Obesity and overweight are prevalent in Saudi Arabia (24.95% & 31.80%). Also, childhood obesity in the country is a challenge, with 6% - 10% of preschool and school-age children. The burden of being overweight and...Obesity and overweight are prevalent in Saudi Arabia (24.95% & 31.80%). Also, childhood obesity in the country is a challenge, with 6% - 10% of preschool and school-age children. The burden of being overweight and obese is disastrous. Therefore, the Saudi Diabetes Scientific Society constituted a team to develop a guideline. The team reviewed the local Clinical Practice Guidelines for the Prevention and Management of Obesity in Saudi Arabia;and conducted a rigorous review of relevant evidence-based scientific literature. After a thorough assessment, a consensus was reached to use the Australian guideline as the main guideline to be adapted and localized to be suitable for the Saudi people. To avoid duplication of efforts, the team adopted the grading of evidence used by the Australian guideline. The updated version was presented in a workshop, and the recommendation of the participants was included. The final draft was distributed for review, and comments were included. This document presents the result of such an effort as a local guideline.展开更多
AIM To assess the association of inter-ethnic vs intra-ethnic marriage with severity of coronary artery disease(CAD)in men undergoing angiography.METHODS We conducted a prospective multicenter,multi-ethnic,cross secti...AIM To assess the association of inter-ethnic vs intra-ethnic marriage with severity of coronary artery disease(CAD)in men undergoing angiography.METHODS We conducted a prospective multicenter,multi-ethnic,cross sectional observational study at five hospitals in Saudi Arabia and the United Arab Emirates,in which we used logistic regression analysis with and without adjustment for baseline differences.RESULTS Data were collected for 1068 enrolled patients undergoing coronary angiography for clinical indications during the period of April 1^(st),2013 to March 30^(th),2014.Ethnicities of spouses were available only for male patients.Of those enrolled,687 were married men and constituted the cohort for the present analysis.Intra-ethnic marriages were reported in 70%and inter-ethnic marriages in 30%.After adjusting for baseline differences,interethnic marriage was associated with lower odds of having significant CAD[adjusted odds ratio 0.52(95%CI:0.33,0.81)]or multi-vessel disease(MVD)[adjusted odds ratio 0.57(95%CI:0.37,0.86)].The adjusted association with left main disease showed a similar trend,but was not statistically significant[adjusted odds ratio 0.74(95%CI:0.41,1.32)].The association between interethnic marriage and the presence of significant CAD and MVD was not modified by number of concurrent wives(P interaction>0.05 for both).CONCLUSION Among married men undergoing coronary angiography,inter-ethnic,as compared to intra-ethnic,marriage is associated with lower odds of significant CAD and MVD.展开更多
文摘Obesity and overweight are prevalent in Saudi Arabia (24.95% & 31.80%). Also, childhood obesity in the country is a challenge, with 6% - 10% of preschool and school-age children. The burden of being overweight and obese is disastrous. Therefore, the Saudi Diabetes Scientific Society constituted a team to develop a guideline. The team reviewed the local Clinical Practice Guidelines for the Prevention and Management of Obesity in Saudi Arabia;and conducted a rigorous review of relevant evidence-based scientific literature. After a thorough assessment, a consensus was reached to use the Australian guideline as the main guideline to be adapted and localized to be suitable for the Saudi people. To avoid duplication of efforts, the team adopted the grading of evidence used by the Australian guideline. The updated version was presented in a workshop, and the recommendation of the participants was included. The final draft was distributed for review, and comments were included. This document presents the result of such an effort as a local guideline.
文摘AIM To assess the association of inter-ethnic vs intra-ethnic marriage with severity of coronary artery disease(CAD)in men undergoing angiography.METHODS We conducted a prospective multicenter,multi-ethnic,cross sectional observational study at five hospitals in Saudi Arabia and the United Arab Emirates,in which we used logistic regression analysis with and without adjustment for baseline differences.RESULTS Data were collected for 1068 enrolled patients undergoing coronary angiography for clinical indications during the period of April 1^(st),2013 to March 30^(th),2014.Ethnicities of spouses were available only for male patients.Of those enrolled,687 were married men and constituted the cohort for the present analysis.Intra-ethnic marriages were reported in 70%and inter-ethnic marriages in 30%.After adjusting for baseline differences,interethnic marriage was associated with lower odds of having significant CAD[adjusted odds ratio 0.52(95%CI:0.33,0.81)]or multi-vessel disease(MVD)[adjusted odds ratio 0.57(95%CI:0.37,0.86)].The adjusted association with left main disease showed a similar trend,but was not statistically significant[adjusted odds ratio 0.74(95%CI:0.41,1.32)].The association between interethnic marriage and the presence of significant CAD and MVD was not modified by number of concurrent wives(P interaction>0.05 for both).CONCLUSION Among married men undergoing coronary angiography,inter-ethnic,as compared to intra-ethnic,marriage is associated with lower odds of significant CAD and MVD.
