Diabetes mellitus and its correlates in an Iranian adult population.

The rising epidemic of diabetes imposes a substantial economic burden on the Middle East. Using baseline data from a population based cohort study, we aimed to identify the correlates of diabetes mellitus (DM) in a mainly rural population from Iran. Between 2004 and 2007, 50044 adults between 30 and...

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Autores principales: Asieh Golozar, Hooman Khademi, Farin Kamangar, Hossein Poutschi, Farhad Islami, Christian C Abnet, Neal D Freedman, Philip R Taylor, Paul Pharoah, Paolo Boffetta, Paul J Brennan, Sanford M Dawsey, Reza Malekzadeh, Arash Etemadi
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Publicado: Public Library of Science (PLoS) 2011
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Acceso en línea:https://doaj.org/article/cb071aff7e65441a93d39bca3a6c6279
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spelling oai:doaj.org-article:cb071aff7e65441a93d39bca3a6c62792021-11-18T07:35:26ZDiabetes mellitus and its correlates in an Iranian adult population.1932-620310.1371/journal.pone.0026725https://doaj.org/article/cb071aff7e65441a93d39bca3a6c62792011-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22053206/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203The rising epidemic of diabetes imposes a substantial economic burden on the Middle East. Using baseline data from a population based cohort study, we aimed to identify the correlates of diabetes mellitus (DM) in a mainly rural population from Iran. Between 2004 and 2007, 50044 adults between 30 and 87 years old from Golestan Province located in Northeast Iran were enrolled in the Golestan Cohort Study. Demographic and health-related information was collected using questionnaires. Individuals' body sizes at ages 15 and 30 were assessed by validated pictograms ranging from 1 (very lean) to 7 in men and 9 in women. DM diagnosis was based on the self-report of a physician's diagnosis. The accuracy of self-reported DM was evaluated in a subcohort of 3811 individuals using fasting plasma glucose level and medical records. Poisson regression with robust variance estimator was used to estimate prevalence ratios (PR's). The prevalence of self-reported DM standardized to the national and world population was 5.7% and 6.2%, respectively. Self-reported DM had 61.5% sensitivity and 97.6% specificity. Socioeconomic status was inversely associated with DM prevalence. Green tea and opium consumption increased the prevalence of DM. Obesity at all ages and extreme leanness in childhood increased diabetes prevalence. Being obese throughout life doubled DM prevalence in women (PR: 2.1; 95% CI: 1.8, 2.4). These findings emphasize the importance of improving DM awareness, improving general living conditions, and early lifestyle modifications in diabetes prevention.Asieh GolozarHooman KhademiFarin KamangarHossein PoutschiFarhad IslamiChristian C AbnetNeal D FreedmanPhilip R TaylorPaul PharoahPaolo BoffettaPaul J BrennanSanford M DawseyReza MalekzadehArash EtemadiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 6, Iss 10, p e26725 (2011)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Asieh Golozar
Hooman Khademi
Farin Kamangar
Hossein Poutschi
Farhad Islami
Christian C Abnet
Neal D Freedman
Philip R Taylor
Paul Pharoah
Paolo Boffetta
Paul J Brennan
Sanford M Dawsey
Reza Malekzadeh
Arash Etemadi
Diabetes mellitus and its correlates in an Iranian adult population.
description The rising epidemic of diabetes imposes a substantial economic burden on the Middle East. Using baseline data from a population based cohort study, we aimed to identify the correlates of diabetes mellitus (DM) in a mainly rural population from Iran. Between 2004 and 2007, 50044 adults between 30 and 87 years old from Golestan Province located in Northeast Iran were enrolled in the Golestan Cohort Study. Demographic and health-related information was collected using questionnaires. Individuals' body sizes at ages 15 and 30 were assessed by validated pictograms ranging from 1 (very lean) to 7 in men and 9 in women. DM diagnosis was based on the self-report of a physician's diagnosis. The accuracy of self-reported DM was evaluated in a subcohort of 3811 individuals using fasting plasma glucose level and medical records. Poisson regression with robust variance estimator was used to estimate prevalence ratios (PR's). The prevalence of self-reported DM standardized to the national and world population was 5.7% and 6.2%, respectively. Self-reported DM had 61.5% sensitivity and 97.6% specificity. Socioeconomic status was inversely associated with DM prevalence. Green tea and opium consumption increased the prevalence of DM. Obesity at all ages and extreme leanness in childhood increased diabetes prevalence. Being obese throughout life doubled DM prevalence in women (PR: 2.1; 95% CI: 1.8, 2.4). These findings emphasize the importance of improving DM awareness, improving general living conditions, and early lifestyle modifications in diabetes prevention.
format article
author Asieh Golozar
Hooman Khademi
Farin Kamangar
Hossein Poutschi
Farhad Islami
Christian C Abnet
Neal D Freedman
Philip R Taylor
Paul Pharoah
Paolo Boffetta
Paul J Brennan
Sanford M Dawsey
Reza Malekzadeh
Arash Etemadi
author_facet Asieh Golozar
Hooman Khademi
Farin Kamangar
Hossein Poutschi
Farhad Islami
Christian C Abnet
Neal D Freedman
Philip R Taylor
Paul Pharoah
Paolo Boffetta
Paul J Brennan
Sanford M Dawsey
Reza Malekzadeh
Arash Etemadi
author_sort Asieh Golozar
title Diabetes mellitus and its correlates in an Iranian adult population.
title_short Diabetes mellitus and its correlates in an Iranian adult population.
title_full Diabetes mellitus and its correlates in an Iranian adult population.
title_fullStr Diabetes mellitus and its correlates in an Iranian adult population.
title_full_unstemmed Diabetes mellitus and its correlates in an Iranian adult population.
title_sort diabetes mellitus and its correlates in an iranian adult population.
publisher Public Library of Science (PLoS)
publishDate 2011
url https://doaj.org/article/cb071aff7e65441a93d39bca3a6c6279
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