Evidence map›Paper›PMID 34595726›Full record

ArticleDiabetes therapy : research, treatment and education of diabetes and related disorders2021

Nationwide Prevalence of Diabetes and Prediabetes and Associated Risk Factors Among Iranian Adults: Analysis of Data from PERSIAN Cohort Study.

Mohammad E Khamseh, Sadaf G Sepanlou, Nahid Hashemi-Madani, Farahnaz Joukar, Amir Houshang Mehrparvar, Elnaz Faramarzi, Hassan Okati-Aliabad, Zahra Rahimi, Abbas Rezaianzadeh, Reza Homayounfar and 16 more

Abstract read
In one paragraph

Article in Diabetes therapy : research, treatment and education of diabetes and related disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  19. A Consensus Report on Management of Type 2 Diabetes Mellitus in Iran.Medical journal of the Islamic Republic of Iran · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

26 authors.

Mohammad E Khamseh *Endocrine Research Center, Institute of Endocrinology and Metabolism, Iran University of Medical Sciences (IUMS), Tehran, Iran.
Sadaf G Sepanlou *Digestive Disease Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Nahid Hashemi-MadaniEndocrine Research Center, Institute of Endocrinology and Metabolism, Iran University of Medical Sciences (IUMS), Tehran, Iran.
Farahnaz JoukarGastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.
Amir Houshang MehrparvarIndustrial Diseases Research Centre, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Elnaz FaramarziLiver and Gastrointestinal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Hassan Okati-AliabadHealth Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
Zahra RahimiDepartment of Biostatistics and Epidemiology, Hearing Research Center, School of Public Health, Clinical Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Abbas RezaianzadehColorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Reza HomayounfarNoncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran.
Farhad MoradpourSocial Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Neda ValizadehMaternal and Child Obesity Research Center, Urmia University of Medical Sciences, Urmia, Iran.
Masoumeh KheirandishEndocrinology and Metabolism Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Ehsan ZaboliGastrointestinal Cancer Research Center, Non-Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran.
Alireza MoslemNon-Communicable Diseases Research Center, Sabzevar University of Medical Sciences, Sabzevar, Iran.
Ali AhmadiModeling in Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Behrooz HamzehResearch Center for Environmental Determinants of Health (RCEDH), Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Javad HarooniSocial Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran.
Farhad PourfarziDigestive Disease Research Center, Ardabil University of Medical Sciences, Ardabil, Iran.
Mohammad Reza AbolghasemiNon-Communicable Research Center, Clinical Forensic Medicine and Toxicology Specialist, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Ali Reza SafarpourGastroenterohepatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Nayyereh AminisaniHealthy Ageing Research Centre, Neyshabur University of Medical Sciences, Neyshabur, Iran.
Zahra MohammadiLiver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Sareh EghtesadLiver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Hossein PoustchiLiver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran. h.poustchi@gmail.com.
Reza MalekzadehDigestive Oncology Research Center, Digestive Diseases Research Institute, Shariati Hospital, Tehran University of Medical Sciences, N. Karegar Ave, 14117-13014, Tehran, Iran. malek@tums.ac.ir.ORCID http://orcid.org/0000-0002-9820-6335

Funding

Tehran University of Medical Sciences and Health Services 700/534
6 · The paper itself

Abstract

introductionOver the past decades prevalence of diabetes has increased in Iran and other countries. This study aimed to update the prevalence of diabetes and prediabetes in Iran and to determine associated sociodemographic risk factors, as well as diabetes awareness and control.

methodsThis is a nationally representative cross-sectional survey that included 163,770 Iranian adults aged 35-70 years, from different ethnic backgrounds, between 2014 and 2020. Diabetes was diagnosed at fasting blood sugar of ≥ 6.99 mmol/L (126 mg/dL), or receiving blood glucose-lowering treatment. Multivariable logistic regression was applied to detect determinants associated with prevalence of diabetes and prediabetes, as well as predictors of diabetes awareness and glycemic control.

resultsSex- and age-standardized prevalence of diabetes and prediabetes was 15.0% (95% CI 12.6-17.3) and 25.4% (18.6-32.1), respectively. Among patients with diabetes, 79.6% (76.2-82.9) were aware of their diabetes. Glycemic control was achieved in 41.2% (37.5-44.8) of patients who received treatment. Older age, obesity, high waist to hip ratio (WHR), and specific ethnic background were associated with a significant risk of diabetes and prediabetes. Higher awareness of diabetes was observed in older patients, married individuals, those with high WHR, and individuals with high wealth score. Moreover, glycemic control was significantly better in women, obese individuals, those with high physical activity, educational attainment, and specific ethnic background.

conclusionsThe prevalence of diabetes and prediabetes is increasing at an alarming rate in Iranian adults. High proportion of uncontrolled patients require particular initiatives to be integrated in the health care system.

Indexed as

AwarenessDiabetesEducationEthnic backgroundGlycemic controlHousehold wealth

Identifiers

PMID34595726
PMCPMC8521563

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.