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科威特成人糖尿病和糖尿病前期患病率:来自科威特糖尿病流行病学横断面项目的数据。

Adult Diabetes and Prediabetes Prevalence in Kuwait: Data from the Cross-Sectional Kuwait Diabetes Epidemiology Program.

作者信息

Alkandari Abdullah, Alarouj Monira, Elkum Naser, Sharma Prem, Devarajan Sriraman, Abu-Farha Mohamed, Al-Mulla Fahd, Tuomilehto Jaakko, Bennakhi Abdullah

机构信息

Dasman Diabetes Institute, Kuwait City 15462, Kuwait.

Sidra Medical and Research Center, Doha 26999, Qatar.

出版信息

J Clin Med. 2020 Oct 25;9(11):3420. doi: 10.3390/jcm9113420.

Abstract

BACKGROUND

This study aimed to estimate the prevalence of diabetes and prediabetes in adults in Kuwait.

METHODS

The Kuwait Diabetes Epidemiology Program was a nationally representative, cross-sectional study of diabetes and obesity in Kuwait conducted between 2011 and 2014. The survey sampled 4937 adults in Kuwait aged 20 years or more and recorded participants' demographics, behaviours, medical history, physical measurements and blood biochemical measurements. Prediabetes was defined as fasting plasma glucose between 6.1 and 6.9 mmol/L or HbA1c between 6 and 6.4% (42-47 mmol/mol). Diabetes was defined as self-reported history with prescribed glucose-lowering medication or FPG ≥7mmol/L or HbA1c level ≥6.5% (≥48 mmol/mol).

RESULTS

The overall adjusted prevalence of diabetes was 19.1%. The overall adjusted prevalence of prediabetes was 13.5%. Diabetes prevalence was 5.4%, 14.2%, 38.7% and 64.8% in adults aged 20-29, 30-44, 45-59 and 60 years or more, respectively. Diabetes prevalence was 22.4% in men and 14.4% in women. Prediabetes prevalence was 14.8% in men and 11.5% in women. In Kuwaitis, diabetes and prediabetes prevalence was 21.8% and 11.1%, respectively, while prevalence in non-Kuwaitis was 18.2% for diabetes and 14.3% for prediabetes.

CONCLUSION

These findings illustrate the severe public health challenge posed by diabetes in Kuwait.

摘要

背景

本研究旨在估算科威特成年人中糖尿病和糖尿病前期的患病率。

方法

科威特糖尿病流行病学项目是一项于2011年至2014年间在科威特开展的具有全国代表性的糖尿病与肥胖症横断面研究。该调查对科威特4937名20岁及以上的成年人进行了抽样,并记录了参与者的人口统计学信息、行为、病史、身体测量数据和血液生化测量数据。糖尿病前期定义为空腹血糖在6.1至6.9毫摩尔/升之间或糖化血红蛋白在6%至6.4%(42至47毫摩尔/摩尔)之间。糖尿病定义为有自我报告的使用降糖药物史或空腹血糖≥7毫摩尔/升或糖化血红蛋白水平≥6.5%(≥48毫摩尔/摩尔)。

结果

糖尿病的总体校正患病率为19.1%。糖尿病前期的总体校正患病率为13.5%。20至29岁、30至44岁、45至59岁及60岁及以上成年人的糖尿病患病率分别为5.4%、14.2%、38.7%和64.8%。男性糖尿病患病率为22.4%,女性为14.4%。男性糖尿病前期患病率为14.8%,女性为11.5%。科威特人的糖尿病和糖尿病前期患病率分别为21.8%和11.1%,而非科威特人的糖尿病患病率为18.2%,糖尿病前期患病率为14.3%。

结论

这些发现表明糖尿病给科威特带来了严峻的公共卫生挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f1e/7694112/992ffcb80593/jcm-09-03420-g001.jpg

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