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Prevalence, awareness and control of diabetes in urban area of north of Iran, 2009

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Abstract

Diabetes is one of the major public health problems and an important modifiable risk factor for cardiovascular diseases. Iran has become increasingly modernized. This factor has led to a higher prevalence obesity, insulin resistance, cardiovascular events, and type 2 diabetes. This was a community base cross-sectional study in a representative sample of urban population (2076 adults aged 18–79 years) from 16 cities in northern Iran. Subjects were interviewed and examined by a trained research team. Blood samples were drawn for biochemical testing. Data analysis was carried out with the SPSS Software, version 14. The prevalence of diabetes was 12.4 % (9.9 % in men, 14.1 % in women, p < 0.002) and increased with age in both sexes. Among diabetic patients, 78.3 % were aware of the diagnosis that 79.7 % received treatment but more than 60 % had not good control. Multiple logistic regression analysis showed that age, family history of diabetes, abdominal obesity, generalized obesity, hypertension, and dyslipidemia were significantly associated with diabetes. In comparison to other studies, the prevalence of diabetes in north of Iran is higher in urban area. These findings indicate that a comprehensive national program for screening and management of this disease is urgently needed to avert the cardiovascular disease epidemic in this area.

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References

  1. Zimmet P, Alberti KG, Shaw J. Global and societal implications of the diabetes epidemic. Nature. 2001;414:782–7.

    Article  CAS  PubMed  Google Scholar 

  2. Motala AA, Omar MA, Pirie FJ. Diabetes in Africa. Epidemiology of type 1 and type 2 diabetes in Africa. J Cardiovasc Risk. 2003;10(2):77.

    Article  PubMed  Google Scholar 

  3. Engelgau MM, Geiss LS, Saaddine JP, et al. The evolving diabetes burden in the United States. Ann Intern Med. 2004;140(11):945–50.

    Article  PubMed  Google Scholar 

  4. Dongsheng H, Pengyu F, Xie J, et al. Increasing prevalence and low awareness, treatment and control of diabetes mellitus among Chinese adults: the InterASIA study. Diabetes Res Clin Pract. 2008;81(2):250–7.

    Article  Google Scholar 

  5. Bener A, Zirie M, Ibrahim M, et al. Prevalence of diagnosed and undiagnosed diabetes mellitus and its risk factors in a population-based study of Qatar. Diabetes Res Clin Pract. 2009;84:99–106.

    Article  PubMed  Google Scholar 

  6. Kim DJ. The epidemiology of diabetes in Korea. Diabetes Metab J. 2011;35:303–8.

    Article  PubMed Central  PubMed  Google Scholar 

  7. Basit A, Danish Alvi SF, Fawwad A, et al. Temporal changes in the prevalence of diabetes, impaired fasting glucose and its associated risk factors in the rural area of Baluchistan. Diab Res Clin Pract. 2011. doi:10.1016/j.diabres.2011.08.009.

    Google Scholar 

  8. Anand K, Shah B, Yadav K. Are the urban poor vulnerable to non-communicable diseases? A survey of risk factors for non-communicable diseases in urban slums of Faridabad. Natl Med J India. 2007;20(3):115–20.

    CAS  PubMed  Google Scholar 

  9. Shen J, Goya A, Sperling L. The emerging epidemic of obesity, diabetes, and the metabolic syndrome in China. Cardiol Res Pract. 2012;2012, 178675. 5 pages.

    PubMed Central  PubMed  Google Scholar 

  10. King H, Aubert RE, Herman WH. Global burden of diabetes, 1995–2025: prevalence, numerical estimates, and projections. Diabetes Care. 1998;21:1414–31.

    Article  CAS  PubMed  Google Scholar 

  11. Holt TA, Stables D, Hippisley-Cox J, et al. Identifying undiagnosed diabetes: cross-sectional survey of 3.6 million patients’ electronic records. Br J Gen Pract. 2008;58:192–6.

    Article  PubMed Central  PubMed  Google Scholar 

  12. Tan C, Emmanuel S, Tan B, Jacob E. Prevalence of diabetes and ethnic differences in cardiovascular risk factors—the 1992 Singapore National Health Survey. Diabetes Care. 1999;22:241–7.

    Article  CAS  PubMed  Google Scholar 

  13. Amos AF, McCarty DJ, Zimmet P. The rising global burden of diabetes and its complications-estimates and projections to the year 2010. Diabet Med. 1997;14 Suppl 5:S1–85.

    PubMed  Google Scholar 

  14. World Health Organization, the prevention of diabetes and its complications, WHO Report, 2006, Available from http://www.who.int/diabetes/prevention flyer/en/ [Accessed on 7/ 8/2008].

  15. Lecomte P, Vol S, Cases E, et al. Impaired fasting glycaemia and undiagnosed diabetes: prevalence, cardiovascular and behavioral risk factors. Diabetes Metab. 2002;28:311–20.

    CAS  PubMed  Google Scholar 

  16. Heine RJ, Mooy JM. Impaired glucose tolerance and unidentified diabetes. Postgrad Med J. 1996;72:67–71.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  17. Rathmann W, Haastert B, Icks A, et al. High prevalence of undiagnosed diabetes mellitus in Southern Germany: target populations for efficient screening. The KORA survey 2000. Diabetologia. 2003;46:182–9.

    CAS  PubMed  Google Scholar 

  18. Rguibi M, Belahsen R, et al. Prevalence and associated risk factors of undiagnosed diabetes among adult Moroccan Sahraouian women. Public Health Nutr. 2006;9(6):722–7.

    Article  PubMed  Google Scholar 

  19. Bando Y, Kanehara H, Aoki K, et al. Characteristics of undiagnosed diabetes mellitus in a population undergoing health screening in Japan: target populations for efficient screening. Diabetes Res Clin Pract. 2009;83(3):341–6.

    Article  PubMed  Google Scholar 

  20. Bovet P, Hirsiger P, Emery F, et al. Impact and cost of a 2-week community-based screening and awareness program for diabetes and cardiovascular risk factors in a Swiss canton. Diabetes Metab Syndr Obes. 2011;4:213–23.

    Article  PubMed Central  PubMed  Google Scholar 

  21. Hadaegh F, Bozorgmanesh MR, Ghasemi A, et al. High prevalence of undiagnosed diabetes and abnormal glucose tolerance in the Iranian urban population: Tehran Lipid and Glucose Study. BMC Public Health. 2008;8:176.

    Article  PubMed Central  PubMed  Google Scholar 

  22. Chang L. Costs are high from undiagnosed diabetes. http://diabetes.webmd.com/news/20090508/costs-are-high-from-undiagnosed-diabetes 11/08/2011.

  23. Delavari A, Mahdavi Hazaveh A, Nourouzi Nezhad A, et al. National program for prevention and control of diabetes in Iran. 2nd ed. Tehran, Iran: Seda publisher; 2004 [In Persian].

    Google Scholar 

  24. Einhorn D, Reaven GM, Cobin RH, et al. American College of Endocrinology position statement on the insulin resistance syndrome. Endocr Pract. 2003;9(3):237–52.

    PubMed  Google Scholar 

  25. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2008; 31(Supp 1):S55–60.

  26. Esteghamati A, Gouya MM, Abbasi M, et al. Prevalence of diabetes and impaired fasting glucose in the adult population of Iran: national survey of risk factors for non-communicable diseases of Iran. Diabetes Care. 2008;31(1):96–8.

    Article  PubMed  Google Scholar 

  27. Bahrami H, Sadatsafavi M, Pourshams A, et al. Obesity and hypertension in an Iranian cohort study; Iranian women experience higher rates of obesity and hypertension than American Women. BMC Public Health. 2006;6:158.

    Article  PubMed Central  PubMed  Google Scholar 

  28. Haghdoost A-A, Sadeghirad Pharm B, Rezazadehkermani M. Epidemiology and heterogeneity of hypertension in Iran: a systematic review. Arch Iranian Med. 2008;11(4):444–52.

    Google Scholar 

  29. Delavari A, Forouzanfar MH, Alikhani S, et al. First nationwide study of the prevalence of the metabolic syndrome and optimal cutoff points of waist circumference in the Middle East. Diabetes Care. 2009;32(6):1092–7.

    Article  PubMed Central  PubMed  Google Scholar 

  30. Sharifi F, Mousavinasab SN, Saeini M, et al. Prevalence of metabolic syndrome in an adult urban population of the west of Iran. Exp Diabetes Res. 2009;2009:136501.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  31. Azizi F, Salehi P, Etemadi A, et al. Prevalence of metabolic syndrome in an urban population: Tehran Lipid and Glucose Study. Diabetes Res Clin Pract. 2003;61(1):29–37.

    Article  PubMed  Google Scholar 

  32. Azizi F, Azadbakht L, Mirmiran P. Trends in overweight, obesity and central fat accumulation among Tehranian adults between 1998-1999 and 2001-2002: Tehran lipid and glucose study. Ann Nutr Metab. 2005;49(1):3–8.

    Article  CAS  PubMed  Google Scholar 

  33. Saadi H, George CS, Nagelkerke N, et al. Prevalence of diabetes mellitus and its complications in a population-based sample in Al Ain, United Arab Emirates. Diabetes Res Clin Pract. 2007;78:369–77.

    Article  PubMed  Google Scholar 

  34. Al-Lawati JA, Al Riyami AM, Mohammed AJ, et al. Increasing prevalence of diabetes mellitus in Oman. Diabet Med. 2002;19(11):954–7.

    Article  CAS  PubMed  Google Scholar 

  35. Anjana RM, Pradeepa R, Deepa M, et al. Prevalence of diabetes and prediabetes [impaired fasting glucose and/or impaired glucose tolerance] in urban and rural India: phase I results of the Indian Council of Medical Research–INdia DIABetes [ICMR–INDIAB] study. Diabetologia. 2011;54(12):3022–7.

    Article  CAS  PubMed  Google Scholar 

  36. Gokcel A, Ozsahin AK, Sezgin N, et al. High prevalence of diabetes in Adana, a southern province of Turkey. Diabetes Care. 2003;26(11):3031–4.

    Article  PubMed  Google Scholar 

  37. Geiss LS, Pan L, Cadwell B, Gregg EW, et al. Changes in incidence of diabetes in U.S. adults, 1997-2003. Am J Prev Med. 2006;30(5):371–7.

    Article  PubMed  Google Scholar 

  38. Dunstan DW, Zimmet PZ, Welborn TA, et al. The rising prevalence of diabetes and impaired glucose tolerance: the Australian Diabetes, Obesity and Lifestyle Study. Diabetes Care. 2002;25(5):829–34.

    Article  PubMed  Google Scholar 

  39. Golozar A, Khademi H, Kamangar F, et al. Diabetes mellitus and its correlates in an Iranian adult population. PLoS ONE. 2011;6(10):e26725. doi:10.1371/journal.pone.0026725.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

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Acknowledgments

We gratefully acknowledge the governor of Guilan for the financial support for the study, the Research Vice-Chancellorship of Guilan University for reviewing the project, clinical research development center of Pour-Sina hospital, and especially the health staffs who participated in this study.

Conflict of interest

Authors have no any conflict of interest.

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Authors and Affiliations

  1. Department of Preventive and Community Medicine, Guilan University of Medical Sciences, Rasht, Iran

    Z. Mohtasham-Amiri

  2. Department of Cardiology, Heshmat Hospital, Guilan University of Medical Sciences, Rasht, Iran

    A. Barzigar

  3. Guilan University of Medical Sciences, Rasht, Iran

    H. Rahimi Kolamroudi, S. Hoseini, S. M. Rezvani & A. Jafari Shakib

  4. Department of Immunology, Guilan University of Medical Sciences, Rasht, Iran

    R. Jafari Shakib

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  1. Z. Mohtasham-Amiri
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  2. A. Barzigar
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  3. H. Rahimi Kolamroudi
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  4. S. Hoseini
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  5. S. M. Rezvani
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  6. R. Jafari Shakib
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Correspondence to Z. Mohtasham-Amiri.

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Mohtasham-Amiri, Z., Barzigar, A., Kolamroudi, H.R. et al. Prevalence, awareness and control of diabetes in urban area of north of Iran, 2009. Int J Diabetes Dev Ctries 35, 346–350 (2015). https://doi.org/10.1007/s13410-015-0305-4

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  • DOI: https://doi.org/10.1007/s13410-015-0305-4

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