Author(s)

Raouf M. Afifi^1,2*, Ashraf E. Saad³, Ahmed Al Shehri⁴

¹Community Health Research Institute, International Management-Health Services, Indianapolis, IN, USA.
²Community Medicine Program, Armed Forces Hospitals, Taif, KSA.
³Preventive Medicine Department, Armed Forces Hospital at Wadi Al-Dawasir, Riyadh, KSA.
⁴Family Medicine Department, Armed Forces Hospital at Wadi Al-Dawasir, Riyadh, KSA.

Background: Diabetes is a chronic disease of a genetic and environmental background. If it is not diagnosed and controlled early, it can have devastating complications. Aim: Measure and analyze the prevalence and risks of prediabetes and diabetes among recruits enlisted in the Wadi Al-Dawasir (WD) military zone, central Saudi Arabia. The influence of some demographic criteria, weight, and blood pressure upon blood glucose level would be evaluated. Methods: A cross sectional design was utilized, whereas predesigned questionnaire and clinical interview were used to screen the study population. Results: The participants’ median age was 33.7 (IQR 11.9), mean body mass index (BMI) was 27.6 ± 5.4 kg/m². Out of 531 recruits screened, almost two-thirds were either overweight (34.7%) or obese (29.9%). The mean waist circumference (WC) was 94.7 ± 13.3 cm; and 27.9% had central obesity (WC ≥102 cm). Random plasma glucose (RPG) median accounted 106 mg/dl (IQR 21). The participants’ RPG levels significantly increased by age (U = 19697.0), by BMI [H(df 5) = 59.6], and by WC (U = 25,670.5), (p < 0.0001, all tests). Likewise, systolic blood pressure and RPG levels were significantly correlated [rho(df 503) = 0.241, p < 0.0001]. Furthermore, 29 (5.6%) subjects had RPG ≥200mg%: 23 (4.3%) known diabetic (uncontrolled) and 6 (1.3%) undiagnosed (pre-diabetes). Known diabetics tended to record higher RPG values than non-diabetics (U 3515, p < 0.0001). Weight did not influence the development of overt diabetes or prediabetes conditions. Yet known diabetics were prone to recording higher BMI (>25 to ≥40 kg/m²) more than normal subjects [46 (87%) vs. 5 (0.9%)], [χ²(df 5) = 18.8, p < 0.0001]. Conclusions: Prediabetes and uncontrolled diabetes are relatively prevalent among Saudi recruits’ community. An insufficient influence of obesity for developing diabetes symptoms in the study population may well be attributed to time factor separating the two variables. A preventive approach to revert the predisposition of prediabetes in WD recruits population is quite promising.

Pre-Diabetes, Diabetes, Wadi Al-Dawasir, Saudi Arabia

Afifi, R. , Saad, A. and Shehri, A. (2017) Prevalence and Correlates of Prediabetes and Diabetes Results-I: A Screening Plan in a Selected Military Community in Central Saudi Arabia. Journal of Diabetes Mellitus, 7, 12-30. doi: 10.4236/jdm.2017.71002.