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Ethnicity and Metabolic Syndrome: Implications for Assessment, Management and Prevention

The metabolic syndrome (MetS) is a constellation of cardiometabolic risk factors that identifies people at increased risk for type 2 diabetes and cardiovascular disease. While the global prevalence is 20%–25% of the adult population, the prevalence varies across different racial/ethnic populations....

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Autores principales: Lear, Scott A., Gasevic, Danijela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7019432/
https://www.ncbi.nlm.nih.gov/pubmed/31861719
http://dx.doi.org/10.3390/nu12010015
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author Lear, Scott A.
Gasevic, Danijela
author_facet Lear, Scott A.
Gasevic, Danijela
author_sort Lear, Scott A.
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description The metabolic syndrome (MetS) is a constellation of cardiometabolic risk factors that identifies people at increased risk for type 2 diabetes and cardiovascular disease. While the global prevalence is 20%–25% of the adult population, the prevalence varies across different racial/ethnic populations. In this narrative review, evidence is reviewed regarding the assessment, management and prevention of MetS among people of different racial/ethnic groups. The most popular definition of MetS considers race/ethnicity for assessing waist circumference given differences in visceral adipose tissue and cardiometabolic risk. However, defining race/ethnicity may pose challenges in the clinical setting. Despite 80% of the world’s population being of non-European descent, the majority of research on management and prevention has focused on European-derived populations. In these studies, lifestyle management has proven an effective therapy for reversal of MetS, and randomised studies are underway in specific racial/ethnic groups. Given the large number of people at risk for MetS, prevention efforts need to focus at community and population levels. Community-based interventions have begun to show promise, and efforts to improve lifestyle behaviours through alterations in the built environment may be another avenue. However, careful consideration needs to be given to take into account the unique cultural context of the target race/ethnic group.
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spelling pubmed-70194322020-03-09 Ethnicity and Metabolic Syndrome: Implications for Assessment, Management and Prevention Lear, Scott A. Gasevic, Danijela Nutrients Communication The metabolic syndrome (MetS) is a constellation of cardiometabolic risk factors that identifies people at increased risk for type 2 diabetes and cardiovascular disease. While the global prevalence is 20%–25% of the adult population, the prevalence varies across different racial/ethnic populations. In this narrative review, evidence is reviewed regarding the assessment, management and prevention of MetS among people of different racial/ethnic groups. The most popular definition of MetS considers race/ethnicity for assessing waist circumference given differences in visceral adipose tissue and cardiometabolic risk. However, defining race/ethnicity may pose challenges in the clinical setting. Despite 80% of the world’s population being of non-European descent, the majority of research on management and prevention has focused on European-derived populations. In these studies, lifestyle management has proven an effective therapy for reversal of MetS, and randomised studies are underway in specific racial/ethnic groups. Given the large number of people at risk for MetS, prevention efforts need to focus at community and population levels. Community-based interventions have begun to show promise, and efforts to improve lifestyle behaviours through alterations in the built environment may be another avenue. However, careful consideration needs to be given to take into account the unique cultural context of the target race/ethnic group. MDPI 2019-12-19 /pmc/articles/PMC7019432/ /pubmed/31861719 http://dx.doi.org/10.3390/nu12010015 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Communication
Lear, Scott A.
Gasevic, Danijela
Ethnicity and Metabolic Syndrome: Implications for Assessment, Management and Prevention
title Ethnicity and Metabolic Syndrome: Implications for Assessment, Management and Prevention
title_full Ethnicity and Metabolic Syndrome: Implications for Assessment, Management and Prevention
title_fullStr Ethnicity and Metabolic Syndrome: Implications for Assessment, Management and Prevention
title_full_unstemmed Ethnicity and Metabolic Syndrome: Implications for Assessment, Management and Prevention
title_short Ethnicity and Metabolic Syndrome: Implications for Assessment, Management and Prevention
title_sort ethnicity and metabolic syndrome: implications for assessment, management and prevention
topic Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7019432/
https://www.ncbi.nlm.nih.gov/pubmed/31861719
http://dx.doi.org/10.3390/nu12010015
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