The prevalence of diabetes amongst young Emirati female adults in the United Arab Emirates: A cross-sectional study.

<h4>Aims</h4>The prevalence of type 2 diabetes is rapidly increasing in the United Arab Emirates (UAE). The purpose of this study was to investigate the prevalence of prediabetes and diabetes using FPG and HbA1c and to examine their relationships with obesity and other risk factors in yo...

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Main Authors: Maysm N Mohamad, Leila Cheikh Ismail, Lily Stojanovska, Vasso Apostolopoulos, Jack Feehan, Amjad H Jarrar, Ayesha S Al Dhaheri
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0252884
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author Maysm N Mohamad
Leila Cheikh Ismail
Lily Stojanovska
Vasso Apostolopoulos
Jack Feehan
Amjad H Jarrar
Ayesha S Al Dhaheri
author_facet Maysm N Mohamad
Leila Cheikh Ismail
Lily Stojanovska
Vasso Apostolopoulos
Jack Feehan
Amjad H Jarrar
Ayesha S Al Dhaheri
author_sort Maysm N Mohamad
collection DOAJ
description <h4>Aims</h4>The prevalence of type 2 diabetes is rapidly increasing in the United Arab Emirates (UAE). The purpose of this study was to investigate the prevalence of prediabetes and diabetes using FPG and HbA1c and to examine their relationships with obesity and other risk factors in young female Emirati college students.<h4>Methods</h4>In this cross-sectional study we recruited 555 female college students aged 17-25, enrolled at United Arab Emirates University in Al Ain, UAE. Anthropometric analysis, blood pressure, and various biochemical markers were measured using standard methods. Type 2 Diabetes, impaired fasting plasma glucose (FPG), and elevated HbA1c levels were examined in the study population as per the standards of medical care in diabetes, set out by the American Diabetes Association in 2020.<h4>Results</h4>Based on the HbA1c test, the prevalence of pre-diabetes and diabetes were 24% and 8.6%, respectively. Based on the FPG test, the prevalence of pre-diabetes and diabetes were 9.2% and 0.5%, respectively. The kappa statistic of concordance between HbA1c and FPG was 0.287, P < 0.001. Abnormal glycemic status was significantly associated with decreased high-density lipoprotein (HDL) level (< 50 mg/dl) (p = 0.002) and elevated high-sensitivity C-reactive protein (Hs-CRP) level (≥ 2.0 mg/L) (P < 0.001).<h4>Conclusions</h4>Using FPG to evaluate glycemic control seems to underestimate the burden of undiagnosed diabetes which could have a significant impact on clinical practice. Our data indicates an association between abnormal glycemic status with HDL and Hs-CRP. Further evaluation is needed to assess the impact of using HbA1c as a diagnostic test for diabetes in the UAE.
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spelling doaj.art-998beee92cbb42bea7fb69d399f0a4e72022-12-21T21:24:21ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01166e025288410.1371/journal.pone.0252884The prevalence of diabetes amongst young Emirati female adults in the United Arab Emirates: A cross-sectional study.Maysm N MohamadLeila Cheikh IsmailLily StojanovskaVasso ApostolopoulosJack FeehanAmjad H JarrarAyesha S Al Dhaheri<h4>Aims</h4>The prevalence of type 2 diabetes is rapidly increasing in the United Arab Emirates (UAE). The purpose of this study was to investigate the prevalence of prediabetes and diabetes using FPG and HbA1c and to examine their relationships with obesity and other risk factors in young female Emirati college students.<h4>Methods</h4>In this cross-sectional study we recruited 555 female college students aged 17-25, enrolled at United Arab Emirates University in Al Ain, UAE. Anthropometric analysis, blood pressure, and various biochemical markers were measured using standard methods. Type 2 Diabetes, impaired fasting plasma glucose (FPG), and elevated HbA1c levels were examined in the study population as per the standards of medical care in diabetes, set out by the American Diabetes Association in 2020.<h4>Results</h4>Based on the HbA1c test, the prevalence of pre-diabetes and diabetes were 24% and 8.6%, respectively. Based on the FPG test, the prevalence of pre-diabetes and diabetes were 9.2% and 0.5%, respectively. The kappa statistic of concordance between HbA1c and FPG was 0.287, P < 0.001. Abnormal glycemic status was significantly associated with decreased high-density lipoprotein (HDL) level (< 50 mg/dl) (p = 0.002) and elevated high-sensitivity C-reactive protein (Hs-CRP) level (≥ 2.0 mg/L) (P < 0.001).<h4>Conclusions</h4>Using FPG to evaluate glycemic control seems to underestimate the burden of undiagnosed diabetes which could have a significant impact on clinical practice. Our data indicates an association between abnormal glycemic status with HDL and Hs-CRP. Further evaluation is needed to assess the impact of using HbA1c as a diagnostic test for diabetes in the UAE.https://doi.org/10.1371/journal.pone.0252884
spellingShingle Maysm N Mohamad
Leila Cheikh Ismail
Lily Stojanovska
Vasso Apostolopoulos
Jack Feehan
Amjad H Jarrar
Ayesha S Al Dhaheri
The prevalence of diabetes amongst young Emirati female adults in the United Arab Emirates: A cross-sectional study.
PLoS ONE
title The prevalence of diabetes amongst young Emirati female adults in the United Arab Emirates: A cross-sectional study.
title_full The prevalence of diabetes amongst young Emirati female adults in the United Arab Emirates: A cross-sectional study.
title_fullStr The prevalence of diabetes amongst young Emirati female adults in the United Arab Emirates: A cross-sectional study.
title_full_unstemmed The prevalence of diabetes amongst young Emirati female adults in the United Arab Emirates: A cross-sectional study.
title_short The prevalence of diabetes amongst young Emirati female adults in the United Arab Emirates: A cross-sectional study.
title_sort prevalence of diabetes amongst young emirati female adults in the united arab emirates a cross sectional study
url https://doi.org/10.1371/journal.pone.0252884
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