Table 1.
Characteristics of published studies and the prevalence of MetS among Iranian adults
Authors | Sample Size | Type of Study | Province | Criteria | Prevalence of Mets |
---|---|---|---|---|---|
Zabetian et al. (33)
2007 |
10368 men & women aged≥20yr | Population based Cross- sectional | Tehran (Lipid Glucose Study) |
IDF ATPIII WHO |
32.1% (95%CI: 31.2-3.0%) 33.2% (95%CI: 32.3-9.1%) 18.4%(95%CI:17.6-19.2) |
Sadbafoghi et al.( 55) 2007 |
1110 men & women aged 20-74 yr |
Population based Cross- sectional | Yazd (urban) |
ATP III | 32.1% |
Azimi Nezhad etal. (34) 2008 | 2353 men & women aged 15-64 yr |
Population based Cross- sectional | Khorasan province (urban & rural area) | IDF ATP III AHA |
40.5% (26.0% men vs. 54.5% women) 39.9% (29.1% men vs. 50.4% women) 40.5% (30% men vs. 50.15 women) |
Fakhrzadeh et al. (39) 2006 |
1573 men & women aged 20-64 yr |
Clinic based (Laboratories of Tehran Uni) Cross-sectional | Tehran | ATP III | 27.5% age adjusted (20.3% men vs. 35.9% women) |
Hadegh et al. (40)
2009 |
720 men & women aged >65 yr |
Population based Cross- sectional | Tehran (Lipid Glucose Study) |
IDF ATP III WHO |
41.9% 50.8% 41.8% |
Esteghamati et al. (41) 2009 | 3296 men & women | Population based Cross- sectional | Representative samples of Iranian adults | IDF | 24% to 30% depending on sex |
Jalali et al. (51) 2009 |
1402 men & women aged 19-90 yr |
Population based Cross- sectional | Fars (rural area) |
ATP III IDF |
29.0% 30.5% Female to male ratio=1.97 |
Shanfi et al.(29) 2009 |
2941 men & women aged≥20 yr |
Cross-sectional | Province of Zanjan (urban) | ATP III | 23.7% (95%CI: 22.0-25.0%) 23.1% men vs. 24.4% women |
Saberi et al. (42) 2011 |
429 bus and truck drivers (men) | Cross-sectional | Kashan | ATP III | 35.9% |
Sarafrazadeghan et al(28) 2011 | 9570 men & women aged≥19yr | Population based Cross- sectional | Isfahan Healthy Heart Program | ATP III | 22.5% |
Azimi-Nikzad et al. (43) 2012 | 1194 Iranian adult and 1386 French adults (men & women) |
Population based Cross- sectional | Iranian adults vs. French adults | ATP III | 55% Iranian women 30% Iranian men vs. 13.7% French men 6.6% French women |
Sharrafzadegan et al. (46) 2012 | 9572 (men& women) aged ≥19 yr |
Population based Cross-sectional |
Isfahan Healthy Heart Program | ATP III | 49.5% aged ≥60 yr vs. 17.5% <60 yr. aged ≥ 60 yr: 59.2% women vs. 39.8% men |
Kaykhaei et al.(31)
2012 |
1802 (735 men & 1067 women) aged ≥19 yr | Population based Cross-sectional |
Zahedan (South of Iran) |
ATP III IDF AHA |
21.0% (14.4% men vs. 24.9% women) 24.8% (20.0% men vs. 28.1% women) 23.3% (19.7% men vs. 25.8% women) |
Esmailnasab et al.(35)
2012 |
1194 men & women aged 25-54 yr |
Population based Cross-sectional |
Kurdistan (West of Iran) |
ATP III | 29.1% (17.1% men vs. 41.3% women) |
Raheb Gorbani et al. (53) 2012 | 3799 men & women aged 30-70 yr |
Population based Cross- sectional | Semnan (rural & urban) |
ATP III IDF |
28.5% 35.8% |
Mohebbi et al. (44) 2012 |
12138 men aged 20-67 yr |
Professional drivers cross-sectional |
West Azerbaijan | IDF | Age adjusted 32.4% |
Mahjoub et al. (38)
2013 |
933 men & women aged≥18 yr | Health center based Cross- sectional |
Mazandaran, Babol | ATP III INCO |
23.7% (95%CI: 21.0-26.4%) (9.4% men vs. 28.4% women) 15.7% men vs. 22.5% women |
Jouvandeh et al. (45)
2013 |
118 post menopausal women | Clinic based cross-sectional | Tehran Menopause Clinic |
ATP III | 30.1% |
Shabazian et al. (30)
2013 |
912 men & women Mean aged 42.3±14 yr |
Population based cross-sectional |
Ahvaz (South west of Iran) | ATP III | 22.8% (15.9% men vs. 29.1% women) |
Maharouei et al. (27)
2013 |
490 Pre-menopausal women & 434 postmenopausal | Cross-sectional | Shiraz | ATP III IDF |
60% post menopausal 59.4% postmenopausal |
Esmailzadeh et al. (35) 2013 | 529 men & 578 women aged 20-75 yr |
Population based Cross-sectional |
Gazvin | WHO ATP III ADF |
28.0% 26.2% 34.2% |
Marjani et al. (48)
2012 |
100 postmenopausal women | Clinic based Cross sectional | Gorgan | ATP III | 31.0% |
Shahini et al. (49) 2013 |
160 women Mean aged 32.3±13.7 yr |
Cross-sectional | Gorgan (Turkmen ethnic) | ATP III | 35% |
Hajian-Tilaki et al. (12) 2014 | 1000 men & women aged 20-70 yr |
Population based Cross-sectional |
Mazandaran, Babol (urban) | ATP III | 42.3% (36.5% men vs. 47.3% women) |
Javadi et al. (52) 2014 |
996 men & women aged ≥24 yr |
Population based Cross- sectional | Gazvin | ATP III | 33.0% (30.9% men vs. 39.9% women) |
Ebrahimi et al. (37) 2008 |
1501 women aged 15-49 yr | Population based cross sectional | Shareza (rural & urban) | IDF ATP III |
17.3% 9.7% |
Jamshidi et al. (36) 2014 |
550 men & women aged 40-80 yr | Clinic based Cross sectional | Hamadan | ATP III | 25.6% (men vs. 19.2% women) |
Ebrahimi-Mamghani et al.(38) 2011 | 76 fire fighting men & office worker men | Cross sectional | Tabriz | ATP III | 56.6% fire fighting men vs. 60.3% office worker |
Delavari et al. (32) 2009 |
3024 men & women aged 25-64 yr |
Population based cross sectional | National level 30 provinces |
ATP III IDF |
34.7% (95% CI: 33.1-36.3%) 37.4% (95% CI: 35.9-39.0%) |
Ostovareh et al. (54)
2014 |
5826 adults (Amole) 2243 adults (Zahedan) |
Population based cross sectional | Amole & Zahedan |
ATP III IDF |
27.6% Amole vs. 12.0% Zahedan 26.9% Amole vs. 11.8% Zahedan |
Sarrafzadegan et al.(68) 2008 |
12514 adults men & women aged ≥ 19 | Population based cross sectional | Esfahan, Najaf-Abad, Arak (rural & urban, Isfahan Healthy Heart Program) |
ATP III | 23.3% (35.1% women vs. 10.7% men) 24.2% urban vs. 19.5% rural |
Delavar et al. (54) 2009 |
984 women aged 30-50 yr | Clinic based cross sectional | Babol (urban) | ATP III | 31.0% |
Malek et al. (66)
2014 |
800 men & women aged ≥35 |
Population based cross sectional | Borujerd (West of Iran) | ATP III | 43% |
Heidari et al. (67) 2010 |
1596 women aged >45 yr | Population based cross sectional | Esfahan, Najaf-Abad, Arak (Isfahan Healthy Heart Program) |
ATP III | 44.9% premenopausal 57.9% early menopausal 64.3% postmenopausal |
Noori et al. (63)
2007 |
808 men & women Aged 18-74 |
Population based cross sectional: comparative study | Tehranian adults | ATP III | Calcium & Vitamin D intakes↓ MetS |
Esmailzadeh et al. (61) 2007 |
486 women aged 40-60 |
cross sectional | Tehranian Teachers | ATP III | vegetables & fruits↓ MetS |
Falahi et al. (62) 2013 |
973 men & women | Cross sectional | Korram-Abad city | ATP III | Healthy dietary intake↓ MetS |
Tabesh et al. (59) 2011 |
1752 men & women (adults) | Cross sectional | Najaf-Abad & Arak | ATP III | Sugared drinks not associated with MetS |
Bahaderian et al. (69) 2014 |
Mean age 37.8± 12.3 yr |
Prospective | Tehranain adults (Tehran Lipid Glucose Study) | ATP III | Unhealthy snakes ↑MetS |
Shab-Baldar et al. (71) 2014 | 2750 men & women aged 20-74 yr |
Population based Cross-sectional |
Tehranian adults (Tehran Lipid Glucose Study) | ATPIII | Fatty acid consumption (poly saturated and unsaturated fatty acid intake) ↑MetS |
Hoseini et al. (70) 2007 |
606 men & women Aged 18-74 yr |
Population based Cross-sectional |
Tehranian adults (Tehran Lipid Glucose Study) | ATP III | Fruits & vegetables consumption↓ MetS |
Fam et al. (58) 2012 |
4665 men & women aged 20-70 yr |
Population based Cross-sectional |
Tehranian adults (Tehran Lipid Glucose Study) | ATP III | Increased level of Leisure time physical activity ↓ the risk of inappropriate changes in components of MetS and the occurrence of MetS |
Hoseinpor-Niazi et al. (60) 2011 |
70 MetS and 160 healthy subjects aged 25-55 yr |
Case-control | Tehranain adults | ATP III | Dietary legume intakes↓ MetS |