Epidemiology of diabetes mellitus, pre-diabetes, undiagnosed and uncontrolled diabetes and its predictors in general population aged 15 to 75 years: A community-based study (KERCADRS) in southeastern Iran

Epidemiology of diabetes mellitus, pre-diabetes, undiagnosed and uncontrolled diabetes and its predictors in general population aged 15 to 75 years: A community-based study (KERCADRS) in southeastern Iran


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نویسندگان: علی اکبر حق دوست , میترا شادکام فرخی , حمید نجفی پور , مژگان سنجری , مصطفی شکوهی , مهدی افشاری , علی میرزازاده

کلمات کلیدی: Diabetes mellitus,Diabetes treatment,HbA1c,Iran,Pre-diabetes,Uncontrolled diabetes,Undiagnosed diabetes

نشریه: 19937 , 5 , 7 , 2015

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کد مقاله 95000548
عنوان فارسی مقاله Epidemiology of diabetes mellitus, pre-diabetes, undiagnosed and uncontrolled diabetes and its predictors in general population aged 15 to 75 years: A community-based study (KERCADRS) in southeastern Iran
عنوان لاتین مقاله Epidemiology of diabetes mellitus, pre-diabetes, undiagnosed and uncontrolled diabetes and its predictors in general population aged 15 to 75 years: A community-based study (KERCADRS) in southeastern Iran
ناشر John Wiley and Sons Inc. P.O.Box 18667 Newark NJ 07191-8667
آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ بلی
عنوان نشریه (خارج از لیست فوق) Journal of Diabetes
نوع مقاله Original Article
نحوه ایندکس شدن مقاله ISI - Web of Science – JCR
آدرس لینک مقاله/ همایش در شبکه اینترنت https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84938517369&origin=inward

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Background The goal of this research was to measure the age‐sex standardized prevalence of pre‐diabetes (pre‐DM) and diabetes (DM), and the effectiveness of diabetes management (using HbA1C as the indicator) in an urban area in Iran. Methods Using a randomized cluster household survey, we recruited 5900 individuals whose age ranged from 15 to 75 from Kerman for assessing coronary artery disease risk factors (KERCADRS) including diabetes. In 2010 and 2011, all of the participants were interviewed by trained staff for medical history and physical activities, and were then examined for blood pressure and anthropometric measures. Venus blood sample was also collected for fasting plasma glucose and HbA1c. Results The age‐sex standardized prevalence of pre‐diabetes, diagnosed and undiagnosed was 18.7%, 6.3% and 2.7%, respectively. Diabetes increased by age (from 14.7% in the 15–24 years old group to 28.4% in the 65–75 years old group), particularly after 40 years. Occasional opium users had the highest prevalence of Pre‐DM (34.6%). Seventy‐nine percent of the depressed and 75.5% of the anxious participants with diagnosed‐DM were identified as uncontrolled‐DM. More than 60% of diagnosed diabetic cases had impaired HbA1c. Overweight and obesity (adjusted odds ratio (AOR) 1.6) and low physical activity (AOR 1.5) were the most preventable risk factors associated with diabetes. Conclusion Considerable prevalence of diabetes, susceptibility in progressing to diabetes and uncontrolled diabetes among individuals living in Kerman, suggested ineffective prevention and treatment of diabetes in urban areas in Iran. Successful experience regarding primary health‐care in rural areas should be expanded to urban settings.

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نویسنده نفر چندم مقاله
علی اکبر حق دوستچهارم
میترا شادکام فرخیششم
حمید نجفی پوراول
مژگان سنجریدوم
مصطفی شکوهیسوم
مهدی افشاری پنجم
علی میرزازادههشتم

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