Prevalence and reasons of increased type 2 diabetes in Gulf Cooperation Council Countries

Aljulifi, Mohammed Zaid

doi:10.15537/smj.2021.42.5.20200676

Cited by 67 publications

(55 citation statements)

References 70 publications

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“…Having a BMI≥ 25 has been associated with an increased risk of prediabetes and diabetes in many studies in the region. [39][40][41][42][43] We do not have any studies set in Yemen showing the prevalence of obesity among the general population, but among patients with diabetes, it is lower than that of neighboring countries in the gulf. 44 In 2 previous studies in Yemen, with the first done in 2014, the results showed the prevalence of patients with type 2 DM with a BMI≥ 25 to be 58.3% with 28.8% being obese.…”

Section: Discussionmentioning

confidence: 95%

Family History, Consanguinity and Other Risk Factors Affecting the Prevalence of Prediabetes and Undiagnosed Diabetes Mellitus in Overweight and Obese Yemeni Adults

Al-Sharafi¹,

Qais²,

Salem³

et al. 2021

DMSO

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Objective: Overweight and obese adults are at high risk for developing prediabetes and diabetes. The aim of this study was to measure the prevalence of prediabetes (pre-DM) and diabetes (DM) among Yemeni adults who were overweight or obese and had first-degree relatives with DM, consanguinity and other risk factors. Patients and Methods: This cross-sectional study included 612 adults, all with a BMI≥25 kg/ m 2 . BMI, blood pressure (BP) and waist circumference (WC) were measured in the clinic. Fasting blood glucose (FBG) was collected for all subjects. The patients either had first-degree relatives with diabetes or not, and the subjects answered a questionnaire regarding the consanguinity of their parents, exercise, khat chewing, smoking, and eating vegetables and fruits daily. Results: Of the 612 study participants (32% males and 68% females) aged 20-70 years old, 429 (70.1%) had a family history (FM) of DM ± consanguinity of parents, and 183 (29.9%) had no FM of diabetes. Multivariate analysis showed significant risk in those with class III obesity for pre-DM (AOR 3.10 95% CI 1.56-6.18 p value 0.001) and DM (AOR 3.35 95% CI 1.47-7.65 p value 0.004) and those who had siblings with DM had a risk for pre-DM (AOR 1.72 95% CI 1.09-2.71 p value 0.02) and DM (AOR 2.24 95% CI 1.25-4.0 p value 0.007). Khat chewing increased the risk for pre-DM (AOR 1.61 95% CI 1.04-2.48 p value 0.032) and for DM (AOR 2.09 95% CI 1.14-3.82 p value 0.017). Having consanguineous parents plus siblings with DM were associated with a higher risk of DM (p value 0.031). Conclusion:There is a high prevalence of pre-DM and undiagnosed DM among overweight and obese Yemeni individuals. Class III obesity, having siblings with DM, chewing khat, and having consanguineous parents plus siblings with DM all increased the risk. This group should be screened at an early age for early detection of pre-DM and DM.

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Section: Discussionmentioning

confidence: 95%

Family History, Consanguinity and Other Risk Factors Affecting the Prevalence of Prediabetes and Undiagnosed Diabetes Mellitus in Overweight and Obese Yemeni Adults

Al-Sharafi¹,

Qais²,

Salem³

et al. 2021

DMSO

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“…To the Editor I read with interest the article by Dr. Mohammed Aljulifi 1 in which he reviewed the prevalence and risk factors of type 2 diabetes mellitus (T2DM) in Gulf Cooperation Council (GCC) countries. The author should be commended for identifying these risk factors, as T2DM prevention is an important and timely topic.…”

Section: Tobacco Smoking and Type 2 Diabetes Mellitus In Gulf Cooperation Council Countriesmentioning

confidence: 99%

“…2,19 Also, smoking plays a role in development of microvascular and macrovascular complications of diabetes. 1,19 Regarding pregnancy, smoking might be a risk factor for gestational diabetes. 2,20 In conclusion, the prevalence of smoking and T2DM are high in Arab Gulf Cooperation Council (GCC) area and the effect of smoking on diabetes prevalence need to be assessed in these communities.…”

Section: Reply From the Authormentioning

confidence: 99%

Tobacco smoking and type 2 diabetes mellitus in Gulf Cooperation Council Countries

Al‐Zalabani

Aljulifi

2021

SMJ

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“…Obesity has become widespread in the world and has attracted attention not only for being a cause of diabetes mellitus (DM) [1] , hypertension and atherosclerotic diseases [2] , but also as a factor in carcinogenesis [3] and for being associated with increased risk of mortality [4,5] . Moreover, overweight (OV) and obesity (Ob) present health risks for pregnant women and their children [6] .…”

Section: Introductionmentioning

confidence: 99%

Preconception Lifestyle Intervention could Reduce the Incidence of Recurrent or New GDM: An Interventional Body Mass Index-Based Study

Sakr

2021

Evidence Based Women's Health Journal

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Aim: Evaluation of effects of 4-m preconception lifestyle intervention (LSI) on preconception body mass index (BMI), insulin resistance (IR) and glucose homeostasis and on the frequency and severity of gestational diabetes mellitus (GDM) during the oncoming pregnancy in women had (Group A)/not (Group B) GDM during previous pregnancy. Patients and Methods: 498 women; 147 in group A and 351 in group B completed the applied LSI consisted of high-fiber and low-calorie diet with mild-moderate aerobic exercise for at least 4-m pre-pregnancy. Pre-LSI (T1) and Post-LSI (T2) evaluations included determination of body mass index (BMI) and determination of variables of glucose homeostasis. Study outcomes included the effect of the applied LSI on the incidence of newly developed or recurrent IR and of GDM, the success rate of the applied LSI as defined as the T2-number of new Av women in comparison to their T1-number. Results:The success rate of the applied LSI was 19.3% and 10.5% among women of groups A and B, respectively for a total success rate of 12.8%. Mean T2-BMI of all LSI participants was significantly decreased in comparison to their T1-BMI with significantly higher median value of change in both groups. Moreover, all the glucose homeostasis variables were significantly reduced. During pregnancy all variables of glucose homeostasis were significantly elevated in comparison to T2-levels. However, the total incidence of new IR and GDM was significantly (p=0.011 & <0.0001, respectively) higher in women of group A than women of group B, irrespective of BMI. Conclusion: 4-m preconception LSI could decrease the frequency and severity of new or recurrent GDM mostly through reduction of BMI and minimization of its associated metabolic and hormonal disturbances.

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Prevalence and reasons of increased type 2 diabetes in Gulf Cooperation Council Countries

Cited by 67 publications

References 70 publications

Family History, Consanguinity and Other Risk Factors Affecting the Prevalence of Prediabetes and Undiagnosed Diabetes Mellitus in Overweight and Obese Yemeni Adults

Family History, Consanguinity and Other Risk Factors Affecting the Prevalence of Prediabetes and Undiagnosed Diabetes Mellitus in Overweight and Obese Yemeni Adults

Tobacco smoking and type 2 diabetes mellitus in Gulf Cooperation Council Countries

Preconception Lifestyle Intervention could Reduce the Incidence of Recurrent or New GDM: An Interventional Body Mass Index-Based Study

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