Endocrine Abstracts

Objective: The objectives of this study were to determine the prevalence of diagnosed and undiagnosed diabetes mellitus (DM), prediabetes and to evaluate the associated risk factors in the sample of adult Turkish population.

Methods: A total of 4000 eligible study subjects aged 20 years or older, chosen by multistage sampling on a field were selected. Of those 3721 subjects (2139 women and 1582 men) participated in the study. The study was performed between January 2010 and September 2012 in central Trabzon and its ten town.

Results: The prevalences of prediabetes and DM were found to be as 6.4 and 10.4% (newdiagnosed 3.6%) respectively. There was no a significant difference between men and women for the prevalence of diabetes. Diabetic prevalence was found to increase significantly by aging in both genders (P<0.0005). The prevalence reached its peak level in age group of ≥70 years (29.2%). In multivariate logistic regression analysis, advanced age (OR: 21.6 in the 60–69 age group and OR: 26.7 in the group 70 years and over), marriage (OR: 2.05), housewives (OR: 1.34), high monthly income (OR: 2.52 in the group of income ≥2250 TL), positive family history of diabetes (OR: 2.84), overweight (OR: 1.61), obesity (OR: 2.25), hypertension (OR: 1.42), and dyslipidaemia (OR: 1.38) were independent risk factors for the development of diabetes.

Conclusion: DM is an important health problem in the adult population of Trabzon city. It seems that the prevalence of diabetes is increasing in our region as well as our country and the world. New diagnosed diabetic patients who are unaware of their status are at high risk. To control DM and associated risk factors, effective public health education and taking urgent steps including serious education and teaching, providing a well-balanced diet and increasing physical activity are needed.