The rise of diabetes prevalence in the Arab region

Abstract

Introduction: Arab populations have many similarities and dissimilarities. They share culture, language and religion but they are also subject to economic, political and social differences. The purpose of this study is to understand the causes of the rising trend of diabetes prevalence in order to suggest efficient actions susceptible to reduce the burden of diabetes in the Arab world. Method: We use principal component analysis to illustrate similarities and differences between Arab countries according to four variables: 1) the prevalence of diabetes, 2) impaired glucose tolerance (IGT), 3) diabetes related deaths and 4) diabetes related expenditure per person. A linear regression is also used to study the correlation between human development index and diabetes prevalence. Results: Arab countries are mainly classified into three groups according to the diabetes comparative prevalence (high, medium and low) but other differences are seen in terms of diabetes-related mortality and diabetes related expenditure per person. We also investigate the correlation between the human development index (HDI) and diabetes comparative prevalence (R = 0.81). Conclusion: The alarming rising trend of diabetes prevalence in the Arab region constitutes a real challenge for heath decision makers. In order to alleviate the burden of diabetes, preventive strategies are needed, based essentially on sensitization for a more healthy diet with regular exercise but health authorities are also asked to provide populations with heath- care and early diagnosis to avoid the high burden caused by complications of diabetes.

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Boutayeb, A. , E. N. Lamlili, M. , Boutayeb, W. , Maamri, A. , Ziyyat, A. and Ramdani, N. (2012) The rise of diabetes prevalence in the Arab region. Open Journal of Epidemiology, 2, 55-60. doi: 10.4236/ojepi.2012.22009.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Boutayeb, A. and Serghini, M. (2006) Health indicators and human development in the Arab region. International Journal of Health Geographics, 5, 61. doi:10.1186/1476-072X-5-61
[2] Mandil, A. (2009) Mosaic Arab world, health and development. International Journal of Public Health, 54, 361- 362. doi:10.1007/s00038-009-0065-3
[3] Arab Human Development Report (2002) Creating op- portunities for future generations. http://www.arab-hdr.org/publications/other/ahdr/ahdr2002e.pdf
[4] Arab Human Development Report (2003) Building a knowledge society http://www.arab-hdr.org/publications/other/ahdr/ahdr2003e.pdf
[5] Arab Human Development Report (2004) Towards free- dom in the Arab world. http://www.arab-hdr.org/publications/other/ahdr/ahdr2004e.pdf
[6] Arab Human Development Report (2005) Towards the rise of women in the Arab world. http://www.arab-hdr.org/publications/other/ahdr/ahdr2005e.pdf
[7] Arab Human Development Report (2009) Challenges to human security in the Arab countries. http://www.arab-hdr.org/publications/other/ahdr/ahdr2009e.pdf
[8] Baroudi, S.E. (2002) The 2002 Arab human development report: Implications for democracy. Middle East Policy, 11, 132-14. doi:10.1111/j.1061-1924.2004.00146.x
[9] Jabbour, S. (2002) Critical reflections on health and development in the Arab world. Newsletter of the Economic Research Forum for the Arab Counties, Iran & Turkey, 9, 24-27.
[10] Jabbour, S. (2003) Health and development in the Arab world: which way forward? British Medical Journal, 326, 1141-1143. doi:10.1136/bmj.326.7399.1141
[11] Fergani, N. (2003) Second Arab human development report: The need for a knowledge society. Newsletter of the Economic Research Forum for the Arab Counties, Iran and Turkey, 10, 10-11.
[12] Boutayeb, A. (2006a) Social inequalities and health equity in Morocco. International Journal for Equity in Health, 5, 1. doi:10.1186/1475-9276-5-1
[13] Maziak, W. (2009a) The crisis of health in a crisis ridden region. International Journal of Public Health, 54, 349- 355. doi:10.1007/s00038-009-0061-7
[14] Maziak, W. (2009b) Commentary: Is it light at the end of the tunnel, or another train coming? Concluding com- ments. International Journal of Public Health, 54, 363- 364. doi:10.1007/s00038-009-0067-1
[15] Nuwayhid, I. (2009) How to break the cycle of hopelessness? International Journal of Public Health, 54, 357- 358. doi:10.1007/s00038-009-0062-6
[16] El-Zein, A. (2009) On approaching health in the Arab world. International Journal of Public Health, 54, 359- 360. doi:10.1007/s00038-009-0063-5
[17] International Diabetes Federation (2011) IDF Diabetes Atlas. 15th Edition, International Diabetes Federation, Brussels.
[18] Guariguata, L., Whiting, D., Weil, C. and Unwin, N. (2011) The international diabetes federation diabetes atlas methodology for estimating global and national prevalence of diabetes in adults. Diabetes Research and Clinical Practice, 94, 322-332. doi:10.1016/j.diabres.2011.10.040
[19] Alhyas, L., McKay, A. and Balasanthiran, A. (2011) Prevalence of overweight, obesity, hyperglycaemia, hypertension and dislipdaemia in the gulf: Systematic review. Journal of the Royal Society Medicine, 2, 55. doi:10.1258/shorts.2011.011019
[20] Badran, M. and Laher, I. (2011) Obesity in Arabic-Speaking countries. Journal of Obesity, 2011, Article ID: 686430.
[21] Ramahi, T.M. (2010) CVD in the Asia MER: Global trends and local implications. Asia-Pacific Journal of Public Health, 22, 83. doi:10.1177/1010539510373034
[22] Zaoui, S. and Biémont, C. (2007) Approche épidémio- logique du diabète en milieu rural dans la région de Tlemcen (ouest algérien). Cahiers santé, 17, 15-21.
[23] Egypt Ministry of Health (2006) Community based study on non communicable diseases and their risk factors in Egypt. Population and World Health Organization.
[24] Jordan Ministry of Health (2004) Jordan STEAPS survey report, technical report. World Health Organization.
[25] Ramdani, N., Vanderpas, J., Boutayeb, A. et al. (2011) Diabetes and obesity in the eastern Morocco. http://www.springerlink.com/content/g21m98683313mr60/
[26] Tazi, M.A., Abir-Khalil, S., Chaouki, N., Cherqaoui, S., Lahmouz, F., Srairi, J.E., et al. (2003). Prevalence of the main cardiovascular risk factors in Morocco: Results of a national survey, 2000. Journal of Hypertension, 21, 897- 903. doi:10.1097/00004872-200305000-00013
[27] Rguibi, M. and Belahsen, R. (2004) Metabolic syndrome among Moroccan Sahraoui adult Women. American Journal of Human Biology, 16, 598-601. doi:10.1002/ajhb.20065
[28] Al-Nuaim, A.R. (1997) Prevalence of glucose intolerance in urban and rural communities in Saudi Arabia. Diabetic Medicine, 14, 595-602. doi:10.1002/(SICI)1096-9136(199707)14:7<595::AID-DIA377>3.0.CO;2-C
[29] El Hazmi, M.A., Warsy, A., Al-Swailem, A., Al-Swailem, A. and Sulaimani, R. (1998) Diabetes mellitus as a health problem in Saudi Arabia. Eastern Mediterranean Health Journal, 4, 58-67
[30] Al-Nozha, M.M., Al-Maatouq, M.A., Al-Mazrou, Y.Y. et al. (2004) Diabetes mellitus in Saudi Arabia. Saudi Me- dical Journal, 25, 1603-1610.
[31] ElRayah-Eliadarous, H. (2007) Economic burden of diabetes on patients and their families in Sudan. Karolinska Institutet, Stockholm.
[32] Al-Maskari, F., El-Sadig, M., Nagelkerke, N. (2010) As- sessment of the direct medical costs of diabetes mellitus and its complications in the United Arab Emirates. BMC Public Health, 10, 679. doi:10.1186/1471-2458-10-679 http://www.biomedcentral.com/174-2458/10/679
[33] United Nations Development Programme (2011) Human Development Report. http://hdr.undp.org/en/statistics/

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