Three hundred and seventy-five Saudi Arabian patients with type 2 diabetes were consecutively examined for peripheral neuropathy, foot ulcers, amputations and hypertension.
All the 46-69-year-old patients (n=212) were compared to a corresponding Swedish group seen by the same physician using identical approach and definitions.
Vibration sensitivity was examined using a tuning fork.
Pin prick sensitivity using a needle on the plantar and dorsal aspects of the foot.
Distal neuropathy was defined as complete absence of vibration and/or pin prick sensitivity in an extremity.
With a diabetes duration of 10 or more years the prevalence of neuropathy among the 375 Saudi Arabians was 38% (95% confidence intervals 30-45) ; hypertension 19% (13-25) current and past ulcers 4.7% (1.3-8) ; amputations below ankle 3.4% (0.5-6).
In the selected 46-69-year-old group prevalence of hypertension (17%), ulcers (2.3%) and amputation (1%) was significantly lower in the Saudi Arabian than in the Swedish patients.
The frequencies reported here are the first from the Arab Peninsula.
The Saudi Arabian patients with type 2 diabetes have the same prevalence of distal neuropathy as other ethnic groups.
A low prevalence of hypertension is consistent with findings in expatriate and indigenous Arab groups with type 2 diabetes.
The low occurrence of ulcers and amputations may be explained by different styles of footwear.
Mots-clés Pascal : Diabète non insulinodépendant, Complication, Prévalence, Neuropathie périphérique, Etude comparative, Origine ethnique, Hypertension artérielle, Epidémiologie, Ulcère, Pied, Amputation chirurgicale, Suède, Europe, Adulte, Homme, Vieillard, Arabie Saoudite, Asie, Membre inférieur, Endocrinopathie, Système nerveux pathologie, Nerf périphérique pathologie, Appareil circulatoire pathologie, Peau pathologie, Chirurgie
Mots-clés Pascal anglais : Non insulin dependent diabetes, Complication, Prevalence, Peripheral neuropathy, Comparative study, Ethnic origin, Hypertension, Epidemiology, Ulcer, Foot, Surgical amputation, Sweden, Europe, Adult, Human, Elderly, Saudi Arabia, Asia, Lower limb, Endocrinopathy, Nervous system diseases, Peripheral nerve disease, Cardiovascular disease, Skin disease, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0419656
Code Inist : 002B30A01A2. Création : 25/01/1999.