TY - JOUR
T1 - Prevalence and risk factors of diabetes and impaired fasting glucose in Nauru
AU - Khambalia, Amina
AU - Phongsavan, Philayrath
AU - Smith, Benjamin
AU - Keke, Kieren
AU - Dan, Li
AU - Fitzhardinge, Andrew
AU - Bauman, Adrian
PY - 2011
Y1 - 2011
N2 - No comprehensive assessment of diabetes prevalence in Nauru has been conducted since an
extreme prevalence was documented more than two decades ago. This study aims to determine the prevalence
and risk factors of diabetes and impaired fasting glucose.
Methods: A nationwide survey in 2004 of people aged 15- 64 years (n = 1592). Fasting plasma glucose levels were
used to defined diabetes (a?Y7.0 mmol/l or 126 mg/dl) and prediabetes (6.1-6.9 mmol/l or 110-125 mg/dl).
Results: The sex-standardized prevalence of diabetes was 13.0 (95 CI: 10.6, 15.4) in men, 14.4 (11.9, 16.9) in
women, and 13.7 (12.0, 15.4) combined. The sex-standardized prevalence of prediabetes was 6.4 (4.6, 8.2) for
men, 5.5 (3.9, 7.2) for women, and 6.0 (4.8, 7.3) combined. The prevalence of diabetes for individuals 15-24,
25-34, 35-44, 45-54 and 55-64 years was 4.5 , 7.6 , 24.1 , 32.9 , and 42.7 , respectively. The prevalence of
prediabetes for the same age categories was 4.2 , 8.8 , 5.9 , 6.6 , 7.1 , respectively. Multivariable, multinomial
logit modeling found risk factors for prediabetes were high cholesterol levels (OR: 2.02, 95 CI: 1.66, 2.47) and
elevated waist circumference (OR: 1.04, 95 CI: 1.00, 1.08), and for diabetes were age in years (OR: 1.06; 95 CI:
1.04, 1.07), cholesterol levels (OR: 1.84, 95 CI: 1.58, 2.14) and waist circumference (OR: 1.04, 95 CI: 1.02, 1.07).
Conclusions: Diabetes remains a major public health problem in Nauru, affecting one out of every ten people.
While the prevalence of diabetes has declined, its burden has persisted among the old but also extended towards
the younger age groups.
AB - No comprehensive assessment of diabetes prevalence in Nauru has been conducted since an
extreme prevalence was documented more than two decades ago. This study aims to determine the prevalence
and risk factors of diabetes and impaired fasting glucose.
Methods: A nationwide survey in 2004 of people aged 15- 64 years (n = 1592). Fasting plasma glucose levels were
used to defined diabetes (a?Y7.0 mmol/l or 126 mg/dl) and prediabetes (6.1-6.9 mmol/l or 110-125 mg/dl).
Results: The sex-standardized prevalence of diabetes was 13.0 (95 CI: 10.6, 15.4) in men, 14.4 (11.9, 16.9) in
women, and 13.7 (12.0, 15.4) combined. The sex-standardized prevalence of prediabetes was 6.4 (4.6, 8.2) for
men, 5.5 (3.9, 7.2) for women, and 6.0 (4.8, 7.3) combined. The prevalence of diabetes for individuals 15-24,
25-34, 35-44, 45-54 and 55-64 years was 4.5 , 7.6 , 24.1 , 32.9 , and 42.7 , respectively. The prevalence of
prediabetes for the same age categories was 4.2 , 8.8 , 5.9 , 6.6 , 7.1 , respectively. Multivariable, multinomial
logit modeling found risk factors for prediabetes were high cholesterol levels (OR: 2.02, 95 CI: 1.66, 2.47) and
elevated waist circumference (OR: 1.04, 95 CI: 1.00, 1.08), and for diabetes were age in years (OR: 1.06; 95 CI:
1.04, 1.07), cholesterol levels (OR: 1.84, 95 CI: 1.58, 2.14) and waist circumference (OR: 1.04, 95 CI: 1.02, 1.07).
Conclusions: Diabetes remains a major public health problem in Nauru, affecting one out of every ten people.
While the prevalence of diabetes has declined, its burden has persisted among the old but also extended towards
the younger age groups.
UR - http://www.biomedcentral.com/content/pdf/1471-2458-11-719.pdf
U2 - 10.1186/1471-2458-11-719
DO - 10.1186/1471-2458-11-719
M3 - Article
SN - 1471-2458
VL - 11
SP - 1
EP - 10
JO - BMC Public Health
JF - BMC Public Health
IS - Art. No: 719
ER -
