Diabetes mellitus in Egypt: Risk factors and prevalence

被引:103
作者
Herman, WH [1 ]
Ali, MA [1 ]
Aubert, RE [1 ]
Engelgau, MM [1 ]
Kenny, SJ [1 ]
Gunter, EW [1 ]
Malarcher, AM [1 ]
Brechner, RJ [1 ]
Wetterhall, SF [1 ]
DeStefano, F [1 ]
Thompson, TJ [1 ]
Smith, PJ [1 ]
Badran, A [1 ]
Sous, ES [1 ]
Habib, M [1 ]
Hegazy, M [1 ]
abdelShakour, S [1 ]
Ibrahim, AS [1 ]
elBehairy, AEM [1 ]
机构
[1] CTR DIS CONTROL & PREVENT,NATL CTR CHRON DIS PREVENT & HLTH PROMOT,DIV DIABET TRANSLAT,ATLANTA,GA 30341
关键词
Egypt; Middle East; diabetes mellitus; glucose intolerance; epidemiology; obesity; exercise;
D O I
10.1111/j.1464-5491.1995.tb00432.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Major sociodemographic changes have occurred in Egypt to promote the development of noncommunicable diseases. We have performed a cross-sectional, population-based survey of persons greater than or equal to 20 years of age in Cairo and surrounding rural villages to describe the prevalence of diabetes risk factors, diagnosed diabetes, previously undiagnosed diabetes, and impaired glucose tolerance by age, sex, rural and urban residence, and socioeconomic status (SES). In the survey, we identified 6052 eligible households: 76% of household respondents completed a household examination and 72% of selected household respondents subsequently completed a medical examination. Exercise was assessed by questionnaire; adiposity by measurement of height, weight, and girths; and diabetes by history and 2-h 75 g oral glucose tolerance test. In rural areas, 52% of persons greater than or equal to 20 years of age were sedentary, 16% were obese, and 4.9% had diabetes. In lower SES urban areas, 73% were sedentary, 37% were obese, and 13.5% had diabetes. In higher SES urban areas, 89% were sedentary, 49% were obese, and 20% had diabetes. The combined prevalence of diagnosed and undiagnosed diabetes in the Egyptian population greater than or equal to 20 years of age was estimated to be 9.3%. Approximately half the diabetes was diagnosed and the other half was previously undiagnosed. The prevalence of diabetes in Egypt is high, and the gradient in risk factors and disease from rural to urban areas and in urban areas from lower to higher SES suggest that diabetes is a major, emerging clinical and public health problem in Egypt.
引用
收藏
页码:1126 / 1131
页数:6
相关论文
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