Abstract

Objectives: Occupational and environmental pollution have become an imperative jeopardy for developing devastating metabolic diseases. Limited animal model studies have examined the impact of exposure to cement dust on metabolic conditions. This study aimed to assess the prevalence of pre-diabetes and Type-2 diabetic mellitus (T2DM) among non-smoking cement mill workers.
 Methods: This epidemiological cross sectional study was conducted in the “Department of Physiology, College of Medicine, King Saud University, Riyadh, Saudi Arabia” during the period Oct 2016 to June 2017. Initially 310 cement mill workers were interviewed; after the interview and clinical history taking, 186 non-smoking cement mill employees were finally recruited. The cement mill employees were exposed to cement dust-related pollution in a cement industry for eight hours a day for six days a week. The mean age was 36.56 ± 0.78 years, mean BMI was 25.70 ± 0.29 m/kg2, and mean period of employment in the cement industry was 82.77 ± 6.95 months. HbA1c was measured using the Dimension Xpand Plus Integrated Chemistry System (USA).
 Results: The cement mill employees were divided into three groups: non-diabetics group, with glycated hemoglobin (HbA1c) <5.7%; pre-diabetics group, with HbA1c 5.7-6.4%; and diabetics group, with HbA1c >6.4%. Among the cement mill personnel, 79 (42.47%) were non-diabetics, 28 (15.05%) were pre-diabetics, and 79 (42.47%) were diabetics. The prevalence of pre-diabetes and T2DM among cement mill employees was considerably associated with the period of employment in the cement industry (p=0.032).
 Conclusions: Exposure to cement dust was associated with an increased prevalence of pre- diabetes and T2DM among cement industry employees.
 doi: https://doi.org/10.12669/pjms.36.1.1266
 How to cite this:Meo SA, Bin-Muneif YA, BenOmran NA, AlSadhan MA, Hashem RF, Alobaisi AS. Prevalence of Pre Diabetes and Type 2 Diabetes Mellitus among cement industry workers. Pak J Med Sci. 2020;36(1):---------. doi: https://doi.org/10.12669/pjms.36.1.1266
 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Highlights

  • Diabetes mellitus (DM) is a growing global community concern with multiple deplorable complications

  • The “American Diabetes Association (ADA)” approach was applied; based on HbA1c levels, cement industry workers were divided into three groups

  • Based on the 2018 ADA guidelines, the cement industry workers were divided into three groups: nondiabetics (HbA1c

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Summary

Introduction

Diabetes mellitus (DM) is a growing global community concern with multiple deplorable complications. Despite notable developments in health sciences, DM remains an incorrigible chronic illness.[1] It involves and impairs multiple essential physiological functions[2], body systems[3] and accompanies different devastating complications.[4] It is swiftly growing in developing and developed nations and has penetrated both rural and urban regions. Pak J Med Sci January - February 2020 Vol 36 No 2 www.pjms.org.pk 32. 425 million people worldwide are living with DM, and 212 million individuals with diabetes remain undiagnosed. About 279 million people are living in urban areas, while 146 million live in rural areas. 327 million people with diabetes are at the peak of their waged age.[5]

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