Prevalence of impaired glucose regulation in asymptomatic Kuwaiti young adults.
OBJECTIVE
The objective of this study was to determine the prevalence of impaired glucose regulation in a young, asymptomatic Kuwaiti population.


METHODS
A cross-sectional study of 484 Kuwaitis (females: 311, and males: 173, aged 17-24 years), students at a public college for basic education, was conducted. Each participant underwent a 75-gram oral glucose tolerance test, and biochemical testing for hemoglobin A(1c) (HbA(1c)), total cholesterol and triglyceride levels. Physical examinations were performed to measure body mass index (BMI), waist circumference and blood pressure.


RESULTS
The prevalence of impaired glucose regulation (impaired fasting glucose, impaired glucose tolerance, and elevated HbA(1c) levels) was 32%, including 4% with newly diagnosed diabetes. Of the 484 participants, 47 (10%) of the population had hypertension and 52 (11%) had dyslipidemia. A total of 244 (50%) were classified as overweight/obese (BMI >25 kg/m(2)) and 201 (42%) had an elevated waist circumference (≥88 cm in females; ≥102 cm in males). Impaired glucose regulation was significantly related to increased waist circumference (p = 0.021) but not to increased BMI (p = 0.181). Those with impaired glucose regulation also had a higher prevalence of hypertension (p = 0.05), particularly systolic hypertension (p = 0.023).


CONCLUSIONS
Kuwaiti youth have a high prevalence of impaired glucose regulation and overweight/obesity. Waist circumference, rather than BMI, may be a more appropriate screening tool to predict impaired glucose regulation in Kuwaiti youth.
Diabetes Unit, Al-Amiri Hospital, Sharq Arabian Gulf Street, Safat, Kuwait. abdul_2345@yahoo.com
Abdulnabi
A
Alattar
Hana
H
Al-Majed
Thaier
T
Almuaili
Obaid
O
Almutairi
Amnah
A
Shaghouli
Wehad
W
Altorah
D000293:Adolescent; D000367:Age Factors; D001786:Blood Glucose / Q000378:metabolism*; D015992:Body Mass Index; D002784:Cholesterol / Q000378:metabolism; D003430:Cross-Sectional Studies; D005260:Female; D018149:Glucose Intolerance / Q000453:epidemiology* / Q000378:metabolism; D005951:Glucose Tolerance Test; D006442:Glycated Hemoglobin / Q000032:analysis / Q000378:metabolism*; D006801:Humans; D006949:Hyperlipidemias / Q000453:epidemiology / Q000378:metabolism; D006973:Hypertension / Q000453:epidemiology / Q000378:metabolism; D008297:Male; D009765:Obesity / Q000453:epidemiology* / Q000378:metabolism; D015995:Prevalence; D013223:Statistics as Topic; D014280:Triglycerides / Q000378:metabolism; D055105:Waist Circumference; D055815:Young Adult
D001786:Blood Glucose; D002784:Cholesterol; D006442:Glycated Hemoglobin; D014280:Triglycerides