Glucose intolerance and associated factors in the multi-ethnic population of the United Arab Emirates: results of a national survey
Glucose intolerance and associated factors in the multi-ethnic population of the United Arab Emirates: results of a national survey
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DOI：
10.1016/j.diabres.2004.12.005
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发表时间：
2005-08-01
影响因子：
5.1
通讯作者：
King, H
中科院分区：
文献类型：
--
作者：
Malik, M;Bakir, A;King, H
目的：确定1999-2000年阿拉伯联合酋长国多民族成年人中糖尿病和空腹血糖受损（IFG）及相关疾病（如肥胖和高血压）的患病率。方法：采用分层、多阶段、随机抽样方法。诊断依据的是世卫组织专家组的最新建议。结果：总有效率为89%。糖尿病的粗患病率为20%。阿联酋公民（25%）高于外籍人士（13-19%，取决于原籍国）。糖尿病患病率随年龄增长而上升，55岁以后最高可达40%。空腹血糖受损的患病率男性为5%，女性为7%。41%的糖尿病患者在调查前未被确诊。在先前诊断为糖尿病的受试者中，59%正在服用口服降糖药，8%使用胰岛素，17%仅依靠饮食。肥胖在所有种族中都很常见。大约四分之三的受试者要么是肥胖（BMI = 30），要么是超重（BMI 25-29）。糖尿病的存在与腰臀比（WHR）、年龄、收缩压和种族增加有关。葡萄糖耐受不良与肥胖共发病8%，与高血压共发病5%。四分之三的受试者有上述一种或多种症状。结论：糖尿病、肥胖和高血压在阿联酋的成年人中极为普遍。必须迅速采取行动，避免在不久的将来因糖尿病的长期并发症而发生重大公共卫生危机。2005爱思唯尔爱尔兰有限公司版权所有。
Aims: To determine the prevalence of diabetes and impaired fasting glycaemia (IFG) and associated conditions such as obesity and hypertension, in the multi-ethnic, adult population of the United Arab Emirates in 1999-2000.Methods: A stratified, multistage, random sample was selected. Diagnosis was based on the latest recommendations of a WHO Expert Group.Results: The overall response rate was 89%. Crude prevalence of diabetes was 20%. It was higher in UAE citizens (25%) than in expatriates (13-19% depending on country of origin). Prevalence of diabetes rose with age to a maximum of 40% after the age of 55 years. Prevalence of impaired fasting glycaemia was 5% in men and 7% in women. Forty-one percent of subjects with diabetes were undiagnosed prior to the survey. Of the previously diagnosed subjects with diabetes, 59% were taking oral hypoglycaernic agents, 8% used insulin and 17% relied on diet alone. Obesity was common in all ethnic groups. Approximately three-quarters of all subjects were either obese (BMI >= 30) or overweight (BMI 25-29). Presence of diabetes was associated with increasing waist-hip ratio (WHR), age and with systolic blood pressure and ethnicity. Co-morbidity with glucose intolerance occurred with obesity in 8% and with hypertension in 5%. Three-quarters of all subjects had one or more of these conditions.Conclusions: Diabetes, obesity and hypertension are extremely prevalent in the adult population of the UAE. Prompt action is required to avert a major public health crisis due to the long-term complications of diabetes in the near future. (c) 2005 Elsevier Ireland Ltd. All rights reserved.