Malik M, Bakir A, Saab B Abi, King H
Ministry of Health, Abu Dhabi, United Arab Emirates.
Diabetes Res Clin Pract. 2005 Aug;69(2):188-95. doi: 10.1016/j.diabres.2004.12.005.
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.
A stratified, multistage, random sample was selected. Diagnosis was based on the latest recommendations of a WHO Expert Group.
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 hypoglycaemic 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> or =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.
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.
确定1999 - 2000年阿拉伯联合酋长国多民族成年人口中糖尿病和空腹血糖受损（IFG）以及肥胖和高血压等相关病症的患病率。
选取分层、多阶段随机样本。诊断依据世界卫生组织专家组的最新建议。
总体应答率为89%。糖尿病的粗患病率率为20%。阿联酋公民中的患病率（25%）高于外籍人士（根据原籍国不同为13% - 19%）。糖尿病患病率随年龄增长，55岁后最高达40%。男性空腹血糖受损患病率为5%，女性为7%。41%的糖尿病患者在调查前未被诊断出。在先前被诊断出的糖尿病患者中，59%正在服用口服降糖药，8%使用胰岛素，17%仅依靠饮食控制。肥胖在所有种族群体中都很常见。约四分之三的受试者要么肥胖（体重指数[BMI]≥30）要么超重（BMI 25 - 29）。糖尿病的存在与腰臀比（WHR）增加、年龄、收缩压以及种族有关。8%的葡萄糖耐量异常合并症与肥胖有关，5%与高血压有关。四分之三的受试者患有上述一种或多种病症。
糖尿病、肥胖和高血压在阿联酋成年人口中极为普遍。鉴于不久的将来糖尿病的长期并发症，需要迅速采取行动以避免重大公共卫生危机。
