Prevalence and risk factors of diabetes in a large community-based study in the Sultanate of Oman: STEPS survey 2017
Abstract Background Type 2 diabetes in the Gulf Cooperation Council countries, including Oman, is currently the fastest growing health crisis and is a significant cause of premature mortality and disability. There is currently insufficient up-to-date information available on prevalence of type 2 dia...
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doaj-d932d6e6a67b4a74959c36ff0bce729e2021-03-11T11:49:30ZengBMCBMC Endocrine Disorders1472-68232021-03-0121111110.1186/s12902-020-00655-9Prevalence and risk factors of diabetes in a large community-based study in the Sultanate of Oman: STEPS survey 2017Adhra Al-Mawali0Ayaman Al-Harrasi1Sathish Kumar Jayapal2Magdi Morsi3Avinash Daniel Pinto4Waleed Al-Shekaili5Hilal Al-Kharusi6Zainab Al-Balushi7John Idikula8Centre of Studies & Research, Ministry of HealthCentre of Studies & Research, Ministry of HealthCentre of Studies & Research, Ministry of HealthCentre of Studies & Research, Ministry of HealthCentre of Studies & Research, Ministry of HealthCentre of Studies & Research, Ministry of HealthCentre of Studies & Research, Ministry of HealthCentre of Studies & Research, Ministry of HealthCentre of Studies & Research, Ministry of HealthAbstract Background Type 2 diabetes in the Gulf Cooperation Council countries, including Oman, is currently the fastest growing health crisis and is a significant cause of premature mortality and disability. There is currently insufficient up-to-date information available on prevalence of type 2 diabetes. This study aimed to assess the latest prevalence of type 2 diabetes mellitus and its associated demographic, behavioural, and clinical risk factors. Methods Using the WHO STEPwise approach to chronic disease surveillance, a nationally representative population-based survey was conducted from January to April 2017 of adults aged 18 years and above. A multi-stage, stratified, geographically clustered random sampling surveyed 9053 households including Omani nationals and non-Omani residents. Univariate and multiple logistic regression analysis was performed to determine the predictors of diabetes. Results Overall prevalence of diabetes among the population was 15.7% (95% CI: 14.0–17.5%) whereas prevalence of prediabetes was 11.8% (95% CI: 11.4–12.2%). Age, educational level, raised blood pressure, family history of diabetes, abnormal waist-to-hip ratio, and hypertriglyceridemia were found to be significantly associated with diabetes mellitus. Of the cases of diabetes mellitus, 17% were newly diagnosed and 13.2% were on medication and had an uncontrolled glucose level while 55.5% were not taking medication (although diagnosed) and had an uncontrolled blood glucose level. Conclusions The present study provides reliable information regarding the high prevalence of diabetes mellitus among the adult population in Oman with urgent attention needed to address this significant burden on the health system. The high proportion of uncontrolled cases warrants further research, awareness programmes, and community interventions.https://doi.org/10.1186/s12902-020-00655-9Diabetes mellitusPrevalenceRisk factorsDiabetesPrediabetesOman |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Adhra Al-Mawali Ayaman Al-Harrasi Sathish Kumar Jayapal Magdi Morsi Avinash Daniel Pinto Waleed Al-Shekaili Hilal Al-Kharusi Zainab Al-Balushi John Idikula |
spellingShingle |
Adhra Al-Mawali Ayaman Al-Harrasi Sathish Kumar Jayapal Magdi Morsi Avinash Daniel Pinto Waleed Al-Shekaili Hilal Al-Kharusi Zainab Al-Balushi John Idikula Prevalence and risk factors of diabetes in a large community-based study in the Sultanate of Oman: STEPS survey 2017 BMC Endocrine Disorders Diabetes mellitus Prevalence Risk factors Diabetes Prediabetes Oman |
author_facet |
Adhra Al-Mawali Ayaman Al-Harrasi Sathish Kumar Jayapal Magdi Morsi Avinash Daniel Pinto Waleed Al-Shekaili Hilal Al-Kharusi Zainab Al-Balushi John Idikula |
author_sort |
Adhra Al-Mawali |
title |
Prevalence and risk factors of diabetes in a large community-based study in the Sultanate of Oman: STEPS survey 2017 |
title_short |
Prevalence and risk factors of diabetes in a large community-based study in the Sultanate of Oman: STEPS survey 2017 |
title_full |
Prevalence and risk factors of diabetes in a large community-based study in the Sultanate of Oman: STEPS survey 2017 |
title_fullStr |
Prevalence and risk factors of diabetes in a large community-based study in the Sultanate of Oman: STEPS survey 2017 |
title_full_unstemmed |
Prevalence and risk factors of diabetes in a large community-based study in the Sultanate of Oman: STEPS survey 2017 |
title_sort |
prevalence and risk factors of diabetes in a large community-based study in the sultanate of oman: steps survey 2017 |
publisher |
BMC |
series |
BMC Endocrine Disorders |
issn |
1472-6823 |
publishDate |
2021-03-01 |
description |
Abstract Background Type 2 diabetes in the Gulf Cooperation Council countries, including Oman, is currently the fastest growing health crisis and is a significant cause of premature mortality and disability. There is currently insufficient up-to-date information available on prevalence of type 2 diabetes. This study aimed to assess the latest prevalence of type 2 diabetes mellitus and its associated demographic, behavioural, and clinical risk factors. Methods Using the WHO STEPwise approach to chronic disease surveillance, a nationally representative population-based survey was conducted from January to April 2017 of adults aged 18 years and above. A multi-stage, stratified, geographically clustered random sampling surveyed 9053 households including Omani nationals and non-Omani residents. Univariate and multiple logistic regression analysis was performed to determine the predictors of diabetes. Results Overall prevalence of diabetes among the population was 15.7% (95% CI: 14.0–17.5%) whereas prevalence of prediabetes was 11.8% (95% CI: 11.4–12.2%). Age, educational level, raised blood pressure, family history of diabetes, abnormal waist-to-hip ratio, and hypertriglyceridemia were found to be significantly associated with diabetes mellitus. Of the cases of diabetes mellitus, 17% were newly diagnosed and 13.2% were on medication and had an uncontrolled glucose level while 55.5% were not taking medication (although diagnosed) and had an uncontrolled blood glucose level. Conclusions The present study provides reliable information regarding the high prevalence of diabetes mellitus among the adult population in Oman with urgent attention needed to address this significant burden on the health system. The high proportion of uncontrolled cases warrants further research, awareness programmes, and community interventions. |
topic |
Diabetes mellitus Prevalence Risk factors Diabetes Prediabetes Oman |
url |
https://doi.org/10.1186/s12902-020-00655-9 |
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