Rguibi Mohamed, Belahsen Rekia
Training and Research Unit on Food Sciences, Laboratory of Physiology Applied to Nutrition and Feeding, Chouaib Doukkali University, Faculty of Sciences, El Jadida 24000, Morocco.
Public Health Nutr. 2006 Sep;9(6):722-7. doi: 10.1079/phn2005866.
The goal of the present work was to examine the prevalence and associated risk factors of undiagnosed diabetes among urban Moroccan Sahraoui women.
Randomised sample of adult women living in the city of Laayoune in south Morocco who visited public health centres during an immunisation campaign. Body weight, height, waist and hip circumferences, blood pressure, fasting plasma glucose (FPG), triglycerides, dietary intake and physical activity were collected.
Data were obtained on 249 urban women aged 15 years and older, who were not pregnant. Only subjects identified as of Sahraoui origin were eligible for this investigation.
The prevalence of impaired fasting glucose (IFG) was 5.5% and that of undiagnosed diabetes 6.4%. Diabetes and IFG were more common among older and obese women as well as among women with hypertension or a family history of diabetes. In addition, sucrose intakes were higher in women with diabetes than in those with normal FPG. Also, physical activity estimated as the time spent in walking was negatively associated with FPG. Regression analyses showed an independent association of age, obesity, family history of diabetes and triglycerides with diabetes.
The high proportion of unknown diabetes suggests the need for increased diabetes awareness in this population. The data suggest also the involvement of obesity in diabetes and the potential importance of intervention strategies to reduce population adiposity for the prevention and management of cardiovascular risk factors.
本研究旨在调查摩洛哥撒哈拉城市女性中未诊断糖尿病的患病率及相关危险因素。
对摩洛哥南部阿尤恩市参加免疫接种活动期间前往公共卫生中心的成年女性进行随机抽样。收集了体重、身高、腰围和臀围、血压、空腹血糖（FPG）、甘油三酯、饮食摄入和身体活动情况。
收集了249名15岁及以上非妊娠城市女性的数据。只有确定为撒哈拉族裔的对象才有资格参与本调查。
空腹血糖受损（IFG）患病率为5.5%，未诊断糖尿病患病率为6.4%。糖尿病和IFG在老年女性、肥胖女性以及患有高血压或有糖尿病家族史的女性中更为常见。此外，糖尿病女性的蔗糖摄入量高于空腹血糖正常的女性。同样，以步行时间估算的身体活动与空腹血糖呈负相关。回归分析显示年龄、肥胖、糖尿病家族史和甘油三酯与糖尿病存在独立关联。
未诊断糖尿病的高比例表明该人群需要提高糖尿病意识。数据还表明肥胖与糖尿病有关，以及通过干预策略降低人群肥胖程度对于预防和管理心血管危险因素的潜在重要性。
