Prevalence of diabetes mellitus among non institutionalized elderly in Monastir City

BMC Endocrine Disorders

Mohamed Hammami³  Hala Souid⁴  Nadia Koubaa³  Said Hajem²  Sounira Mehri³  Sonia Hammami¹ 

[1] Internal Medicine Department, University Hospital “F. Bourguiba”, Monastir, Tunisia;National Institute of Public Health Tunis, Tunis, Tunisia;Laboratory of Nutrition and Vascular Health, Faculty of Medicine, University of Monastir, Monastir, Tunisia;Geriatric and Gerontology Unit, University of Ain Shams, Ain Shams, Egypt

关键词: Non institutionalized;    Tunisia;    Prevalence;    Elderly;    Diabetes;   

Others  :  1086349
DOI  :  10.1186/1472-6823-12-15

 received in 2012-02-11, accepted in 2012-07-26,  发布年份 2012

【 摘 要 】

Background

Diabetes is a major public health problem worldwide. This problem is particularly relevant to the elderly. The prevalence of each condition increase with age. The present study aimed to determine the prevalence of Diabetes Mellitus (DM) among elderly; we also examined socio-economic factors and life style that are likely to be associated with DM.

Methods

A cross-sectional study was conducted in 2008–2009, and used a multistage cluster sampling method to select a representative sample among non institutionalized elderly in Monastir City. A total of 598 elderly aged 65 to 95 years were included.

Results

The prevalence of DM was 27.4% (29.2% in males’ vs 26.5% in females). Elderly with DM showed higher prevalence of hypertension, obesity and abdominal obesity. DM prevalence decreased with advancing ages in both men and women. Urban residents had a higher prevalence than did their rural counterparts. In multivariate analysis, DM was associated with abdominal obesity (OR [95% CI], 2.6 [1.1-6]; p <0.01), co-existing diseases (3.8 [2.4-6]; p <0.01), and hypertension (2.7 [1.6-4.5] ; p <0.01).

Conclusion

The study highlights the DM problem in Tunisia. An ageing population together with social, economic and lifestyle changes have led to a dramatic increase in DM. These data emphasize the urgent need for a comprehensive integrated population-based intervention program to ameliorate the growing problem of DM.

【 授权许可】

   
2012 Hammami et al.; licensee BioMed Central Ltd.

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