PMID- 26914392 OWN - NLM STAT- MEDLINE DCOM- 20171201 LR - 20181202 IS - 1541-2563 (Electronic) IS - 1541-2563 (Linking) VI - 13 IP - 3 DP - 2016 Jun TI - The Prevalence of Metabolic Syndrome In Chronic Obstructive Pulmonary Disease: A Systematic Review. PG - 399-406 LID - 10.3109/15412555.2016.1140732 [doi] AB - Type 2 Diabetes Mellitus (T2DM) and cardiovascular diseases (CVD) are common in patients with chronic obstructive pulmonary disease (COPD). Prevention of these co-morbidities in COPD requires knowledge on their risk factors. Metabolic syndrome (MetS) predisposes to the development of T2DM and CVD but its prevalence in COPD remains unclear. The aim of this review was to assess the prevalence of MetS and its components in COPD patients compared to controls and to investigate the contribution of clinical characteristics to MetS prevalence. We systematically searched PubMed and EMBASE for original studies in COPD that have investigated the prevalence of MetS and its components. In total, 19 studies involving 4208 COPD patients were included. The pooled MetS prevalence was 34%. Compared to controls, the prevalence was higher in COPD (10 studies, 32% and 30%, p = 0.001). The three most prevalent components in both COPD and controls were arterial hypertension (56% and 51%), abdominal obesity (39% and 38%) and hyperglycemia (44% and 47%). Compared to COPD patients without MetS, those with MetS had higher body mass index (BMI) (29.9 and 24.6 kg/m(2), p < 0.001), higher forced expiratory volume in 1 second (FEV1) % predicted (54 and 51, p < 0.001) and were more frequently female (31% and 25%, p = 0.011). In conclusion, the prevalence of MetS in COPD patients is high and hypertension, abdominal obesity and hyperglycemia are the most prevalent components. Further studies are needed to evaluate the impact of lifestyle factors and medications on MetS in COPD. FAU - Cebron Lipovec, Nanca AU - Cebron Lipovec N AD - a Department of Respiratory Medicine , NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre , Maastricht , The Netherlands. AD - b University Clinic of Pulmonary and Allergic Diseases Golnik , Slovenia. FAU - Beijers, Rosanne J H C G AU - Beijers RJ AD - a Department of Respiratory Medicine , NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre , Maastricht , The Netherlands. FAU - van den Borst, Bram AU - van den Borst B AD - a Department of Respiratory Medicine , NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre , Maastricht , The Netherlands. FAU - Doehner, Wolfram AU - Doehner W AD - c Center for Stroke Research Berlin, Charite Medical School , Berlin , Germany. FAU - Lainscak, Mitja AU - Lainscak M AD - d Department of Cardiology , General Hospital Celje , Celje , Slovenia. AD - e Faculty of Medicine, University of Ljubljana , Ljubljana , Slovenia. FAU - Schols, Annemie M W J AU - Schols AM AD - a Department of Respiratory Medicine , NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre , Maastricht , The Netherlands. LA - eng PT - Journal Article PT - Review PT - Systematic Review DEP - 20160225 PL - England TA - COPD JT - COPD JID - 101211769 SB - IM MH - Arterial Pressure MH - Body Mass Index MH - Comorbidity MH - Forced Expiratory Volume MH - Humans MH - Hyperglycemia/*epidemiology MH - Hypertension/*epidemiology MH - Metabolic Syndrome/*epidemiology MH - Obesity, Abdominal/*epidemiology MH - Prevalence MH - Pulmonary Disease, Chronic Obstructive/*epidemiology/physiopathology MH - Sex Factors OTO - NOTNLM OT - Co-morbidities OT - components OT - lifestyle OT - prevalence EDAT- 2016/02/26 06:00 MHDA- 2017/12/02 06:00 CRDT- 2016/02/26 06:00 PHST- 2016/02/26 06:00 [entrez] PHST- 2016/02/26 06:00 [pubmed] PHST- 2017/12/02 06:00 [medline] AID - 10.3109/15412555.2016.1140732 [doi] PST - ppublish SO - COPD. 2016 Jun;13(3):399-406. doi: 10.3109/15412555.2016.1140732. Epub 2016 Feb 25.