Global prevalence of cardiometabolic risk factors in the military population: a systematic review and meta-analysis

Abstract

Background: Although there are numerous studies on the global prevalence of cardiometabolic risk factors (CMRFs) in military personnel, the pooled prevalence of CMRFs in this population remains unclear. We aimed to systematically review the literature on the estimation of the global prevalence of CMRFs in the military population. Methods: We simultaneously searched PubMed and NLM Gateway (for MEDLINE), Institute of Scientific Information (ISI), and SCOPUS with using standard keywords. All papers published up to March 2018 were reviewed. Two independent reviewers assessed papers and extracted the data. Chi-square-based Q test was used to assess the heterogeneity of reported prevalence among studies. The overall prevalence of all CMRFs, including overweight, obesity, high low-density lipoprotein (LDL), high total cholesterol (TC), high triglyceride (TG), low high-density lipoprotein (HDL), hypertension (HTN) and high fasting blood sugar (FBS) was estimated by using the random effects meta-analysis. A total of 37 studies met the eligibility criteria and were included in the meta-analysis. Results: According the random effect meta-analysis, the global pooled prevalence (95% confidence interval) of MetS, high LDL, high TC, high TG, low HDL and high FBS were 21% (17-25), 32% (27-36), 34% (10-57), 24% (16-31), 28% (17-38) and 9% (5-12), respectively. Moreover, global pooled prevalence of overweight, generalized obesity, abdominal obesity and HTN were estimated to be 35% (31-39), 14% (13-16), 29% (20-39) and 26 (19-34), respectively. Conclusions: The overall prevalence of some cardio-metabolic risk factors was estimated to be higher in military personnel. Therefore, the necessary actions should be taken to reduce risk of developing cardiovascular diseases. Systematic review registration number in PROSPERO: CRD42018103345

Predicting the 10-year Risk of Cardiovascular Diseases and Its Relation to Healthy Diet Indicator in Iranian Military Personnel

“…For example, military-related stressors have a relationship with acute cardiac disorders (9). In this regard, increased CVD prevalence as well as its risk factors can be observed in this population (10)(11)(12). Previous studies have found that the prevalence of hypertension and hypertriglyceridemia is 8.8 and 30.5% across the military personnel in Iran (9).…”

Risk factors for cardiovascular diseases and coronary artery disease among military population

“…Общая распространенность кардиометаболических ФР ССЗ среди военнослужащих на глобальном уровне с использованием метода метаанализа случайных данных в последних по времени публикациях, для гиперхолестеринемии, гипертриглицеридемии, низкого уровня холестерина липопротеинов низкой плотности и высокого уровня глюкозы в крови натощак составила 21% (17-25), 32% (27-36), 34% (10-57), 24% (16-31), 28% (17-38) и 9% (5)(6)(7)(8)(9)(10)(11)(12), соответственно (в скобках -95% ДИ). Более того, показатели распространенности избыточной массы тела, ожирения, абдоминального ожирения и АГ составляли 35% (31-39), 14% (13)(14)(15)(16), 29% (20-39) и 26% (19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34), соответственно [18].…”

“…Действие перечисленных обстоятельств усугубляется присутствием индивидуальных ФР, таких как курение, употребление алкоголя, повышенный уровень холестерина, АГ, ожирение, отягощенный наследственный анамнез [5,15,18]…”

Oral health status and cardiovascular risk profile in Cameroonian military population

“…The military population did not seem to be exposed to CVD, yet published studies on this topic showed that military personnel are equally exposed to CVD as civilians and sometimes even more [16] , [17] . A recent meta-analysis on military population reveals that frequencies of cardiovascular risk factors among soldiers were 26% for hypertension, 9% for hyperglycemia, 14% for obesity, and 35% for overweight [16] .…”

“…A recent meta-analysis on military population reveals that frequencies of cardiovascular risk factors among soldiers were 26% for hypertension, 9% for hyperglycemia, 14% for obesity, and 35% for overweight [16] . Another study comparing military personnel to civilians found significant associations between being military personnel and smoking; being military personnel and excessive alcohol consumption; and being veteran and CVD [17] .…”