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The prevalence of macrovascular complications among diabetic patients in the United Arab Emirates
BACKGROUND: Diabetes Mellitus (DM) is a major public health problem in the UAE with a prevalence rate reaching 24% in national citizens and 17.4% in expatriates. The aim of this study was to determine the prevalence and risk factors of macrovascular complications among diabetic patients in the Al-Ai...
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2007
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2093928/ https://www.ncbi.nlm.nih.gov/pubmed/17880686 http://dx.doi.org/10.1186/1475-2840-6-24 |
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author | Al-Maskari, Fatma El-Sadig, Mohammed Norman, John N |
author_facet | Al-Maskari, Fatma El-Sadig, Mohammed Norman, John N |
author_sort | Al-Maskari, Fatma |
collection | PubMed |
description | BACKGROUND: Diabetes Mellitus (DM) is a major public health problem in the UAE with a prevalence rate reaching 24% in national citizens and 17.4% in expatriates. The aim of this study was to determine the prevalence and risk factors of macrovascular complications among diabetic patients in the Al-Ain district of the United Arab Emirates (UAE). METHODS: The study was part of a general cross-sectional survey carried out to assess the prevalence of diabetes (DM) complications among known diabetic patients in Al-Ain District, UAE. Patients were randomly selected during 2003/2004. Patients completed an interviewer-administered questionnaire carried out by treating doctors and underwent a complete medical assessment including measurement of height, weight, blood pressure and examination for evidence of macrovascular complications. A standard ECG was recorded and blood samples were taken to document fasting blood sugar, glycosylated haemoglobin (HbA(1C)) and lipid profile. RESULTS: A sample of 513 diabetic patients was selected with a mean age of 53 years (SD ± 13.01). Overall, 29.5% of DM patients had evidence of macrovascular complications: 11.6% (95% CI: 8.8–14.4) of patients had peripheral vascular disease (PVD), 14.4% (95% CI: 11.3–17.5) had a history of coronary artery disease (CAD) and 3.5% (95% CI: 1.9–5.1%) had cerebrovascular disease (CVD). Of the total population surveyed 35% (95%CI: 30.8–39) had hypertension. The analysis showed that macrovascular complications in diabetic patients were more common among males, increased with age, were more common among hypertensive patients and its prevalence increased steadily with duration of DM. CONCLUSION: Our data revealed a significant association between hypertension and presence of macrovascular disease among diabetic patients. However, the risk of CAD in the UAE was relatively low compared to that seen in patients in other geographical settings. In addition, a lack of correlation between macrovascular disease and glycemic control among patients with DM was observed. |
format | Text |
id | pubmed-2093928 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2007 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-20939282007-11-24 The prevalence of macrovascular complications among diabetic patients in the United Arab Emirates Al-Maskari, Fatma El-Sadig, Mohammed Norman, John N Cardiovasc Diabetol Original Investigation BACKGROUND: Diabetes Mellitus (DM) is a major public health problem in the UAE with a prevalence rate reaching 24% in national citizens and 17.4% in expatriates. The aim of this study was to determine the prevalence and risk factors of macrovascular complications among diabetic patients in the Al-Ain district of the United Arab Emirates (UAE). METHODS: The study was part of a general cross-sectional survey carried out to assess the prevalence of diabetes (DM) complications among known diabetic patients in Al-Ain District, UAE. Patients were randomly selected during 2003/2004. Patients completed an interviewer-administered questionnaire carried out by treating doctors and underwent a complete medical assessment including measurement of height, weight, blood pressure and examination for evidence of macrovascular complications. A standard ECG was recorded and blood samples were taken to document fasting blood sugar, glycosylated haemoglobin (HbA(1C)) and lipid profile. RESULTS: A sample of 513 diabetic patients was selected with a mean age of 53 years (SD ± 13.01). Overall, 29.5% of DM patients had evidence of macrovascular complications: 11.6% (95% CI: 8.8–14.4) of patients had peripheral vascular disease (PVD), 14.4% (95% CI: 11.3–17.5) had a history of coronary artery disease (CAD) and 3.5% (95% CI: 1.9–5.1%) had cerebrovascular disease (CVD). Of the total population surveyed 35% (95%CI: 30.8–39) had hypertension. The analysis showed that macrovascular complications in diabetic patients were more common among males, increased with age, were more common among hypertensive patients and its prevalence increased steadily with duration of DM. CONCLUSION: Our data revealed a significant association between hypertension and presence of macrovascular disease among diabetic patients. However, the risk of CAD in the UAE was relatively low compared to that seen in patients in other geographical settings. In addition, a lack of correlation between macrovascular disease and glycemic control among patients with DM was observed. BioMed Central 2007-09-19 /pmc/articles/PMC2093928/ /pubmed/17880686 http://dx.doi.org/10.1186/1475-2840-6-24 Text en Copyright © 2007 Al-Maskari et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Investigation Al-Maskari, Fatma El-Sadig, Mohammed Norman, John N The prevalence of macrovascular complications among diabetic patients in the United Arab Emirates |
title | The prevalence of macrovascular complications among diabetic patients in the United Arab Emirates |
title_full | The prevalence of macrovascular complications among diabetic patients in the United Arab Emirates |
title_fullStr | The prevalence of macrovascular complications among diabetic patients in the United Arab Emirates |
title_full_unstemmed | The prevalence of macrovascular complications among diabetic patients in the United Arab Emirates |
title_short | The prevalence of macrovascular complications among diabetic patients in the United Arab Emirates |
title_sort | prevalence of macrovascular complications among diabetic patients in the united arab emirates |
topic | Original Investigation |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2093928/ https://www.ncbi.nlm.nih.gov/pubmed/17880686 http://dx.doi.org/10.1186/1475-2840-6-24 |
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