Diabetes and impaired glucose tolerance in Jordan: prevalence and associated risk factors

Abstract
Ajlouni K, Jaddou H, Batieha A (National Centre for Diabetes, Endocrine and Genetic Diseases, Amman, Jordan and the University of Science and Technology, Irbid, Jordan). Diabetes and impaired glucose tolerance in Jordan: prevalence and associated risk factors. J Intern Med 1998; 244: 317–323.Objectives: To study the prevalence of diabetes mellitus (DM) and impaired glucose tolerance (IGT) and their risk factors in Jordan.Design: A cross‐sectional study in four Jordanian communities was conducted: Sarih in the north, Sikhra in the middle of the country, Mazar in the south and Subha‐Subheih in the east. Within each community, a systematic sample of households was selected. All subjects ≥25 years of age within the selected households were invited to participate in the study. A total of 2836 subjects were actually included in the study with an overall response rate of 70.5% (45% in males and 86% in females). World Health Organization criteria were adopted for the diagnosis of DM (fasting plasma glucose ≥7.8 mmol L−1 or plasma glucose of ≥11.1 mmol L−1, 2 h after an oral anhydrous glucose load of 75 g) and IGT (fasting plasma glucose −1 and plasma glucose between 7.8 mmol L−1 and 11.1 mmol L−1, 2 h after an oral glucose load of 75 g).Results: The overall prevalence of DM was 13.4%: 14.9% in males and 12.5% in females. IGT was found in 9.8% of the study population: 9.0% in males and 10.3% in females. Factors independently related to DM using stepwise logistic regression analysis were sex, age, family history of DM, hypertension, hypercholesterolaemia (HC), and hypertriglyceridaemia (HTG).Conclusion: Diabetes mellitus and IGT are common among adult Jordanians. Considering the high prevalence of this sickness makes it imperative to formulate a national plan to face this disease and its complications.