PMID- 33448636
OWN - NLM
STAT- MEDLINE
DCOM- 20220124
LR  - 20220124
IS  - 1520-7560 (Electronic)
IS  - 1520-7552 (Linking)
VI  - 37
IP  - 3
DP  - 2021 Mar
TI  - A systematic review of factors associated with uncontrolled diabetes and 
      meta-analysis of its prevalence in Saudi Arabia since 2006.
PG  - e3395
LID - 10.1002/dmrr.3395 [doi]
AB  - The study aims to systematically review the literature for risk factors 
      associated with poor glycaemic control among type 2 diabetes mellitus (T2DM) 
      patients in Saudi Arabia (SA) and conducts a meta-analysis of its prevalence. 
      Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 
      (PRISMA) protocol, we searched the Scopus, PubMed, PsycINFO, Web of Science, and 
      CINAHL Plus databases from May to November 2018. The search terms were T2DM, 
      glycaemic control, and SA. The inclusion criteria include the following: 
      observational studies which were conducted in T2DM patients in SA reporting 
      prevalence or/and personal, psychological or behavioural predictors in papers 
      published after 2006. Articles were assessed using a modified Strengthening the 
      Reporting of Observational Studies in Epidemiology (STROBE) tool. Studies 
      included in the meta-analysis defined uncontrolled T2DM as glycated haemoglobin 
      >/=7% (53 mmol/mol), and reported results were based on a random-effects model. 
      Eighteen of the following articles (3 retrospective cohort studies, 1 
      case-control study, and 14 cross-sectional studies) were included. The quality of 
      the studies (high: 2; moderate: 7, and low: 9) varied. The pooled prevalence of 
      uncontrolled T2DM in SA was 77.7% (95% CI, 71.2-84.2). In the included studies, 
      the most consistent predictors of poor glycaemic control were longer diabetes 
      duration, lack of self-efficacy, and low knowledge of diabetes. However, 
      significant variations in research designs were observed across the studies. A 
      national diabetes prevention and treatment program is needed to lessen the burden 
      of diabetes in SA. Future studies should address the personal, psychological, and 
      behavioural factors of poor glycaemic control in SA at national level.
CI  - (c) 2020 John Wiley & Sons Ltd.
FAU - Alsuliman, Mohammed A
AU  - Alsuliman MA
AUID- ORCID: 0000-0002-9466-2624
AD  - School of Community and Environmental Health, Old Dominion University, Norfolk, 
      Virginia, USA.
AD  - Department of Public Health, College of Health Sciences, Saudi Electronic 
      University, Riyadh, Saudi Arabia.
FAU - Alotaibi, Saad A
AU  - Alotaibi SA
AD  - School of Community and Environmental Health, Old Dominion University, Norfolk, 
      Virginia, USA.
AD  - Department of Human Health, College of Applied Medical Sciences, Qassim 
      University, Qassim, Saudi Arabia.
FAU - Zhang, Qi
AU  - Zhang Q
AD  - School of Community and Environmental Health, Old Dominion University, Norfolk, 
      Virginia, USA.
FAU - Durgampudi, Praveen K
AU  - Durgampudi PK
AD  - School of Community and Environmental Health, Old Dominion University, Norfolk, 
      Virginia, USA.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Systematic Review
DEP - 20200908
PL  - England
TA  - Diabetes Metab Res Rev
JT  - Diabetes/metabolism research and reviews
JID - 100883450
SB  - IM
MH  - *Diabetes Mellitus, Type 2/epidemiology
MH  - Humans
MH  - *Hyperglycemia/epidemiology
MH  - Prevalence
MH  - Risk Factors
MH  - Saudi Arabia/epidemiology
OTO - NOTNLM
OT  - HbA1c
OT  - Saudi Arabia
OT  - T2DM
OT  - meta-analysis
OT  - prevalence
OT  - risk factors
EDAT- 2021/01/16 06:00
MHDA- 2022/01/27 06:00
CRDT- 2021/01/15 08:47
PHST- 2020/07/18 00:00 [revised]
PHST- 2019/05/17 00:00 [received]
PHST- 2020/08/13 00:00 [accepted]
PHST- 2021/01/16 06:00 [pubmed]
PHST- 2022/01/27 06:00 [medline]
PHST- 2021/01/15 08:47 [entrez]
AID - 10.1002/dmrr.3395 [doi]
PST - ppublish
SO  - Diabetes Metab Res Rev. 2021 Mar;37(3):e3395. doi: 10.1002/dmrr.3395. Epub 2020 
      Sep 8.