High prevalence of type 2 diabetes in Iraqi and Swedish residents in a deprived Swedish neighbourhood - a population based study

BMC Public Health

Research Article

Sven-Erik Johansson¹  Lennart Råstam²  Leif Groop²  Carl-David Agardh²  Jan Sundquist³  Louise Bennet³  Kristina Sundquist³ 

[1] Center for Primary Health Care Research, Region Skåne, Sweden;Department of Clinical Sciences, Lund University, Malmö, Sweden;Department of Clinical Sciences, Lund University, Malmö, Sweden;Center for Primary Health Care Research, Region Skåne, Sweden;

关键词: Oral Glucose Tolerance Test;    Impaired Glucose Tolerance;    Leisure Time Physical Activity;    Impaired Fasting Glucose;    Risk Factor Profile;   

DOI  :  10.1186/1471-2458-11-303

 received in 2010-11-22, accepted in 2011-05-12,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundImmigrants from the Middle-East are at high risk of developing type 2 diabetes (T2D). The aim of the present survey was to measure, in a single deprived neighbourhood, the prevalence rates of impaired fasting glucose (IFG), impaired glucose tolerance (IGT) and T2D in residents originating from Iraq and to compare them to those in residents born in Sweden. An additional aim was to identify metabolic, lifestyle and socioeconomic risk factors associated with IFG/IGT and T2D in these residents.MethodsThe study was conducted February 1'st to March 31'st 2010. Men and women aged 45 to 65 years of Swedish or Iraqi origin, living in the neighbourhood of Rosengård, Malmö, Sweden, were randomly selected from the census register. Each participant signed a written informed consent form, underwent a physical examination and an oral glucose tolerance test (OGTT), provided blood samples and filled in a questionnaire. A total of 175 subjects participated (Swedish origin n = 79, Iraqi origin n = 96), reflecting an overall response rate of almost 60%.ResultsIn total, 21.9% and 19.0% of the Iraqi and Swedish participants, respectively, suffered from T2D, while 24.0% of the Iraqi participants and 25.3% of the Swedish participants had IFG/IGT. There were no significant differences in prevalence rates relating to country of origin.Obesity (BMI ≥30 kg/m2) and sedentary leisure time physical activity were highly prevalent in both groups, while a family history of diabetes was more prevalent in participants from Iraq (49.2%) than in those from Sweden (22.8%) (p = 0.001).Being obese or having a sedentary leisure time were, independently associated with T2D (OR 5.43 (95% CI 2.10-14.02) and 2.89 (95% CI 1.03-8.10) respectively), while economic difficulties were independently associated with IFG/IGT (OR 2.55 (95% CI 1.06-6.15)) after adjustment for the confounding effects of other common risk factors for T2D.ConclusionsThis study reveals a high prevalence of T2D, independently of country of origin (Iraq or Sweden), in a socially vulnerable area and additionally presents a risk factor profile that is markedly different from that of Sweden in general.

【 授权许可】

CC BY   
© Bennet et al; licensee BioMed Central Ltd. 2011