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中东和北非地区2型糖尿病的流行病学:挑战与行动呼吁。

Epidemiology of type 2 diabetes in the Middle East and North Africa: Challenges and call for action.

作者信息

El-Kebbi Imad M, Bidikian Nayda H, Hneiny Layal, Nasrallah Mona Philippe

机构信息

Department of Internal Medicine, Division of Endocrinology, American University of Beirut Medical Center, Faculty of Medicine, Beirut 11072020, Lebanon.

School of Medicine, American University of Beirut, Faculty of Medicine, Beirut 11072020, Lebanon.

出版信息

World J Diabetes. 2021 Sep 15;12(9):1401-1425. doi: 10.4239/wjd.v12.i9.1401.

Abstract

Type 2 diabetes continues to be a serious and highly prevalent public health problem worldwide. In 2019, the highest prevalence of diabetes in the world at 12.2%, with its associated morbidity and mortality, was found in the Middle East and North Africa region. In addition to a genetic predisposition in its population, evidence suggests that obesity, physical inactivity, urbanization, and poor nutritional habits have contributed to the high prevalence of diabetes and prediabetes in the region. These risk factors have also led to an earlier onset of type 2 diabetes among children and adolescents, negatively affecting the productive years of the youth and their quality of life. Furthermore, efforts to control the rising prevalence of diabetes and its complications have been challenged and complicated by the political instability and armed conflict in some countries of the region and the recent coronavirus disease 2019. Broad strategies, coupled with targeted interventions at the regional, national, and community levels are needed to address and curb the spread of this public health crisis.

摘要

2型糖尿病仍然是全球范围内一个严重且高度普遍的公共卫生问题。2019年,中东和北非地区的糖尿病患病率全球最高,达12.2%,并伴有相关的发病率和死亡率。除了该地区人群的遗传易感性外,有证据表明,肥胖、缺乏体育活动、城市化和不良营养习惯导致了该地区糖尿病和糖尿病前期的高患病率。这些风险因素还导致儿童和青少年2型糖尿病发病更早,对年轻人的生产年限及其生活质量产生负面影响。此外,该地区一些国家的政治不稳定和武装冲突以及近期的2019冠状病毒病,给控制糖尿病患病率上升及其并发症的努力带来了挑战和复杂性。需要采取广泛的战略,并在区域、国家和社区层面进行有针对性的干预,以应对和遏制这一公共卫生危机的蔓延。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e5/8472500/98aed85d7759/WJD-12-1401-g001.jpg

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