Toggle Main Menu Toggle Search

Open Access padlockePrints

The global diabetes pandemic: The Tunisian experience

Lookup NU author(s): Professor Hugh Alberti, Emeritus Professor Sir George Sir George Alberti


Full text for this publication is not currently held within this repository. Alternative links are provided below where available.


Objective: The prevalence of diabetes mellitus is known to be increasing rapidly worldwide, but few population-based surveys have been undertaken in Africa or the Middle East. The aims of this study are to report the prevalence of diabetes mellitus and impaired fasting glucose (IFG) in Tunisia, to compare the prevalence to previous studies and to analyse the relationship between diabetes and age, sex, area of residency and body mass index (BMI). Subjects and setting: We have used data from the Tunisian National Nutrition Survey, a cross-sectional health study providing a large nationally representative sample of the Tunisian population including 3729 adults. We used the American Diabetes Association diagnostic criteria to determine the prevalence of diabetes mellitus and IFG. Results: The overall diabetes prevalence was 9.9% (9.5% in men and 10.1 in women) giving age-adjusted prevalence of diabetes of 8.5% (7.3% in men and 9.6% in women). Step-wise logistic regression showed age of more than 40 years, urban residency and high BMI to each be significantly and independently related to diabetes prevalence. The prevalence of diabetes mellitus has more than doubled in Tunisia over a 15-year period. Conclusions: Our study has demonstrated a high prevalence of diabetes in the adult population with a wide difference among the rural and urban areas with an increased prevalence compared to previous studies. The results underline the need to increase public awareness and to emphasize the benefit of lifestyle modification in order to prevent type II diabetes.

Publication metadata

Author(s): Bouguerra R, Alberti H, Salem LB, Rayana CB, Atti JE, Gaigi S, Slama CB, Zouari B, Alberti K

Publication type: Article

Publication status: Published

Journal: European Journal of Clinical Nutrition

Year: 2007

Volume: 61

Issue: 2

Pages: 160-165

Print publication date: 01/02/2007

ISSN (print): 0954-3007

ISSN (electronic): 1476-5640

Publisher: Nature Publishing Group


DOI: 10.1038/sj.ejcn.1602478

PubMed id: 16900086


Altmetrics provided by Altmetric