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阿拉伯世界2型糖尿病的患病率:国内生产总值和能源消耗的影响。

Prevalence of type 2 diabetes in the Arab world: impact of GDP and energy consumption.

作者信息

Meo S A, Usmani A M, Qalbani E

机构信息

Department of Physiology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

出版信息

Eur Rev Med Pharmacol Sci. 2017 Mar;21(6):1303-1312.

PMID:28387897
Abstract

OBJECTIVE

Diabetes Mellitus (DM) is a rapidly growing and most challenging health issue of the 21st century. This study aimed to investigate the prevalence of type-2 DM and its association with Gross Domestic Product (GDP) and energy consumption in the Arab world countries.

MATERIALS AND METHODS

We identified 88 articles through systematic searches including Institute of Scientific Information (ISI) Web of Science, PubMed and EMBASE databases published between 1980-2015. The related literature was searched by using the keywords including diabetes mellitus, prevalence, incidence, epidemiology of type-2 diabetes mellitus (T2DM), and names of the individual Arab world countries. The articles were selected and investigated for the prevalence of T2DM. No limitations were imposed in the design of the study or publication language. Finally, 50 peer-reviewed publications were included and the rest were excluded.

RESULTS

Arab world countries with the highest prevalence of T2DM are: Kingdom of Saudi Arabia 31.6%, Oman 29%, Kuwait 25.4%, Bahrain 25.0% and United Arab Emirates 25.0%. The lowest prevalence was found in Mauritania (4.7%) and Somalia (3.9%). The highest prevalence was observed in Gulf Cooperation Council (GCC) countries (25.45%) whilst non-GCC countries had the lowest prevalence (12.69%). The combined mean prevalence of T2DM in both GCC and Non-GCC Arab countries was 16.17%. The prevalence of T2DM was found to be significantly associated with higher Gross Domestic Product (GDP) (p=0.020) and energy consumption (p=0.017).

CONCLUSIONS

In the Arab world, the countries with the highest prevalence of type 2 diabetes mellitus are: Saudi Arabia, Oman, Kuwait, Bahrain and UAE, whilst the countries with the lowest prevalence are Mauritania and Somalia. This prevalence was significantly associated with high GDP per capita and energy consumption. Arab states must incorporate diabetes preventive policies on a war-footing basis to minimize the burden of the disease.

摘要

目的

糖尿病(DM)是21世纪迅速发展且极具挑战性的健康问题。本研究旨在调查阿拉伯世界国家2型糖尿病的患病率及其与国内生产总值(GDP)和能源消耗的关联。

材料与方法

我们通过系统检索确定了88篇文章,检索范围包括科学信息研究所(ISI)的科学网、PubMed和EMBASE数据库,时间跨度为1980年至2015年。使用包括糖尿病、患病率、发病率、2型糖尿病(T2DM)流行病学以及各个阿拉伯世界国家名称等关键词检索相关文献。对文章进行筛选并调查T2DM的患病率。研究设计或发表语言均无限制。最后,纳入了50篇经过同行评审的出版物,其余的被排除。

结果

T2DM患病率最高的阿拉伯世界国家为:沙特阿拉伯王国31.6%、阿曼29%、科威特25.4%、巴林25.0%以及阿拉伯联合酋长国25.0%。患病率最低的是毛里塔尼亚(4.7%)和索马里(3.9%)。海湾合作委员会(GCC)国家的患病率最高(25.45%),而非GCC国家的患病率最低(12.69%)。GCC和非GCC阿拉伯国家T2DM的综合平均患病率为16.17%。发现T2DM的患病率与较高的国内生产总值(GDP)(p = 0.020)和能源消耗(p = 0.017)显著相关。

结论

在阿拉伯世界,2型糖尿病患病率最高的国家是:沙特阿拉伯、阿曼、科威特、巴林和阿联酋,而患病率最低的国家是毛里塔尼亚和索马里。这种患病率与高人均GDP和能源消耗显著相关。阿拉伯国家必须全力推行糖尿病预防政策,以减轻该疾病的负担。

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