PMID- 25629920 OWN - NLM STAT- MEDLINE DCOM- 20151007 LR - 20231110 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 10 IP - 1 DP - 2015 TI - 10-year risk estimation for type 2 diabetes mellitus and coronary heart disease in Kuwait: a cross-sectional population-based study. PG - e0116742 LID - 10.1371/journal.pone.0116742 [doi] LID - e0116742 AB - BACKGROUND: Type 2 diabetes mellitus (T2DM), coronary heart disease (CHD) and metabolic syndrome (MetS) are major healthcare problems in Kuwait. The present study was designed to determine the prevalence of MetS, and to estimate the 10-year risk for developing T2DM and CHD among the general population in Kuwait. METHODS: A descriptive, cross-sectional survey was undertaken in 1800 individuals without diabetes or a history of cardiovascular disease (CVD). They were selected from six governorates using two stage convenience sampling. The questionnaire was developed using the Finnish Diabetes Risk Score (FINDRISK), Framingham Risk Score [FRS] and the 2009 Joint Statement criteria for diagnosis of MetS as a framework. Descriptive and multivariate logistic regression analyses were used. RESULTS: The response rate was 89.4%. More than half (60.8%; 95% CI: 58.4-63.2) of responders were either overweight or obese. One hundred and ninety seven (12.2%) subjects had blood pressure (BP) >/= 140/90 mm Hg. Almost three-in-ten (28.3%: 26.2-30.6) subjects had fasting plasma glucose (FPG) levels >/= 5.6 mmol/l, of whom 86.0% and 14.0% had impaired fasting glucose (IFG) and screen detected T2DM, respectively. MetS was present in 512 (31.8%; 29.5-34.2) respondents. Just under one third (n = 481; 29.9%; 27.7-32.2) of participants were at moderate, high, or very high risk of developing T2DM, while 283 (17.6%: 15.8-19.6) were at moderate/high 10-year risk of developing CHD. Approximately one-in-ten (8.5%; 7.2-9.9) subjects were at moderate/high/very high 10-year risk of developing both T2DM/CHD. T2DM risk was higher for females compared to males (p < 0.001); however, the pattern was reversed in terms of the risk of developing CHD or T2DM/CHD. The risk of developing T2DM, CHD, or T2DM/CHD was greater among those aged >/= 45 years, and those having MetS (p<0.001). CONCLUSIONS: The current findings highlight the need for multifaceted interventions for prevention. FAU - Awad, Abdelmoneim Ismail AU - Awad AI AD - Department of Pharmacy Practice, Faculty of Pharmacy, Kuwait University, Kuwait. FAU - Alsaleh, Fatemah Mohammad AU - Alsaleh FM AD - Department of Pharmacy Practice, Faculty of Pharmacy, Kuwait University, Kuwait. LA - eng PT - Journal Article DEP - 20150128 PL - United States TA - PLoS One JT - PloS one JID - 101285081 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Coronary Disease/diagnosis/*epidemiology MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/diagnosis/*epidemiology MH - Female MH - Humans MH - Kuwait/epidemiology MH - Male MH - Middle Aged MH - Odds Ratio MH - Population Surveillance MH - Risk MH - Surveys and Questionnaires MH - Young Adult PMC - PMC4309592 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2015/01/30 06:00 MHDA- 2015/10/08 06:00 PMCR- 2015/01/28 CRDT- 2015/01/29 06:00 PHST- 2014/03/28 00:00 [received] PHST- 2014/12/12 00:00 [accepted] PHST- 2015/01/29 06:00 [entrez] PHST- 2015/01/30 06:00 [pubmed] PHST- 2015/10/08 06:00 [medline] PHST- 2015/01/28 00:00 [pmc-release] AID - PONE-D-14-13995 [pii] AID - 10.1371/journal.pone.0116742 [doi] PST - epublish SO - PLoS One. 2015 Jan 28;10(1):e0116742. doi: 10.1371/journal.pone.0116742. eCollection 2015.