肥胖”、“中心性肥胖”、“内脏肥胖”、“预防”和“管理”。

专家意见

根据目前的证据,代谢综合征和腹部肥胖在南亚人群中非常普遍。一些风险因素,如生活方式、社会人口统计学、文化和身体成分,与代谢综合征有关。有限的研究表明,针对文化的生活方式干预措施在预防和管理南亚人群中的代谢综合征和腹部肥胖方面是有效的。

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