Prevalences of overweight, obesity, hyperglycaemia, hypertension and dyslipidaemia in the Gulf: systematic review.

Prevalences of overweight, obesity, hyperglycaemia, hypertension and dyslipidaemia in the Gulf: systematic review.
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DOI:
10.1258/shorts.2011.011019
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发表时间:
2011-07-01
期刊:
影响因子:
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通讯作者:
Majeed, Azeem
Majeed, Azeem
中科院分区:
其他
文献类型:
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作者:
Alhyas, Layla;McKay, Ailsa;Majeed, Azeem

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目的:研究海湾阿拉伯国家合作理事会(GCC)地区糖尿病及其并发症危险因素的患病率。设计:系统评价。(阿拉伯联合酋长国、巴林、沙特阿拉伯、阿曼、卡塔尔、科威特)。海湾合作委员会成员国的居民参与了关于超重和肥胖、高血压、高血压和血脂异常患病率的研究。主要结果指标:超重、肥胖和高血压、高血压和血脂异常的患病率。45项研究被纳入审查。报告的成人超重和肥胖的患病率分别为25-50%和13- 50%。女性患病率较高,与年龄呈非线性关系。目前糖耐量受损的患病率估计为10- 20%。近年来,流行率似乎有所上升。高血压和血脂异常的估计患病率很少,并使用不同的异常定义,使审查困难,但这些似乎也很高,并不断增加,结论:在海湾合作委员会地区糖尿病和糖尿病并发症的危险因素的患病率很高,表明他们目前的管理是次优的。随着工业化、城市化和不断变化的人口结构的继续,如果要避免糖尿病相关问题的升级,加强管理至关重要。
OBJECTIVES: To examine the prevalence of risk factors for diabetes and its complications in the Co-operation Council of the Arab States of the Gulf (GCC) region.DESIGN: Systematic review.SETTING: Co-operation Council of the Arab States of the Gulf (GCC) states (United Arab Emirates, Bahrain, Saudi Arabia, Oman, Qatar, Kuwait).PARTICIPANTS: Residents of the GCC states participating in studies on the prevalence of overweight and obesity, hyperglycaemia, hypertension and dyslipidaemia.MAIN OUTCOME MEASURES: Prevalences of overweight, obesity and hyperglycaemia, hypertension and hyperlipidaemia.RESULTS: Forty-five studies were included in the review. Reported prevalences of overweight and obesity in adults were 25-50% and 13-50%, respectively. Prevalence appeared higher in women and to hold a non-linear association with age. Current prevalence of impaired glucose tolerance was estimated to be 10-20%. Prevalence appears to have been increasing in recent years. Estimated prevalences of hypertension and dyslipidaemia were few and used varied definitions of abnormality, making review difficult, but these also appeared to be high and increasing,CONCLUSIONS: There are high prevalences of risk factors for diabetes and diabetic complications in the GCC region, indicative that their current management is suboptimal. Enhanced management will be critical if escalation of diabetes-related problems is to be averted as industrialization, urbanization and changing population demographics continue.