对加沙巴勒斯坦人的糖尿病患病率和危险因素知之甚少,其中64%是糖摄入量超过的难民。我们旨在评估居民中2型糖尿病(T2D)的患病率及其与添加糖摄入量的关系。定期访问加沙各地的初级保健中心(PHCs)。
从2019年10月至12月,对从加沙地带五个省选出的9个PHC的1000名公民和难民进行了横断面调查。关于饮食摄入的信息,病史,其他危险因素由训练有素的卫生工作者收集,使用结构化问卷。从PHC病历系统中提取人体测量学和生化数据。
总的来说,诊断T2D和未诊断T2D的患病率分别为45.2%和16.8%,分别,在42至74岁的成年人中,与公民和难民之间的差异(诊断:46.2%vs.43.8%;未诊断:15.7%与18.2%)。公民和难民中确诊患者的血糖控制率为41.9%和36.8%,分别。在没有T2D临床诊断的人群中,多变量调整后,每日添加糖摄入量与空腹血糖和未诊断的T2D风险呈正相关(比值比,95%CI,最高vs.最低摄入量,为2.71(1.12-6.54)(pfor趋势<0.001)。在分层分析中,在难民或体重指数较高的人群中,添加糖摄入量与未确诊的T2D风险之间的关联往往更强.
在巴勒斯坦成年人中,公民和难民都受到T2D的影响。添加的糖摄入量与未诊断的T2D风险相关。
Little is known about the prevalence and risk factors of diabetes among Gaza Palestinians, 64% of whom are refugees with exceeded sugar intake. We aimed to estimate the prevalence of type 2 diabetes (T2D) and its association with added sugar intake among residents, with regular visits to primary healthcare centers (PHCs) across Gaza.
From October to December of 2019, a cross-sectional survey was conducted among 1000 citizens and refugees in nine PHCs selected from the five governorates of the Gaza Strip. Information on dietary intake, medical history, and other risk factors was collected by trained health workers, using structured questionnaires. Anthropometry and biochemical data were extracted from the PHC medical record system.
Overall, the prevalence of diagnosed T2D and undiagnosed T2D were 45.2% and 16.8%, respectively, in adults aged 42 to 74 years, with the differences among citizens and refugees (diagnosed: 46.2% vs. 43.8%; undiagnosed: 15.7% vs. 18.2%). The uncontrolled glycaemic rate was 41.9% and 36.8% for diagnosed patients in citizens and refugees, respectively. Among those without a clinical diagnosis of T2D, after multivariable adjustment, daily added sugar intake was positively associated with fasting glucose and the risk of undiagnosed T2D (odds ratio, 95% CI, highest vs. lowest intake, was 2.71 (1.12-6.54) (pfor trend < 0.001). In stratified analysis, the associations between added sugar intake and the risk of undiagnosed T2D tend to be stronger among refugees or those with higher body mass index.
Among
Palestinian adults, both citizens and refugees are affected by T2D. Added sugar intake is associated with the risk of undiagnosed T2D.