Author/Authors :
Heidari، Kamal نويسنده Department of Health, Isfahan Provincial Health Office, Isfahan University of Medical Sciences, Isfahan , , Sajjadi، Sayyed Ali نويسنده Department of Health, Isfahan Provincial Health Office, Isfahan University of Medical Sciences, Isfahan , , Hadian، Rezvaneh نويسنده Department of Health, Isfahan Provincial Health Office, Isfahan University of Medical Sciences, Isfahan , , Hadi، Somayeh نويسنده Department of Health, Isfahan Provincial Health Office, Isfahan University of Medical Sciences, Isfahan , , Hosseinkhani، Ramesh نويسنده Department of Health, Isfahan Provincial Health Office, Isfahan University of Medical Sciences, Isfahan , , Amini، Soudabeh نويسنده Department of Health, Isfahan Provincial Health Office, Isfahan University of Medical Sciences, Isfahan , , Kiani، Zahra نويسنده Department of Health, Isfahan Provincial Health Office, Isfahan University of Medical Sciences, Isfahan , , Ajami، Ali نويسنده Department of Health, Isfahan Provincial Health Office, Isfahan University of Medical Sciences, Isfahan , , Fadaei، Reza نويسنده Department of Health, Isfahan Provincial Health Office, Isfahan University of Medical Sciences, Isfahan , , Shahriari، Anahita نويسنده Department of Health, Isfahan Provincial Health Office, Isfahan University of Medical Sciences, Isfahan , , Keramatian، Kasra نويسنده Department of Pediatrics, Child Growth and Development Research Center, Isfahan University of Medical Sciences, Isfahan ,
Abstract :
Background: This study aimed to establish a comprehensive
screening and referral system for chronic non-communicable
diseases (CNCD) in the routine primary health care, and to
determine the prevalence of diabetes, pre-diabetes, metabolic
syndrome, and dyslipidemia in adult population invited by public
announcement to the Health clinics in Isfahan, Iran.
Methods: This survey was conducted from March 2010, and the
current paper presents data obtained until November 2011. To
provide health services for prevention and control of CNCDs, with
priority of type2 diabetes mellitus, Health clinics were established
in different parts of Isfahan city with a population of approximately
2,100,000 in Iran. The general populations aged 30 years and above
were invited to the Health clinics by public announcement.
Results: A total of 198972 participants were screened. The
mean age of participants was 47.8 years (48.5 men, 47.3 women),
with a range of 1 to 95 years old and standard deviation of 12.3
years (12.7 men, 12.1 women). Overall, 22% of participants had
impaired fasting glucose, 25% had hypercholesterolemia, 31% had
hypertriglyceridemia, and 20% had metabolic syndrome.
Conclusion: The high prevalence of dysglycemia and diabetes in
our survey may serve as confirmatory evidence about the importance
of mass screening and early diagnosis of CNCDs’ risk factors.
Our model of establishing Health clinics, as a comprehensive
referral system in the routine primary health care can be adopted
by Middle Eastern countries, where CNCDs notably diabetes are
an emerging health problem.
