Increasing prevalence of diabetes mellitus in Oman
Increasing prevalence of diabetes mellitus in Oman
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DOI：
10.1046/j.1464-5491.2002.00818.x
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发表时间：
2002-11-01
影响因子：
3.5
通讯作者：
Jousilahti, P
中科院分区：
文献类型：
--
作者：
Al-Lawati, JA;Al Riyami, AM;Jousilahti, P
目的确定年龄、性别和地区的糖尿病和空腹血糖受损的患病率，并将结果与1991年的调查结果进行比较；并估计阿曼人口中以前未诊断的糖尿病。方法横断面调查包含5838名年龄大于或等于20岁的阿曼成年人的概率随机样本。采用1999年世界卫生组织的空腹血糖诊断标准(正常血糖6.1mmoL/L，空腹血糖≥6.1mmo1/L，糖尿病≥7 mmoL/L)评价糖尿病和空腹血糖受损。结果2000年阿曼30-年龄调整糖尿病患病率为16.1%(95%可信区间14.7-17.4)，1991年为12.2%(95%可信区间11.0-13.4)。IFG在男性为7.1%(95%CI 6.2~8.1)，女性为5.1%(95%CI 4.4~6.0)。总体而言，糖尿病在城市地区比农村地区更常见。只有三分之一的糖尿病受试者知道他们患有糖尿病。近一半的研究人群的体重指数为25 kg/m(2)。结论阿曼的糖尿病患病率很高，并在过去十年中有所上升。空腹血糖异常率高，加上人口超重和肥胖率高，使得糖尿病很可能继续是阿曼的一个主要健康问题。迫切需要制定初级预防方案，以抵消促进糖尿病发展的主要风险因素。
Aims To determine the prevalence of diabetes mellitus and impaired fasting glucose by age, gender, and by region and compare results with the 1991 survey; and estimate previously undiagnosed diabetes mellitus in the Omani population.Methods Cross-sectional survey containing a probability random sample of 5838 Omani adults aged greater than or equal to 20 years. Diabetes and impaired fasting glucose (IFG) were assessed by fasting venous plasma glucose using 1999 World Health Organization's diagnostic criteria (normoglycaemia < 6.1 mmol/l, IFG≥6.1 but < 7 mmol/l, and diabetesgreater than or equal to7 mmol/l). The 1991 survey was reanalysed using the same diagnostic criteria, and results were compared.Results In 2000, the age-adjusted prevalence of diabetes among Omanis aged 30-64 years reached 16.1% (95% confidence interval (CI) 14.7-17.4) compared with 12.2% (95% CI 11.0-13.4) in 1991. IFG was found among 7.1% (95% CI 6.2-8.1) of males and 5.1% (95% CI 4.4-6.0) of females. Generally, diabetes was more common in urban then rural regions. Only one-third of diabetic subjects knew that they had diabetes. Nearly half of the study population had a body mass index > 25 kg/m(2).Conclusions The prevalence of diabetes is high in Oman and has increased over the past decade. The high rate of abnormal fasting glucose together with high rates of overweight and obesity in the population make it likely that diabetes will continue to be a major health problem in Oman. Primary prevention programmes are urgently needed to counteract major risk factors that promote the development of diabetes.