RISK FACTORS OF TYPE 2 DIABETES MELLITUS IN SULAIMANI CITY

Authors

  • Haitham Issa Al-Banna Hawler College of Medicine, Erbil, Kurdistan Region, Iraq.
  • Zhian Salah Ramzi Department of Community and Public Health, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.
  • Rawa Jamil Mohammed Directorate of Health/Sulaimani, Kurdistan Region, Iraq.

DOI:

https://doi.org/10.17656/jsmc.10134

Keywords:

Diabetes Mellitus, Sedentary lifestyle, Obesity, Sulaimani City

Abstract

Background 

Diabetes mellitus (DM) is a group of metabolic disorders of carbohydrate, lipid, protein and electrolyte metabolism in which glucose is underutilized, producing hyperglycaemia and changes in lipid profile.

Objectives 

The aim of current study was to determine risk factors and demographic characteristics of patients havingT2DM in Sulaimani city.

Methods

Case control study started at December 2014 to March 2016. The cases were interviewed in diabetic and endocrine center in Sulaimani city, the sample size was 500 (200 cases diagnosed and registered in the center and 300 controls matched with age and gender). Interview done by a questionnaire designed for cases and control after taking verbal consent for the collection of relevant socio-demographic information, in addition to classical risk factors, such as smoking, high red meat intake, overweight /obesity, family history of T2DM and physical activity.

Results

Nearly (59%) were female, among cases and controls 86.5% of cases were from urban area compared to 78% in control group. Having history of high cholesterol and triglyceride level, hypertension , smoking , less physical activity, eating processed red meat and fast food, watching TV > 6hr/day, history of 5 time eating rice or more /week , having history of soft drink consumption ,family history of T2DM and history of gestational diabetes and big baby were significantly associated with T2DM. Logistic regression analysis shows that family history (OR=20, P<0.001), obesity (OR=10.5, P<0.001) and sedentary lifestyle (OR=17.9,P<0.001) are good predictors of T2DM.

Conclusion

T2DM has modifiable risk factors which can be prevented or modified by adopting healthy lifestyle and exercise.

References

International Diabetes Federation. International Diabetes Federation's 5th edition of the Diabetes Atlas. Available from http://www.idf.org/

United Nations Population Fund: State of World Population 2007: Unleashing the Potential of Urban Growth. New York: Martin G; 2007.

Gloyn AL, McCarthy MI. The genetics of type 2 diabetes. Best Pract Res ClinEndocrinolMetab. 2001; 15:293–308. [PubMed: 11554772] DOI: https://doi.org/10.1053/beem.2001.0147

Serjeantson SW, Owerbach D, Zimmet P, Nerup J, Thoma K. Genetics of diabetes in Nauru: effects of foreign admixture, HLA antigens and the insulin-gene-linked polymorphism. Diabetologia.1998; 25:13–17. DOI: https://doi.org/10.1007/BF00251889

Seshasai S, Kaptoge S, Thompson A, Di AngelantonioE, Gao P, Sarwar N,et al. Diabetes mellitus, fasting glucose, and risk of cause-specific death. N Engl J Med 2011; 364:829–41 DOI: https://doi.org/10.1056/NEJMoa1008862

Gu K, Cowie CC, Harris MI: Diabetes and decline in heart disease mortality in US adults. JAMA 1999; 281:1291–97. DOI: https://doi.org/10.1001/jama.281.14.1291

Nwaneri C, Cooper H, Bowen-Jones D: Mortality in type 2 diabetes mellitus: magnitude of the evidence from a systematic review and meta-analysis. Br J Diabetes Vasc Dis 2013; 13:192–207. DOI: https://doi.org/10.1177/1474651413495703

Wolf C. The ISCO-88 International Standard Classification of Occupations in cross-national survey research. Bulletin of Sociological Methodology. SAGE 1997; 54(1):23-40. DOI: https://doi.org/10.1177/075910639705400102

National Institutes of Health. National Human Genome Research Institute.”Talking Glossary of Genetic Terms” ;2016.from https://www.genome.gov/glossary/

Zgibor JC, Piatti GA, Ruppert K, Orchard TJ, Roberts MS. Deficiencies of Cardiovascular Risk Prediction Models for Type 1 Diabetes. Diabetes Care 2006; 29:1860-5. DOI: https://doi.org/10.2337/dc06-0290

American Diabetes Association. Standards of Medical Care in Diabetes- 2013. Diabetes Care 2013; 36(S1):11-66 . DOI: https://doi.org/10.2337/dc13-S011

Schillinger D, Grumbach K, Piette J. Association of health literacy with diabetes outcomes. JAMA 2002; 288:475-82. DOI: https://doi.org/10.1001/jama.288.4.475

Sibai AM, Yount KM, Fletcher A. Marital status, intergenerational co-residence and cardiovascular and all-cause mortality among middle-aged and older men and women during war time in Beirut: gains and liabilities. Soc Sci Med 2007; 64:64-76. DOI: https://doi.org/10.1016/j.socscimed.2006.08.006

Abdul-Rahim HF, bu-Rmeileh NM, Husseini A. Obesity and selected co-morbidities in an urban Palestinian population. Int J Obes Relat Metab Disord 2001; 25:1736-40. DOI: https://doi.org/10.1038/sj.ijo.0801799

Dehghan A, van Hoek M, Sijbrands EJ. Risk of type 2 Singapore Med J 2008; 49(7) : 576 diabetes attributable to C-reactive protein and other risk factors. Diabetes Care 2007; 30:2695-9

Onat A, Uyarel H, Hergenç G. Determinants and definition of abdominal obesity as related to risk of diabetes, metabolic syndrome and coronary disease in Turkish men: a prospective cohort study. Atherosclerosis 2007; 191:182-190. DOI: https://doi.org/10.1016/j.atherosclerosis.2006.03.012

Vikram NK, Tandon N, Misra A. Correlates of Type 2 diabetes mellitus in children, adolescents and young adults in north India: a multisite collaborative case-control study. Diabet Med 2006; 23:293-8. DOI: https://doi.org/10.1111/j.1464-5491.2005.01782.x

Laaksonen DE, Lindstrom J, Lakka TA. Physical activity in the prevention of type 2 diabetes: the Finnish diabetes prevention study. Diabetes. 2005; 54:158–165. DOI: https://doi.org/10.2337/diabetes.54.1.158

de Lade CG, Marins JC, Lima LM, de Carvalho CJ, Teixeira RB, Albuquerque MR,et al. .Effects of different exercise programs and minimal detectable changes in hemoglobin A1c in patients with type 2 diabetes. 2016.16;8:13. doi: 10.1186/s13098-016-0123-y. eCollection 201 DOI: https://doi.org/10.1186/s13098-016-0123-y

Willi C, Bodenmann P, Ghali WA. Active smoking and the risk of type 2 diabetes: a systematic review and meta-analysis. JAMA 2007; 298:2654-64. DOI: https://doi.org/10.1001/jama.298.22.2654

Wannamethee SG, Shaper AG, Perry IJ, British Regional Heart Study. Smoking as a modifiable risk factor for type 2 diabetes in middle-aged men. Diabetes Care 2001; 24:1590-5. DOI: https://doi.org/10.2337/diacare.24.9.1590

Kurotani K, Nanri A, Goto A, Mizoue T, Noda M, Oba S, et al. Red meat consumption is associated with the risk of type 2 diabetes in men but not in women:aJapan Public Health Center-based Prospective Study.2013;110(10):1910-8. doi: 10.1017/S0007114513001128. Epub 2013 May 7 DOI: https://doi.org/10.1017/S0007114513001128

Battaglia Richi E, Baumer B, Conrad B, Darioli R, Schmid A, Keller U. Health Risks Associated with Meat Consumption: A Review of Epidemiological Studies. 2015;85(2):70-8. doi: 10.1024/0300-9831/a000224 DOI: https://doi.org/10.1024/0300-9831/a000224

van Dam RM, Willett WC, Rimm EB. Dietary fat and meat intake in relation to risk of type 2 diabetes in men. Diabetes Care 2002; 25:417-24. DOI: https://doi.org/10.2337/diacare.25.3.417

Palmer JR, Boggs DA, Krishnan S. Sugar-sweetened beverages and incidence of type 2 diabetes mellitus in African American women. Arch Intern Med 2008; 168:1487-92. DOI: https://doi.org/10.1001/archinte.168.14.1487

Al-Naama LM , Ajlan SK , Mahmood MS . Evaluation of Lipid and Lipoprotein Profile in Patients with Insulin Dependent Diabetes Mellitus. JBMS 2009; 21(3):298-301.

Masram SW, Bimanpalli MV, Suresh Ghangle S. Study of Lipid Profile and Glycated Hemoglobin in Diabetes Mellitus. Indian Med Gaz 2012; 146(7):257-65.

Rodrigues TC, Pecis M, Canani LH, Schreiner L, KramerCK, Biavatti K. Characterization of patients with type 1 diabetes mellitus in southern brazil: chronic com plications and associated factors. Rev Assoc Med Bras 2010; 56(1): 67-73. DOI: https://doi.org/10.1590/S0104-42302010000100019

Published

2017-11-01

How to Cite

1.
Al-Banna H, Ramzi Z, Mohammed R. RISK FACTORS OF TYPE 2 DIABETES MELLITUS IN SULAIMANI CITY. JSMC [Internet]. 2017 Nov. 1 [cited 2024 Jul. 22];7(3):313-21. Available from: https://jsmc.univsul.edu.iq/index.php/jsmc/article/view/jsmc-10134

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