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Prevalence and associated risk factors of undiagnosed diabetes among adult Moroccan Sahraoui women

Published online by Cambridge University Press:  02 January 2007

Mohamed Rguibi
Affiliation:
Training and Research Unit on Food Sciences, Laboratory of Physiology Applied to Nutrition and Feeding, Chouaib Doukkali University, Faculty of Sciences, El Jadida 24000, Morocco
Rekia Belahsen*
Affiliation:
Training and Research Unit on Food Sciences, Laboratory of Physiology Applied to Nutrition and Feeding, Chouaib Doukkali University, Faculty of Sciences, El Jadida 24000, Morocco
*
*Corresponding author: Email [email protected] or [email protected]
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Abstract

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Objective

The goal of the present work was to examine the prevalence and associated risk factors of undiagnosed diabetes among urban Moroccan Sahraoui women.

Design and setting

Randomised sample of adult women living in the city of Laayoune in south Morocco who visited public health centres during an immunisation campaign. Body weight, height, waist and hip circumferences, blood pressure, fasting plasma glucose (FPG), triglycerides, dietary intake and physical activity were collected.

Subjects

Data were obtained on 249 urban women aged 15 years and older, who were not pregnant. Only subjects identified as of Sahraoui origin were eligible for this investigation.

Results

The prevalence of impaired fasting glucose (IFG) was 5.5% and that of undiagnosed diabetes 6.4%. Diabetes and IFG were more common among older and obese women as well as among women with hypertension or a family history of diabetes. In addition, sucrose intakes were higher in women with diabetes than in those with normal FPG. Also, physical activity estimated as the time spent in walking was negatively associated with FPG. Regression analyses showed an independent association of age, obesity, family history of diabetes and triglycerides with diabetes.

Conclusion

The high proportion of unknown diabetes suggests the need for increased diabetes awareness in this population. The data suggest also the involvement of obesity in diabetes and the potential importance of intervention strategies to reduce population adiposity for the prevention and management of cardiovascular risk factors.

Type
Research Article
Copyright
Copyright © The Authors 2006

References

1King, H, Aubert, RE, Herman, WH. Global burden of diabetes 1995–2025. Prevalence, numerical estimates, and projections. Diabetes Care 1998; 21(9): 1414–31.CrossRefGoogle ScholarPubMed
2Alwan, A, King, H. Diabetes in the Eastern Mediterranean (Middle East) region: the World Health Organization responds to a major public health challenge. Diabetic Medicine 1995; 12(12): 1057–8.CrossRefGoogle ScholarPubMed
3Benjelloun, S. Nutrition transition in Morocco. Public Health Nutrition 2002; 5(1A): 135–40.CrossRefGoogle ScholarPubMed
4Tazi, MA, Abir-Khalil, S, Chaouki, N, Cherqaoui, S, Lahmouz, F, Srairi, JE, et al. Prevalence of the main cardiovascular risk factors in Morocco: results of a national survey, 2000. Journal of Hypertension 2003; 21(5): 897903.CrossRefGoogle ScholarPubMed
5Haffner, SM, Agostino, RD Jr, Jr Saad, MF, O'Leary, DH, Savage, PJ, Rewers, M, et al. Carotid artery atherosclerosis in type-2 diabetic and nondiabetic subjects with and without symptomatic coronary artery disease (The Insulin Resistance Atherosclerosis Study). American Journal of Cardiology 2000; 85(12): 1395–400.CrossRefGoogle ScholarPubMed
6Schuster, DP, Duvuuri, V. Diabetes mellitus. Clinics in Pediatric Medicine and Surgery 2002; 19(1): 79107.CrossRefGoogle ScholarPubMed
7Harris, MI. Undiagnosed NIDDM: clinical and public health issues. Diabetes Care 1993; 16(4): 642–52.CrossRefGoogle ScholarPubMed
8Harris, MI, Eastman, RC. Early detection of undiagnosed non-insulin dependent diabetes mellitus. Journal of the American Medical Association 1996; 276(15): 1261–2.CrossRefGoogle ScholarPubMed
9Colagiuri, S, Colagiuri, R, Na'Ati, S, Muimuiheata, S, Hussain, Z, Palu, T. The prevalence of diabetes in the Kingdom of Tonga. Diabetes Care 2002; 25(8): 1378–83.CrossRefGoogle ScholarPubMed
10Popkin, BM. Nutrition in transition: the changing global nutrition challenge. Asia Pacific Journal of Clinical Nutrition 2001; 10(Suppl.): S13–8.CrossRefGoogle ScholarPubMed
11Krosnick, A. The diabetes and obesity epidemic among the Pima Indians. New Jersey Medicine 2000; 97(8): 31–7.Google ScholarPubMed
12Abu-Saad, K, Weitzman, S, Abu-Rabiah, Y, Abu-Shareb, F. Rapid lifestyle, diet and health changes among urban Bedouin Arabs of southern Israel. FAO: Food, Nutrition and Agriculture 2001; 28: 4554.Google Scholar
13 Délégation régionale de statistique. Laayoune Report 2003. Rabat, Morocco: Ministry of Socio-economic Affairs, 2003Google Scholar
14Rguibi, M, Belahsen, R. Overweight and obesity among urban Sahraoui women of south morocco. Ethnicity & Disease 2004; 14(4): 542–7.Google ScholarPubMed
15World Health Organization (WHO). The Use and Interpretation of Anthropometry. Geneva: WHO, 1995.Google Scholar
16National Heart, Lung, and Blood Institute, National Institutes of Health (NIH). Practical Guide to the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults. NIH Publication No. 00-4084. Bethesda, MD; NIH, 2000.Google Scholar
17Executive summary of the Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Journal of the American Medical Association 2001; 285(19): 2486–97.CrossRefGoogle Scholar
18The Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Diabetes Care 1997; 20(7): 1183–97.CrossRefGoogle Scholar
19Betteridge, DJ. The current management of diabetic dyslipidaemia. Acta Diabetologica 2001; 38(1): S15–9.CrossRefGoogle ScholarPubMed
20Goldberg, RB. Hyperlipidemia and cardiovascular risk factors in patients with type 2 diabetes. American Journal of Managed Care 2000; 6(13): S682–91.Google ScholarPubMed
21American Diabetes Association. Hypertension management in adults with diabetes. Diabetes Care 2004; 27(1): S65–7.CrossRefGoogle Scholar
22LaRosa, JC. Triglycerides and coronary risk in women and the elderly. Archives of Internal Medicine 1997; 157(9): 961–8.CrossRefGoogle ScholarPubMed
23El-Atat, F, McFarlane, SI, Sowers, JR. Diabetes, hypertension, and cardiovascular derangements: pathophysiology and management. Current Hypertension Reports 2004; 6(3): 215–23.CrossRefGoogle ScholarPubMed
24Gokcel, A, Ozsahin, AK, Sezgin, N, Karakose, H, Ertorer, ME, Akbaba, M, et al. High prevalence of diabetes in Adana, a southern province of Turkey. Diabetes Care 2003; 26(11): 3031–4.CrossRefGoogle Scholar
25Harris, MI. Epidemiological correlates of NIDDM in Hispanics, whites, and blacks in the US population. Diabetes Care 1991; 14(7): 639–48.CrossRefGoogle Scholar
26Carey, VJ, Walters, EE, Colditz, GA, Solomon, CG, Willett, WC, Rosner, BA, et al. Body fat distribution and risk of non-insulin-dependent diabetes mellitus in women: the Nurses' Health Study. American Journal of Epidemiology 1997; 145(7): 614–9.CrossRefGoogle ScholarPubMed
27Wei, M, Gaskill, SP, Haffner, SM, Stern, MP. Waist circumference as the best predictor of noninsulin dependent diabetes mellitus (NIDDM) compared to body mass index, waist/hip ratio and other anthropometric measurements in Mexican Americans – a 7-year prospective study. Obesity Research 1997; 5(1): 1623.CrossRefGoogle ScholarPubMed
28Boyko, EJ, Fujimoto, WY, Leonetti, Dl, Newell-Morris, L. Visceral adiposity and risk of type 2 diabetes. A prospective study among Japanese Americans. Diabetes Care 2000; 23(4): 465–71.CrossRefGoogle ScholarPubMed
29Mokdad, AH, Bowman, BA, Ford, ES, Vinicor, F, Marks, JS, Koplan, JP. The continuing epidemics of obesity and diabetes in the United States. Journal of the American Medical Association 2001; 286(10): 1195–200.CrossRefGoogle ScholarPubMed
30Eschwege, E. The dysmetabolic syndrome, insulin resistance and increased cardiovascular (CV) morbidity and mortality in type 2 diabetes: aetiological factors in the development of CV complications. Diabetes and Metabolism 2003; 29(6); S19–27.CrossRefGoogle ScholarPubMed
31Arauz-Pacheco, C, Parrott, MA, Raskin, P. The treatment of hypertension in adult patients with diabetes (technical review). Diabetes Care 2002; 25(1): 134–47.CrossRefGoogle Scholar
32Food and Agriculture Organization (FAO)/World Health Organization (WHO). Carbohydrates in Human Nutrition. Report of a Joint FAO/WHO Expert Consultation, Rome, 14–18 April 1997. FAO Food and Nutrition Paper No. 66. Rome: FAO, 1998.Google Scholar
33Willett, W, Manson, J, Liu, S. Glycemic index, glycemic load, and risk of type 2 diabetes. American Journal of Clinical Nutrition 2002; 76(1): 274S–80.S.CrossRefGoogle ScholarPubMed
34Liu, S, Willett, WC, Stampfer, MJ, Hu, FB, Franz, M, Sampson, L, et al. A prospective study of dietary glycemic load, carbohydrate intake, and risk of coronary heart disease in US women. American Journal of Clinical Nutrition 2000; 71(6): 1455–61.CrossRefGoogle ScholarPubMed
35Eriksson, KF, Lindgarde, F. Prevention of type 2 (non-insulin-dependent) diabetes mellitus by diet and physical exercise: the 6-year Malmo feasibility study. Diabetologia 1991; 34(12): 891–8.CrossRefGoogle ScholarPubMed
36Pan, XR, Li, GW, Hu, YH, Wang, JX, Yang, WY, An, ZX, et al. Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance: the Da Qing IGT and Diabetes Study. Diabetes Care 1997; 20(4): 537–44.CrossRefGoogle Scholar
37Tuomilehto, J, Lindstrom, J, Eriksson, JG, Valle, TT, Hamalainen, H, Ilanne-Parikka, P, et al. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. New England Journal of Medicine 2001; 344(18): 1343–50.CrossRefGoogle ScholarPubMed
38O'Dea, K. Marked improvement in carbohydrate and lipid metabolism in diabetic Australian aborigines after temporary reversion to traditional lifestyle. Diabetes 1980; 33(6): 596603.CrossRefGoogle Scholar