CC BY-NC-ND 4.0 · Journal of Social Health and Diabetes 2013; 01(01): 027-031
DOI: 10.1055/s-0038-1676177
Review Article
NovoNordisk Education Foundation

Important sociocultural aspects of diabetes mellitus in Qatar: A rapidly developing Arab gulf state

Ashraf T. Soliman
Department of Pediatric Endocrinology, Hamad Medical Center, Doha, Qatar
,
Maryam Alali
1   Qatar National Diabetes Strategy, Diabetology Department, Doha, Qatar
,
Mahmoud Alzyoud
Department of Pediatric Endocrinology, Hamad Medical Center, Doha, Qatar
,
Ahmed El Awwa
Department of Pediatric Endocrinology, Hamad Medical Center, Doha, Qatar
,
Noora Alhumaidi
Department of Pediatric Endocrinology, Hamad Medical Center, Doha, Qatar
,
Aml Sabt
Department of Pediatric Endocrinology, Hamad Medical Center, Doha, Qatar
› Author Affiliations
Further Information

Publication History

Publication Date:
15 November 2018 (online)

Abstract

Socio-cultural factors can profoundly influence diabetes control in diabetic patients. Qatar is an oil-rich country characterized by rapid urbanization. Excessive consumption of fast food, sedentary rich life style with totally air-conditioned housing, luxury cars, servants, and little outdoors activities and exercise due to hot weather most of the year have led to an epidemic of obesity and high prevalence of type 2 DM and negatively interfered with metabolic control. Increased incidence of divorce (around 40%) appears to be a risk factor for repeated diabetic keto-acidosis and poor control in children with type 1 DM. In addition, the high prevalence vitamin D deficiency and its possible depressive effect on insulin secretion may be associated with poor diabetes control.

 
  • References

  • 1 Qatar Demographics Profile 2012. Available from: http://www.indexmundi.com/qatar/demographics_profile.html [Last accessed on 2013 Feb 15].
  • 2 Qatar Census 2012. Available from: http://www.qsa.gov.qa/QatarCensus/GeneralInfo.aspx [Last accessed on 2013 Jan 5].
  • 3 Demographics of Qatar. Available from: http:www.//en.wikipedia.org/wiki/Demographics_of_Qatar#Age_structure [Last accessed on 2013 Feb 10].
  • 4 Obesity in the Middle East and North Africa, 2012 Wikipedia. Available from: http:www.//en.wikipedia.org/wiki/Obesity_in_the_Middle_East_and_North_Africa [Last accessed on 2013 Feb 2].
  • 5 Bener A, Zirie M, Musallam M, Khader YS, Al-Hamaq AO. Prevalence of metabolic syndrome according to Adult Treatment Panel III and International Diabetes Federation criteria: A population-based study. Metab Syndr Relat Disord 2009; 7: 221-229
  • 6 Fagot-Campagna A, Narayan KM, Imperatore G. Type 2 diabetes in children. BMJ 2001; 322: 377-378
  • 7 Global Childhood Overweight International obesity taskforce, 2012. Available from: http://www.iaso.org/iotf/ [Last accessed on 2013 Feb 5].
  • 8 International Diabetes Summit hosted in Dubai on October 8th and 9th 2010.
  • 9 Health Statistics In: Annual Health Statistical Year Book. Ministry of Health Saudi Arabia. 2008
  • 10 Bener A, Zirie M, Janahi IM, Al-Hamaq AO, Musallam M, Wareham NJ. Prevalence of diagnosed and undiagnosed diabetes mellitus and its risk factors in a population-based study of Qatar. Diabetes Res Clin Pract 2009; 84: 99-106
  • 11 Fauzia Al-Khalaf. Prevalence of obesity among primary school-age children in Qatar. The high supreme family council 2003; 1-15
  • 12 Shaltout AA, Qabazard MA, Abdella NA, LaPorte RE, al Arouj M, Ben Nekhi A. et al. High incidence of childhood-onset IDDM in Kuwait.Kuwait Study Group of Diabetes in Childhood. Diabetes Care 1995; 18: 923-927
  • 13 al-Nuaim AR, Bamgboye EA, al-Herbish A. The pattern of growth and obesity in Saudi Arabian male school children. Int J Obes Relat Metab Disord 1996; 20: 1000-1005
  • 14 El Awwa A, Soliman A, Al-Ali M, Yassin M, De Sanctis V. Continuous glucose monitoring, oral glucose tolerance, and insulin-glucose parameters in adolescents with simple obesity. Georgian Med News 2012; 210: 47-53
  • 15 Holick MF. Diabetes and the vitamin D connection. Curr Diab Rep 2008; 8: 393-398
  • 16 Palomer X, González-Clemente JM, Blanco-Vaca F, Mauricio D. Role of vitamin D in the pathogenesis of type 2 diabetes mellitus. Diabetes Obes Metab 2008; 10: 185-197
  • 17 Soliman AT, Aref MK, Rogol AD. Arginine-induced insulin and growth hormone secretion in children with nutritional rickets. J Pediatr Gastroenterol Nutr 1987; 6: 589-592
  • 18 Soliman AT, Adel A, Wagdy M, Alali M, Aziz Bedair EM. Manifestations of severe vitamin D deficiency in adolescents: Effects of intramuscular injection of a megadose of cholecalciferol. J Trop Pediatr 2011; 57: 303-306
  • 19 Bener A, Al-Ali M, Hoffmann GF. High prevalence of vitamin D deficiency in young children in a highly sunny humid country: A global health problem. Minerva Pediatr 2009; 61: 15-22
  • 20 Hamilton B, Grantham J, Racinais S, Chalabi H. Vitamin D deficiency is endemic in Middle Eastern sportsmen. Public Health Nutr 2010; 13: 1528-1534
  • 21 Al-Emadi S, Hammoudeh M. Vitamin D status in pregnant women and their babies in Qatar, 2011. Available from: http://www.qscience.com/doi/pdf/105339/qfarf.2011.bmp53 [Last accessed on 2013 Feb 10].
  • 22 Teaema FH, Al Ansari K. Nineteen cases of symptomatic neonatal hypocalcemia secondary to vitamin D deficiency: A 2-year study. J Trop Pediatr 2010; 56: 108-110
  • 23 Bener A, Hoffman GF. Nutritional rickets among children in a sun rich country. Int J Pediatr Endocrinol 2010; 2010: 410502
  • 24 Bener A, Alsaied A, Al-Ali M, Al-Kubaisi A, Basha B, Abraham A. et al. High prevalence of vitamin D deficiency in type 1 diabetes mellitus and healthy children. Acta Diabetol 2009; 46: 183-189
  • 25 Bener A, Alsaied A, Al-Ali M, Hassan AS, Basha B, Al-Kubaisi A. et al. Impact of lifestyle and dietary habits on hypovitaminosis D in type 1 diabetes mellitus and healthy children from Qatar, a sun-rich country. Ann Nutr Metab 2008; 53: 215-222
  • 26 Permenant population committee. Qatar population status 2012. Three years after launching the population policy, 2012 Available from: http://www.gsdp.gov.qa/portal/page/portal/ppc/PPC_home/PPC_Publications/Annual_report/english.pdf [Last accessed on 2013 Feb 9].
  • 27 Bener A, Zirie M, Al-Rikabi A. Genetics, obesity, and environmental risk factors associated with type 2 diabetes. Croat Med J 2005; 46: 302-307
  • 28 Action on Diabetes. About action on diabetes, 2011. Available from: http://www.action-on-diabetes.qa/-assest/downloads/Diabetes-factsheet.pdf [Last accessed on 2013 Feb 4 2013].
  • 29 Norouzy A, Mohajeri SM, Shakeri S, Yari F, Sabery M, Philippou E. et al. Effect of Ramadan fasting on glycemic control in patients with Type 2 diabetes. J Endocrinol Invest 2012; 35: 766-771
  • 30 Salti I, Bénard E, Detournay B, Bianchi-Biscay M, Le Brigand C, Voinet C. et al. A population-based study of diabetes and its characteristics during the fasting month of Ramadan in 13 countries: Results of the epidemiology of diabetes and Ramadan 1422/2001 (EPIDIAR) study. Diabetes Care 2004; 27: 2306-2311
  • 31 Aravind SR, Al Tayeb K, Ismail SB, Shehadeh N, Kaddaha G, Liu R. et al. Hypoglycaemia in sulphonylurea-treated subjects with type 2 diabetes undergoing Ramadan fasting: A five-country observational study. Curr Med Res Opin 2011; 27: 1237-1242
  • 32 Elmehdawi R, Ehmida M, Elmagrehi H. Incidence of Diabetic Ketoacidosis during Ramadan Fasting in Benghazi-Libya. Oman Med J 2009; 24: 99-102