Journal article
The prevalence of pre-diabetes and diabetes in the Kuwaiti adult population in 2014
Diabetes research and clinical practice, Vol.144, pp.213-223
01 Oct 2018
PMID: 30179683
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Kuwait ranks among the top 20 countries worldwide in diabetes prevalence. This study’s objectives were to assess the prevalence of pre-diabetes and diabetes in Kuwaiti adults.
Kuwaiti citizens aged 18–69 years (n = 3915) were studied using the WHO’s STEPwise survey methodology, including its Instrument for Chronic Disease Risk Factor Surveillance. Participants’ demographics, medical history, physical measurements and blood biochemistry were assessed. A subset of 2561 individuals completed all three survey steps, including fasting plasma glucose (FPG) and HbA1c assays. The study assessed the prevalence of pre-diabetes (FPG 6.1–6.9 mmol/L or HbA1c level 5.7–6.4%) and diabetes (self-reported history of diabetes with prescription of diabetes medications or FPG ≥ 7 mmol/L or HbA1c level ≥6.5%).
The prevalence of pre-diabetes was 19.4% [95% CI: 17.9–21.0%] (By sex: Men, 19.3%; Women, 19.5%; p = 0.92; By age (years): 18–29 y, 13.9%; 30–44 y, 22.6%; 45–59 y, 25.8%; 60–69 y, 16.4%; p < 0.001). The prevalence of diabetes was 18.8% [17.3–20.4%] (By sex: Men, 20.4%; Women, 17.4%; p = 0.055; By age: 18–29 y, 6.6%; 30–44 y, 14.0%; 45–59 y, 36.7%; 60–69 y, 62.8%; p < 0.001), of whom 41.5% were previously undiagnosed. Diabetes prevalence was 27.4% among those with body mass index (BMI) ≥ 30 kg/m2, 29% among those with elevated waist-hip ratio and 36% among those with hypertension. Diabetes was positively associated with BMI, waist-hip ratio and blood pressure level. Pre-diabetes was positively associated with BMI and waist-hip ratio, but not blood pressure level.
Almost 40% of Kuwaiti citizens had pre-diabetes or diabetes. Urgent public health action is needed to decrease diabetes prevalence and thus avoid associated morbidity and mortality.
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Details
- Title
- The prevalence of pre-diabetes and diabetes in the Kuwaiti adult population in 2014
- Creators
- Abdullah Alkandari - Dasman Diabetes InstituteJoseph C. Longenecker - Kuwait UniversityNoël C. Barengo - Florida International UniversityAhmad Alkhatib - Dasman Diabetes InstituteElisabete Weiderpass - Folkhälsans ForskningscentrumRihab Al-Wotayan - Ministry of HealthQais Al Duwairi - Dasman Diabetes InstituteJaakko Tuomilehto - Dasman Diabetes Institute
- Publication Details
- Diabetes research and clinical practice, Vol.144, pp.213-223
- Publisher
- Elsevier B.V
- Number of pages
- 11
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000447746400024
- Scopus ID
- 2-s2.0-85053378509
- Other Identifier
- 991022052308104721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Endocrinology & Metabolism