Nationwide Prevalence of Diabetes and Prediabetes and Associated Risk Factors Among Iranian Adults: Analysis of Data from PERSIAN Cohort Study

被引：63

作者：

Khamseh, Mohammad E. ^{[1
]}

Sepanlou, Sadaf G. ^{[2
]}

Hashemi-Madani, Nahid ^{[1
]}

Joukar, Farahnaz ^{[3
]}

Mehrparvar, Amir Houshang ^{[4
]}

Faramarzi, Elnaz ^{[5
]}

Okati-Aliabad, Hassan ^{[6
]}

Rahimi, Zahra ^{[7
]}

Rezaianzadeh, Abbas ^{[8
]}

Homayounfar, Reza ^{[9
]}

Moradpour, Farhad ^{[10
]}

Valizadeh, Neda ^{[11
]}

Kheirandish, Masoumeh ^{[12
]}

Zaboli, Ehsan ^{[13
]}

Moslem, Alireza ^{[14
]}

Ahmadi, Ali ^{[15
,16
]}

Hamzeh, Behrooz ^{[17
]}

Harooni, Javad ^{[18
]}

Pourfarzi, Farhad ^{[19
]}

Abolghasemi, Mohammad Reza ^{[20
]}

Safarpour, Ali Reza ^{[21
]}

Aminisani, Nayyereh ^{[22
]}

Mohammadi, Zahra ^{[23
]}

Eghtesad, Sareh ^{[23
]}

Poustchi, Hossein ^{[23
]}

Malekzadeh, Reza ^{[24
]}

机构：

[1] Iran Univ Med Sci IUMS, Endocrine Res Ctr, Inst Endocrinol & Metab, Tehran, Iran

[2] Univ Tehran Med Sci, Digest Dis Res Ctr, Digest Dis Res Inst, Tehran, Iran

[3] Guilan Univ Med Sci, Gastrointestinal & Liver Dis Res Ctr, Rasht, Iran

[4] Shahid Sadoughi Univ Med Sci, Ind Dis Res Ctr, Yazd, Iran

[5] Tabriz Univ Med Sci, Liver & Gastrointestinal Dis Res Ctr, Tabriz, Iran

[6] Zahedan Univ Med Sci, Hlth Promot Res Ctr, Zahedan, Iran

[7] Ahvaz Jundishapur Univ Med Sci, Hearing Res Ctr, Sch Publ Hlth, Clin Sci Res Inst,Dept Biostat & Epidemiol, Ahvaz, Iran

[8] Shiraz Univ Med Sci, Colorectal Res Ctr, Shiraz, Iran

[9] Fasa Univ Med Sci, Noncommunicable Dis Res Ctr, Fasa, Iran

[10] Kurdistan Univ Med Sci, Social Determinants Hlth Res Ctr, Res Inst Hlth Dev, Sanandaj, Iran

[11] Urmia Univ Med Sci, Maternal & Child Obes Res Ctr, Orumiyeh, Iran

[12] Hormozgan Univ Med Sci, Endocrinol & Metab Res Ctr, Bandar Abbas, Iran

[13] Mazandaran Univ Med Sci, Gastrointestinal Canc Res Ctr, Noncommunicable Dis Inst, Sari, Iran

[14] Sabzevar Univ Med Sci, Noncommunicable Dis Res Ctr, Sabzevar, Iran

[15] Shahrekord Univ Med Sci, Modeling Hlth Res Ctr, Shahrekord, Iran

[16] Shahrekord Univ Med Sci, Sch Hlth, Epidemiol & Biostat Dept, Shahrekord, Iran

[17] Kermanshah Univ Med Sci, Res Ctr Environm Determinants Hlth RCEDH, Hlth Inst, Kermanshah, Iran

[18] Yasuj Univ Med Sci, Social Determinants Hlth Res Ctr, Yasuj, Iran

[19] Ardabil Univ Med Sci, Digest Dis Res Ctr, Ardebil, Iran

[20] Rafsanjan Univ Med Sci, Noncommunicable Res Ctr, Clin Forens Med & Toxicol Specialist, Rafsanjan, Iran

[21] Shiraz Univ Med Sci, Gastroenterohepatol Res Ctr, Shiraz, Iran

[22] Neyshabur Univ Med Sci, Hlth Ageing Res Ctr, Neyshabur, Iran

[23] Univ Tehran Med Sci, Liver & Pancreatobiliary Dis Res Ctr, Digest Dis Res Inst, Tehran, Iran

[24] Univ Tehran Med Sci, Shariati Hosp, Digest Oncol Res Ctr, Digest Dis Res Inst, N Karegar Ave, Tehran 1411713014, Iran

来源：

DIABETES THERAPY | 2021年 / 12卷 / 11期

关键词：

Diabetes; Glycemic control; Awareness; Ethnic background; Household wealth; Education; SOCIOECONOMIC-STATUS; ACTIVE SMOKING; HEALTH; MELLITUS; CARE; DISPARITY; EDUCATION; GLUCOSE; IMPACT;

D O I：

10.1007/s13300-021-01152-5

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Introduction Over the past decades prevalence of diabetes has increased in Iran and other countries. This study aimed to update the prevalence of diabetes and prediabetes in Iran and to determine associated sociodemographic risk factors, as well as diabetes awareness and control. Methods This is a nationally representative cross-sectional survey that included 163,770 Iranian adults aged 35-70 years, from different ethnic backgrounds, between 2014 and 2020. Diabetes was diagnosed at fasting blood sugar of >= 6.99 mmol/L (126 mg/dL), or receiving blood glucose-lowering treatment. Multivariable logistic regression was applied to detect determinants associated with prevalence of diabetes and prediabetes, as well as predictors of diabetes awareness and glycemic control. Results Sex- and age-standardized prevalence of diabetes and prediabetes was 15.0% (95% CI 12.6-17.3) and 25.4% (18.6-32.1), respectively. Among patients with diabetes, 79.6% (76.2-82.9) were aware of their diabetes. Glycemic control was achieved in 41.2% (37.5-44.8) of patients who received treatment. Older age, obesity, high waist to hip ratio (WHR), and specific ethnic background were associated with a significant risk of diabetes and prediabetes. Higher awareness of diabetes was observed in older patients, married individuals, those with high WHR, and individuals with high wealth score. Moreover, glycemic control was significantly better in women, obese individuals, those with high physical activity, educational attainment, and specific ethnic background. Conclusions The prevalence of diabetes and prediabetes is increasing at an alarming rate in Iranian adults. High proportion of uncontrolled patients require particular initiatives to be integrated in the health care system.

引用

页码：2921 / 2938

页数：18

共 53 条

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