Rashedi Vahid, Asadi-Lari Mohsen, Delbari Ahmad, Fadayevatan Reza, Borhaninejad Vahidreza, Foroughan Mahshid
Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; Department of Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Department of Epidemiology, School of Public Health, Oncopathology Research Center, Iran University of Medical Sciences, Tehran, Iran.
Diabetes Metab Syndr. 2017 Nov;11 Suppl 1:S347-S350. doi: 10.1016/j.dsx.2017.03.014. Epub 2017 Mar 8.
Diabetes is a common problem in older adults, as they increasingly comprise a larger proportion of patients newly diagnosed with diabetes. The evidence on the prevalence and distribution of type 2 diabetes (DT2) and its related factors among older adults in Iran is sparse. The aim of the present study was to determine the prevalence of DT2 among Iranian older adults aged ≥60years.
The study was part of a comprehensive survey (Urban HEART-2) which was a large population-based cross-sectional study. A multistage cluster random sampling method was used to select the participants in Tehran in 2011. All the participants were interviewed by trained personnel using a standard questionnaire on diabetes as well as a socio-demographic checklist. Logistic regression and chi-square were used to investigate the association between diabetes and the demographic characteristics.
A total of 15069 older adults were included in this analysis. The mean age of the participants was 68.93±7.27years (SE: 0.059) and the mean of BMI was 26.21±4.40kg/m (SE: 0.036). Prevalence of DT2 was 14.4% among Iranian older adults. Factors such as age, being female, high BMI, and education were significantly associated with DT2.
Given the high prevalence of diabetes among older people, more population based research is needed to quantify the ramifications of diabetes, and to monitor the effects of prevention and health system strengthening strategies on the prevalence, treatment, and control of DT2.
糖尿病在老年人中是一个常见问题，因为新诊断出糖尿病的患者中老年人所占比例越来越大。关于伊朗老年人中2型糖尿病（DT2）的患病率、分布及其相关因素的证据很少。本研究的目的是确定年龄≥60岁的伊朗老年人中DT2的患病率。
该研究是一项全面调查（城市心脏研究-2）的一部分，这是一项基于人群的大型横断面研究。2011年在德黑兰采用多阶段整群随机抽样方法选取参与者。所有参与者均由经过培训的人员使用关于糖尿病的标准问卷以及社会人口学清单进行访谈。采用逻辑回归和卡方检验来研究糖尿病与人口统计学特征之间的关联。
本分析共纳入15069名老年人。参与者的平均年龄为68.93±7.27岁（标准误：0.059），平均体重指数为26.21±4.40kg/m²（标准误：0.036）。伊朗老年人中DT2的患病率为14.4%。年龄、女性、高体重指数和教育程度等因素与DT2显著相关。
鉴于老年人中糖尿病的高患病率，需要开展更多基于人群的研究，以量化糖尿病的影响，并监测预防和加强卫生系统策略对DT2的患病率、治疗和控制的效果。
