A review of literature data carried out on the most important aspects of epidemiology, risk factors and pathogenesis of metabolic syndrome (MS). Metabolic syndrome has been found in approximately one quarter of the world’s population, and, despite the large-scale treatment, preventive and health-improving promotion programs on a global scale, the number of persons with MS tends to increase annually, especially among young ablebodied age. There are many risk factors in its genesis, including genetic predisposition, low physical activity, poor diet, smoking, intestinal microbiota, obstructive sleep apnea syndrome and others, the role of most of which needs to be studied in more depth. Many criteria have been proposed for the diagnosis of MS, each of them has its own advantages and disadvantages. With MS, most organs and systems are affected, and with the combined involvement of the cardiovascular, endocrine, urinary, digestive and respiratory systems burdened clinical course of MS. In connection with the above, there is a reason for further scientific research to identify the causes and risk factors for the development of MS, development of preventive ways of prevention, preventive diagnostics and early treatment of MS. Keywords: metabolic syndrome, epidemiology, pathogenesis, diabetes mellitus, insulin resistance, obesity, hypercholesterolemia.
Objective: To provide the national estimates of the prevalence of adult obesity (OB) in the Republic of Tajikistan according to official statistics in the 2015-2019 period. Methods: OB prevalence among the adult population of the Republic of Tajikistan in the 2015-2019 period was estimated based on the annual reports of the Center for Statistics under the President of the Republic of Tajikistan. The epidemiological analysis included an assessment of the OB prevalence across the studied period, distribution of overweight people by gender and region of residence. Results: The OB prevalence among the adult population between 2015 and 2019 ranged from 25 to 57 cases per 100,000 people, with an increase by 128% across this period. In 2016 the prevalence increased by 23.1%, in 2017 – by 16.7%, in 2018 – by 10.7% and in 2019 – by 43.5%. The highest prevalence of OB was noted among the residents of the capital; during the study period its increase was 69.2% (from 104 to 176 per 100,000 people; p<0.001). The second high OB prevalence was found in the Sughd region, where it showed an increase across the studied period by 186.7%; in 2019 it was 86 per 100,000 compared to 30 per 100,000 in 2015 (p<0.001). The lowest OB prevalence was noted among the residents of GBAO, where it ranged from 3 to 11 cases per 100,000 people (p>0.05). The same trend was observed among the residents of the Khatlon region, where in the study period the increase in the OB prevalence was insignificant (from 6 to 19 per 100,000 people; p>0.05). Analysis of the data showed that during this period, the life expectancy among women increased by 128.2%, among men – by 150%. However, among the males in the 2016-2018 period there was no significant increase in the OB prevalence (p>0.05). People aged 45 years and above had significantly higher OB prevalence than all other age groups (p<0.001) during the study period. Only in 2016 there was no significant increase (p>0.05) of the OB prevalence among the elderly population (75 and above). Conclusion: The analysis of the data obtained showed that in the Republic of Tajikistan, the OB prevalence among the adult population in the study period ranged from 25 to 75 cases per 100,000 people and increased by 128% between 2015 and 2019. Primary health care facilities should develop a national registry of obese people and provide clinical and epidemiological monitoring of the overweight population. Promoting a healthy lifestyle, healthy diet and physical exercise of the population through the media will improve the health level and quality of life of the population. Keywords: Obesity, epidemiology, prevalence, risk factors, healthy lifestyle.
Aim. To analyze the prevalence of diabetes mellitus in the Republic of Tajikistan.Material and methods. An analysis of the prevalence of diabetes mellitus among the adult population of the Republic of Tajikistan in the period 2015-2019 according to the annual reports of the State Institution “Center for Statistics under the President of the Republic of Tajikistan” was conducted.Results and discussion. During the study period, there was a dynamic increase in the prevalence of diabetes mellitus in the country, either by region of residence or in the general population. Thus, in comparison with 2015 (529 cases per 100000 population) in 2019 (627 cases per 100000 population) in the republic, the incidence of diabetes mellitus increased by 98 cases per 100000 population, i.e. by 18.5%.Conclusion. The findings show that in Tajikistan, during the reviewed period, there has been a significant epidemiological increase in the number of the population suffering from diabetes mellitus. Compared to 2015, the increase in the incidence of diabetes mellitus in 2019 was 18.5%. The lack of a national register suggests the need for its early creation to improve assessment and clinical and epidemiological monitoring of patients with diabetes mellitus. Carrying out an early screening of diabetes mellitus in the adult population, especially in the risk group remains urgent.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.