Evidence map›Paper›PMID 42005167›Full record

ReviewCureus2026

The Global Prevalence of Metabolic Syndrome in Adults and Its Association With Lifestyle Factors: A Systematic Review and Meta-Analysis.

Badrudduza Al Maimani, Faria Farhin, Shuvomoy Saha, Fahim Mahbub, Digontia Supty, Anupom Kanti Paul, Nazmin Mahezabin Tina, Fatema Binte Maksud, Nahida Sharmin, Shanta Islam

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Badrudduza Al MaimaniDepartment of Internal Medicine, Mukti Hospital, Comilla, BGD.
Faria FarhinDepartment of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, BGD.
Shuvomoy SahaDepartment of Internal Medicine, Ad-din Sakina Medical College Hospital, Jashore, BGD.
Fahim MahbubDepartment of Medicine, The Barakah General Hospital, Dhaka, BGD.
Digontia SuptyDepartment of Medicine, The Barakah General Hospital Ltd., Dhaka, BGD.
Anupom Kanti PaulDepartment of General Medicine, University Hospitals of Derby and Burton NHS Trust, Derby, GBR.
Nazmin Mahezabin TinaDepartment of Internal Medicine, Mymensingh Medical College Hospital, Mymensingh, BGD.
Fatema Binte MaksudDepartment of Neonatology and Pediatric Medicine, Goyalmara Mother and Child Hospital, Cox's Bazar, BGD.
Nahida SharminDepartment of Internal Medicine, Popular Diagnostic Center Ltd., Dhaka, BGD.
Shanta IslamDepartment of Medicine, Gonoshasthaya Samaj Vittik Medical College Hospital Savar, Dhaka, BGD.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Metabolic syndrome (MetS) is a cluster of cardiometabolic risk factors that poses a significant and growing global public health challenge. Lifestyle behaviors play a central role in its development; however, a comprehensive quantitative synthesis of global prevalence and associated lifestyle factors remains limited. This systematic review and meta-analysis aimed to estimate the pooled global prevalence of MetS in adults and examine its association with key modifiable lifestyle behaviors. Five electronic databases were systematically searched for observational studies published between 2015 and 2025 in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Data were pooled using a random-effects meta-analysis. Prevalence estimates were calculated with 95% confidence intervals (CIs), and associations between lifestyle factors and MetS were synthesized using pooled effect sizes (odds ratios [ORs] and standardized mean differences where applicable). Heterogeneity was assessed using the I² statistic, and subgroup analyses were conducted to explore potential moderators. Ten observational studies comprising 54,709 participants were included. The pooled global prevalence of MetS was 32% (95% CI: 22%-43%), although heterogeneity was substantial (I² = 98.72%). Physical inactivity was consistently associated with increased odds of MetS (representative OR range across studies: 1.25-2.15), while adherence to recommended physical activity levels was protective (e.g., OR 0.64; 95% CI 0.42-0.98). Poor diet quality, smoking, short and long sleep duration, and alcohol consumption were also associated with higher MetS risk. Subgroup analyses by diagnostic criteria, geographic region, gender distribution, and mean age did not significantly explain between-study heterogeneity. Although adverse lifestyle behaviors are consistently linked to increased MetS risk across adult populations, the magnitude of association varies considerably due to substantial unexplained heterogeneity and possible publication bias. These findings support lifestyle modification as a key preventive strategy while highlighting the need for cautious interpretation of pooled estimates.

Indexed as

life stylemeta-analysismetabolic syndromeprevalencerisk factorssystematic review

Identifiers

PMID42005167
PMCPMC13089982

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.