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探索马来西亚肥胖症的分子遗传学研究:一项范围综述方案

Exploring Molecular Genetics Research on Obesity in Malaysia: Protocol for a Scoping Review.

作者信息

Ahmad Zamri Liyana, Abu Seman Norhashimah, Zainal Abidin Nur Azlin, Hamzah Siti Sarah

机构信息

Endocrine and Metabolic Unit, Nutrition, Metabolism and Cardiovascular Research Centre, Institute for Medical Research, National Institutes of Health, Ministry of Health Malaysia, Selangor, Malaysia.

出版信息

JMIR Res Protoc. 2024 Dec 30;13:e60838. doi: 10.2196/60838.

Abstract

BACKGROUND

Obesity presents a growing challenge to public health, and its intricate association with genetics continues to be a compelling field of study. In countries such as Malaysia, where diverse genetic backgrounds converge, exploring the molecular genetics of obesity is even more imperative.

OBJECTIVE

This scoping review aimed to explore the literature on molecular genetics of obesity in Malaysia. Specifically, we sought to characterize existing studies, identify the genetic determinants of obesity, and assess their association with obesity predisposition in the population.

METHODS

This scoping review followed the methodology of the Joanna Briggs Institute and used the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) checklist as its guiding framework. Searches were conducted using electronic databases such as PubMed, ScienceDirect, and Scopus, filtering for human studies published until March 2024. Eligible studies included peer-reviewed articles on the Malaysian population irrespective of age or sex. This review excluded review articles, book chapters, non-peer-reviewed conference proceedings, gray literature, and preclinical studies, and the reference lists of the retrieved studies were manually examined to ensure thorough inclusion. The articles were subjected to a 2-stage screening process (title/abstract and full text) conducted by 2 reviewers to assess eligibility. Eligible articles were then extracted following a data extraction framework and organized into a charting table. Only studies investigating the genetics of obesity in Malaysian populations were included.

RESULTS

As of March 2024, our extensive search strategy has yielded 572 records. After removing 153 duplicates, 419 records were screened by title and abstract, resulting in 47 selected for full-text review. Of these, 34 were chosen for data extraction and detailed analysis. These studies predominantly involved participants from major ethnic groups (Malay, Chinese, and Indian) recruited from local health centers and university communities. The articles primarily explored the relationship between specific gene variants and obesity or obesity-related health parameters. This ongoing research is expected to be completed with a comprehensive scoping review by April 2025.

CONCLUSIONS

This review provides valuable insights into the genetic determinants of obesity in Malaysia, despite limitations such as no quality appraisal being conducted for the included studies and the search strategy being restricted to selected databases, potentially omitting relevant studies. However, this review ensured reliability and reproducibility by adhering to the Joanna Briggs Institute and PRISMA-ScR guidelines. Ultimately, this study advances the understanding of local research and sets the foundation for future molecular genetic studies to improve obesity risk prediction and management in Malaysia's multiethnic population.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/60838.

摘要

背景

肥胖对公共卫生构成了日益严峻的挑战,其与遗传学的复杂关联仍是一个引人关注的研究领域。在马来西亚等多种遗传背景汇聚的国家,探索肥胖的分子遗传学更为迫切。

目的

本范围综述旨在探索马来西亚肥胖分子遗传学的相关文献。具体而言,我们试图描述现有研究的特征,确定肥胖的遗传决定因素,并评估其与人群肥胖易感性的关联。

方法

本范围综述遵循乔安娜·布里格斯研究所的方法,并使用PRISMA-ScR(系统评价和Meta分析扩展版的首选报告项目)清单作为指导框架。通过PubMed、ScienceDirect和Scopus等电子数据库进行检索,筛选截至2024年3月发表的人类研究。符合条件的研究包括关于马来西亚人群的同行评审文章,不分年龄或性别。本综述排除综述文章、书籍章节、非同行评审的会议论文、灰色文献和临床前研究,并对检索到的研究的参考文献列表进行人工检查,以确保全面纳入。文章由两名评审员进行两阶段筛选过程(标题/摘要和全文)以评估 eligibility。然后根据数据提取框架提取符合条件的文章,并整理成图表。仅纳入调查马来西亚人群肥胖遗传学的研究。

结果

截至2024年3月,我们广泛的检索策略产生了572条记录。去除153条重复记录后,通过标题和摘要筛选了419条记录,其中47条被选进行全文审查。其中,34条被选进行数据提取和详细分析。这些研究主要涉及从当地卫生中心和大学社区招募的主要族群(马来族、华族和印族)的参与者。文章主要探讨了特定基因变异与肥胖或肥胖相关健康参数之间的关系。这项正在进行的研究预计将在2025年4月完成全面的范围综述。

结论

本综述为马来西亚肥胖的遗传决定因素提供了有价值的见解,尽管存在一些局限性, 如未对纳入研究进行质量评估,且检索策略限于选定数据库,可能遗漏相关研究, 但本综述通过遵循乔安娜·布里格斯研究所和PRISMA-ScR指南确保了可靠性和可重复性。最终,本研究推进了对当地研究的理解,并为未来的分子遗传学研究奠定了基础,以改善马来西亚多民族人群的肥胖风险预测和管理。

国际注册报告识别号(IRRID):DERR1-10.2196/60838。

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Factors Associated With Obesity and Abdominal Obesity Among Malaysian Older Adults.马来西亚老年人肥胖和腹型肥胖的相关因素。
Asia Pac J Public Health. 2021 Jul;33(5):547-554. doi: 10.1177/10105395211014634. Epub 2021 May 20.

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