Type 2 diabetes mellitus;
Middle East and North Africa;
Epidemiology;
CARDIOVASCULAR RISK-FACTORS;
IMPAIRED GLUCOSE-TOLERANCE;
BODY-MASS INDEX;
SAUDI-ARABIA;
HIGH PREVALENCE;
PRIMARY-CARE;
NONCOMMUNICABLE DISEASES;
CENTRAL OBESITY;
HEALTH-CARE;
PERIPHERAL NEUROPATHY;
D O I:
10.1016/j.diabres.2013.03.010
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Aims: Even though the Middle East and North Africa (MENA) region had the highest comparative prevalence of diabetes in 2012, little is known about the nuances of diabetes risk and capacity to address the burdens. To provide a comprehensive overview, we reviewed the literature on diabetes in the MENA region. Methods: We conducted a systematic search in PubMed between January 1990 and January 2012 for studies on diabetes in the MENA region without language restriction. Results: There was a paucity of country-specific epidemiology data in the region. Diabetes prevalence varied widely across studies, from 2.5% in 1982 to 31.6% in 2011. Older age and higher body mass index were the most strongly associated risk factors for diabetes. Among people with diabetes, over half did not meet recommended care targets. In addition, macrovascular and microvascular complications were observed in 9-12% and 15-54% of diabetes population, respectively. Conclusions: This review suggests a need for more representative surveillance data in this noteworthy focal point of the global diabetes epidemic. Such actions will not only help to understand the actual burden of diabetes but also motivate actions on design and implementation of diabetes prevention and control programs. (C) 2013 Elsevier Ireland Ltd. All rights reserved.
机构:
Univ London Imperial Coll Sci Technol & Med, Dept Primary Care & Publ Hlth, London SW7 2AZ, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Primary Care & Publ Hlth, London SW7 2AZ, England
Majeed, Azeem
El-Sayed, Adel A.
论文数: 0引用数: 0
h-index: 0
机构:
Sohag Univ, Sohag Fac Med, Sohag, EgyptUniv London Imperial Coll Sci Technol & Med, Dept Primary Care & Publ Hlth, London SW7 2AZ, England
El-Sayed, Adel A.
Khoja, Tawfik
论文数: 0引用数: 0
h-index: 0
机构:
Hlth Ministers Council Cooperat Council States, Execut Board, Riyadh, Saudi ArabiaUniv London Imperial Coll Sci Technol & Med, Dept Primary Care & Publ Hlth, London SW7 2AZ, England
Khoja, Tawfik
Alshamsan, Riyadh
论文数: 0引用数: 0
h-index: 0
机构:
King Saud bin Abdulaziz Univ Hlth Sci, Riyadh, Saudi ArabiaUniv London Imperial Coll Sci Technol & Med, Dept Primary Care & Publ Hlth, London SW7 2AZ, England
Alshamsan, Riyadh
Millett, Christopher
论文数: 0引用数: 0
h-index: 0
机构:
Univ London Imperial Coll Sci Technol & Med, Dept Primary Care & Publ Hlth, London SW7 2AZ, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Primary Care & Publ Hlth, London SW7 2AZ, England
Millett, Christopher
Rawaf, Salman
论文数: 0引用数: 0
h-index: 0
机构:
Univ London Imperial Coll Sci Technol & Med, Dept Primary Care & Publ Hlth, London SW7 2AZ, England
Univ London Imperial Coll Sci Technol & Med, WHO Collaborating Ctr Publ Hlth Educ & Training, London SW7 2AZ, EnglandUniv London Imperial Coll Sci Technol & Med, Dept Primary Care & Publ Hlth, London SW7 2AZ, England