Ferdi Nour El Houda, Abla Khalida, Chenchouni Haroun
Dept. of Applied Biology, Faculty of Exact Sciences and Natural and Life Sciences, University of Tebessa, Tebessa 12002, Algeria.
Dept. of Natural and Life Sciences, Faculty of Exact Sciences and Natural Sciences and Life, University of Tebessa, Tebessa 12002, Algeria.
Iran J Public Health. 2016 Dec;45(12):1636-1644.
Diabetes mellitus is a serious public health problem worldwide and particularly in developing countries. In Algeria, this metabolic disorder occurs with a wide variety or atypical forms that linked to multiple risk factors including local habits and traditions. This study aimed to determine the impact of risk factors (metabolic syndrome, social, cultural, physical activity, family history and the treatment used) on the incidence of diabetes.
This cross-sectional study was conducted in 2013 on a random sample from a resident population in Tebessa, Northeast Algeria, which underwent a significant expanding of diabetes prevalence conditioned by profound socioeconomic changes. The survey included 200 subjects, randomly selected; with 100 controls and 100 diabetic patients, (26 diabetic subjects with type 1 diabetes mellitus 'T1DM' and 74 subjects with type two diabetes mellitus 'T2DM').
Diabetic subjects were significantly affected by all these risk factors, including metabolic syndrome that was higher in women. The most common treatment among surveyed T1DM subjects was insulin, whereas T2DM patients used metformin. In addition, the duration from T1DM onset in the surveyed subjects is older than T2DM onset. The incidence of diabetes is significantly in close relationship between the majorities of these factors of risk.
Subjects with a high socioeconomic status can afford a healthier way of life to avoid the risk of developing diabetes compared to subjects with lower social level.
糖尿病是全球尤其是发展中国家严重的公共卫生问题。在阿尔及利亚，这种代谢紊乱以多种不同或非典型形式出现，与包括当地习惯和传统在内的多种风险因素相关。本研究旨在确定风险因素（代谢综合征、社会、文化、身体活动、家族史及所用治疗方法）对糖尿病发病率的影响。
这项横断面研究于2013年对阿尔及利亚东北部泰贝萨居民的随机样本进行，该地区由于深刻的社会经济变化，糖尿病患病率显著上升。调查包括200名随机选择的受试者，其中100名对照者和100名糖尿病患者（26名1型糖尿病‘T1DM’患者和74名2型糖尿病‘T2DM’患者）。
糖尿病患者受到所有这些风险因素的显著影响，包括代谢综合征，女性患者的代谢综合征更为严重。在接受调查的T1DM患者中最常用的治疗方法是胰岛素，而T2DM患者使用二甲双胍。此外，接受调查的受试者中T1DM发病的时间比T2DM发病时间更早。糖尿病的发病率与这些主要风险因素之间存在显著的密切关系。
与社会经济地位较低的受试者相比，社会经济地位较高的受试者能够选择更健康的生活方式以避免患糖尿病的风险。
