و ارتباط آن با عوامل خطر قلبي عروقي در جمعيت شهر اصفهان II شيوع ديابت نوع

The Prevalence of Type 2 Diabets and its Relation with CVR Risk Factors in the Population Of Isfahan

Introduction: diabetes is one of the prevalent diseases in the world. Diabetic patients are more in risk of CVD than other populations. This evaluation was done in order to determine the prevalence of type 2diabetes and its relation with CVD risk factors. Method: this was a cross-sectional study carried out in 1998 in Isfahan Cardiovascular Research Center. Sampling was random cluster and the sample size was noted 800 subjects in order to reach the 95^/o of confidence interval Information related to age, sex, blood pressure measurements, weight, height and waist & hip was received through questionnaire and clinical examinations. For measuring blood glucose, WHO standard method (FBS) > 140 mg/dl fasting blood glucose or (2hpp) ^ 200 mg/dl blood glucose 2 hours after eating glucose intake of 75 grams. And also patients taking drugs or previously identified as a diabetic patient was used and information was analyzed using SPSS for windows version 10. Result: comparison of means was determined through unpaired students and T. test method and relation of diabetes with CVD risk factors was determined by multiple step-wise regression. The prevalence of diabetes in the whole evaluated population was 6.5% (6.4% male&6.7% female) according to 2hpp method and 68% (6.8% male & 6.7 % female) according to FBS method. In this study, based on FBS and 2hpp examinations a significant relation was seen between diabetes, age, family history, BMI & systolic blood pressure type II diabetes and WHR only according to FBS examination. The relation between diabetes and diastolic blood pressure was not significant according to both methods. The prevalence of diabetes in Isfahan is quite eye catching. This prevalence reached almost the same level by the 2 FBS and 2hpp methods but according to WHO standards the better method for such determination would be 2hpp. Conclusion: this study showed a significant relation between CVD risk factors and type II diabetes in Isfahan. Therefore, paying attention to such risk factors meaning identification and reduction of these elements is of great role in the population health.