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孟加拉国高血压和 2 型糖尿病患病率趋势(2010-2020 年):系统评价和荟萃分析。

Trends in the Prevalence of Hypertension and Type 2 Diabetes in Bangladesh (2010-2020): A Systematic Review and Meta-Analysis.

机构信息

School of Public Health, Epidemiology, and Social Medicine, Institute of Medicine, University of Gothenburg, S-405 30 Gothenburg, Sweden.

Department of Public Health, University of Creative Technology Chittagong, Chittagong 4212, Bangladesh.

出版信息

Curr Diabetes Rev. 2023;19(6):e290422204250. doi: 10.2174/1573399818666220429092805.

DOI:10.2174/1573399818666220429092805
PMID:37183383
Abstract

BACKGROUND

The prevalence of cardiovascular diseases (CVDs) and type 2 diabetes mellitus (T2DM) has increased in Bangladesh. This paper has reviewed published studies on hypertension and T2DM from 2010 to 2020 in Bangladesh and conducted a meta-analysis.

METHODS

The PubMed database was used for systematic search. Hypertension and T2DM were considered for measuring pooled prevalence by meta-analysis. The random-effects model was used to calculate the pooled prevalence of hypertension (n = 30) and T2DM (n = 21) in relevant studies. The quality of the reviewed studies was determined by sampling strategy, sample size, and outcome assessment. The meta-analysis protocol was registered at PROSPERO (CRD42020206315).

RESULTS

The pooled hypertension and T2DM prevalence was 21.6% (95% CI: 18.8%-24.4%) and 13.6% (95% CI: 10.8%-16.5%), respectively. Females were more hypertensive than males (M vs. F: 18.6% vs. 24.8%), and T2DM was higher in females (M vs. F: 12.4% vs. 13.3%). Urban dwellers were more hypertensive and diabetic than rural people (urban vs. rural: 28.5% vs. 20.3% and 18.8% vs. 14.2%, respectively). An 8% increase in the prevalence of hypertension and T2DM became more than double compared to the 1995-2010 period.

CONCLUSION

Future research should focus on the underlying factors that increase the prevalence of these diseases and prevention strategies to reduce the trend of increasing prevalence.

摘要

背景

心血管疾病(CVD)和 2 型糖尿病(T2DM)在孟加拉国的患病率有所上升。本文综述了 2010 年至 2020 年期间发表的孟加拉国高血压和 T2DM 相关研究,并进行了荟萃分析。

方法

使用 PubMed 数据库进行系统检索。通过荟萃分析来衡量高血压和 T2DM 的汇总患病率。采用随机效应模型计算相关研究中高血压(n = 30)和 T2DM(n = 21)的汇总患病率。通过抽样策略、样本量和结果评估来确定综述研究的质量。该综述研究的荟萃分析方案已在 PROSPERO(CRD42020206315)上注册。

结果

高血压和 T2DM 的汇总患病率分别为 21.6%(95%CI:18.8%-24.4%)和 13.6%(95%CI:10.8%-16.5%)。女性高血压患病率高于男性(M 比 F:18.6%比 24.8%),女性 T2DM 患病率高于男性(M 比 F:12.4%比 13.3%)。与农村居民相比,城市居民高血压和糖尿病的患病率更高(城市比农村:28.5%比 20.3%和 18.8%比 14.2%)。与 1995-2010 年期间相比,高血压和 T2DM 患病率增加了 8%,增幅超过一倍。

结论

未来的研究应集中于增加这些疾病患病率的潜在因素,并制定预防策略来降低患病率上升的趋势。

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