The metabolic effect of life style changes due to internal

migration from rural to urban areas.

A Lesson from the Nubian study in Egypt

byProf. Morsi Arab

University of Alexandria

Western desert

Eastern desert

Saini

Nubia

Geographical Distribution of the Egyptian Population

43% Urban

1% Desert

56% Agriculture

30.5

20.5

14.3

13

9.3

6.3

6.1

0 5 10 15 20 25 30 35 %

age

grou

psThe pyramidal structure of the

Egyptian population

>60

-60

-50

-40

-30

-20

-10

Prevelance of DM in whole Egypt in Different Age Groups

0.62 0.80

3.08

15.06

8.25

12.04

0

2

4

6

8

10

12

14

16

% p

opul

atio

n

Age Group 10 20 30 40 50 60

0

5

10

15

20

25P

erce

nt

20 30 40 50 60 >60

Age

Diabetes Prevelance & Age Groups

14.7% 14.3%

5.6%

8.5%

2.0%

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

U UN RN RA RD

Prevelance of DM among age group (40 - ) in different communities

Conclusions:

1 -Change in life style ( diet & exercise) in

susceptible individuals or groups, is liable to

increase their predisposition to DM.

2 -The changes are more profoundly demonstrated

among groups that might be originally protected

by some genetically inherited characteristics.

Conclusions ( cont…)

3 -Most of the parameters of the metabolic

syndrome seem to be closely bound

together, and are prone to change under

the influence of the adverse changes of

life style.

Alexandrie – Palais du Montazah

Thank You