The prevalence of pre-diabetes and diabetes in the Kuwaiti adult population in 2014

Abdullah Alkandari, J. Craig Longenecker, Noël C. Barengo, Ahmad Alkhatib, Elisabete Weiderpass, Rihab Al-Wotayan, Qais Al Duwairi, Jaakko Tuomilehto

Research output: Contribution to journalArticle

Abstract

Background: 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. Methods: 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%). Results: 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. Conclusions: 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.

Original languageEnglish (US)
Pages (from-to)213-223
Number of pages11
JournalDiabetes Research and Clinical Practice
Volume144
DOIs
StatePublished - Oct 1 2018
Externally publishedYes

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Waist-Hip Ratio
Population
Fasting
Body Mass Index
Glucose
Blood Pressure
Kuwait
Biochemistry
Prescriptions
Chronic Disease
Public Health
Cross-Sectional Studies
Demography
Hypertension
Morbidity
Mortality
Surveys and Questionnaires

Keywords

  • Adult
  • Arab
  • Pre-diabetes
  • Prevalence
  • Public health epidemiology

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

Cite this

The prevalence of pre-diabetes and diabetes in the Kuwaiti adult population in 2014. / Alkandari, Abdullah; Longenecker, J. Craig; Barengo, Noël C.; Alkhatib, Ahmad; Weiderpass, Elisabete; Al-Wotayan, Rihab; Al Duwairi, Qais; Tuomilehto, Jaakko.

In: Diabetes Research and Clinical Practice, Vol. 144, 01.10.2018, p. 213-223.

Research output: Contribution to journalArticle

Alkandari, A, Longenecker, JC, Barengo, NC, Alkhatib, A, Weiderpass, E, Al-Wotayan, R, Al Duwairi, Q & Tuomilehto, J 2018, 'The prevalence of pre-diabetes and diabetes in the Kuwaiti adult population in 2014', Diabetes Research and Clinical Practice, vol. 144, pp. 213-223. https://doi.org/10.1016/j.diabres.2018.08.016
Alkandari, Abdullah ; Longenecker, J. Craig ; Barengo, Noël C. ; Alkhatib, Ahmad ; Weiderpass, Elisabete ; Al-Wotayan, Rihab ; Al Duwairi, Qais ; Tuomilehto, Jaakko. / The prevalence of pre-diabetes and diabetes in the Kuwaiti adult population in 2014. In: Diabetes Research and Clinical Practice. 2018 ; Vol. 144. pp. 213-223.
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abstract = "Background: 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. Methods: 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{\%}). Results: 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. Conclusions: 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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T1 - The prevalence of pre-diabetes and diabetes in the Kuwaiti adult population in 2014

AU - Alkandari, Abdullah

AU - Longenecker, J. Craig

AU - Barengo, Noël C.

AU - Alkhatib, Ahmad

AU - Weiderpass, Elisabete

AU - Al-Wotayan, Rihab

AU - Al Duwairi, Qais

AU - Tuomilehto, Jaakko

PY - 2018/10/1

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N2 - Background: 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. Methods: 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%). Results: 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. Conclusions: 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.

AB - Background: 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. Methods: 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%). Results: 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. Conclusions: 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.

KW - Adult

KW - Arab

KW - Pre-diabetes

KW - Prevalence

KW - Public health epidemiology

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