TY - JOUR
T1 - Type 2 diabetes and its correlates in a first nationwide study among Cypriot adults
AU - Andreou, Eleni
AU - Papandreou, Dimitrios
AU - Hajigeorgiou, Photos
AU - Kyriakou, Katia
AU - Avraam, Thalia
AU - Chappa, Georgia
AU - Kallis, Procopis
AU - Lazarou, Christalleni
AU - Philippou, Christiana
AU - Christoforou, Christoforos
AU - Kokkinofta, Rebecca
AU - Dioghenous, Christos
AU - Savva, Savvas
AU - Kafatos, Antony
AU - Zampelas, Antonios
PY - 2017/4/1
Y1 - 2017/4/1
N2 - Obesity rates in Cyprus are very high and epidemiological information on type 2 diabetes mellitus is limited. The correlates of type 2 diabetes among adults remain unknown in the Cypriot population. Thus, the purpose of this study is to provide the first national estimate of the prevalence of type 2 diabetes and investigate its correlates. A randomly stratified nationally sample of 1001 adults aged 18–80 participated in the study. Only 950 subjects completed the study. All subjects were free of any diseases (known diabetes, kidney, liver), medication and supplementation. The overall prevalence of diabetes and pre-diabetes based on WHO criteria was 9.2% and 16.3%, respectively. After adjusting for age, energy intake, smoking and physical activity participants with obesity (BMI) (OR = 2.00, P < 0.001), waist circumference (WC) (OR = 2.08, P < 0.001), hypertension (HT) (OR = 1.99, P < 0.001) and hypercholesterolemia (HC) (OR = 2.07, P < 0.007) were most likely to develop T2DM compared with the normal ones. The odds of having diabetes were also found significant between subjects with high levels of triglycerides (TG) (OR = 1.49, P < 0.007), compared with the normal ones and between subjects with low levels of HDL (OR = 1.44, P < 0.008) compared with the ones with high levels of HDL. The prevalence of type 2 diabetes in Cyprus is relatively medium–high. However, the pre-diabetes rates are very high showing a promising increase toward total rates of type 2 diabetes. Obesity, HT, WC, TG, HC and low HDL are all strong correlates of type 2 diabetes. Healthy education programs should be initiated for young and older-aged people and those with described abnormal risk factors.
AB - Obesity rates in Cyprus are very high and epidemiological information on type 2 diabetes mellitus is limited. The correlates of type 2 diabetes among adults remain unknown in the Cypriot population. Thus, the purpose of this study is to provide the first national estimate of the prevalence of type 2 diabetes and investigate its correlates. A randomly stratified nationally sample of 1001 adults aged 18–80 participated in the study. Only 950 subjects completed the study. All subjects were free of any diseases (known diabetes, kidney, liver), medication and supplementation. The overall prevalence of diabetes and pre-diabetes based on WHO criteria was 9.2% and 16.3%, respectively. After adjusting for age, energy intake, smoking and physical activity participants with obesity (BMI) (OR = 2.00, P < 0.001), waist circumference (WC) (OR = 2.08, P < 0.001), hypertension (HT) (OR = 1.99, P < 0.001) and hypercholesterolemia (HC) (OR = 2.07, P < 0.007) were most likely to develop T2DM compared with the normal ones. The odds of having diabetes were also found significant between subjects with high levels of triglycerides (TG) (OR = 1.49, P < 0.007), compared with the normal ones and between subjects with low levels of HDL (OR = 1.44, P < 0.008) compared with the ones with high levels of HDL. The prevalence of type 2 diabetes in Cyprus is relatively medium–high. However, the pre-diabetes rates are very high showing a promising increase toward total rates of type 2 diabetes. Obesity, HT, WC, TG, HC and low HDL are all strong correlates of type 2 diabetes. Healthy education programs should be initiated for young and older-aged people and those with described abnormal risk factors.
KW - Cyprus
KW - Diet
KW - Metabolic syndrome
KW - Prevalence
KW - Type 2 diabetes
UR - http://www.scopus.com/inward/record.url?scp=85010527312&partnerID=8YFLogxK
U2 - 10.1016/j.pcd.2017.01.001
DO - 10.1016/j.pcd.2017.01.001
M3 - Article
C2 - 28131651
AN - SCOPUS:85010527312
SN - 1751-9918
VL - 11
SP - 112
EP - 118
JO - Primary Care Diabetes
JF - Primary Care Diabetes
IS - 2
ER -