Screening analysis of the prevalence of leading endocrine diseases in Tajikistan

Aim. To clarify the epidemiology of endocrine diseases in different regions of Tajikistan.Materials and methods. A retrospective analysis of the medical history of patients with primary hyperparathyroidism (PHPT) admitted to two medical centres in Dushanbe over a 10-year period (2011-2020) was used, along with data from an epidemiological analysis conducted by the Republican Endocrinology Clinical Centre from 2016 to 2021.Results. More than 50,000 cases of diabetes were registered in Tajikistan between 2016 and 2021, including 3,424 cases of type 1 diabetes (6.8%) and 47,094 cases of type 2 diabetes (93.2%). There is a consistent trend towards an increasing prevalence of diabetes. There has also been an increase in the prevalence of thyroid pathology, particularly endemic goiter and related endocrine disorders. An increase in obesity was observed in both adults and children.Conclusions. The epidemiological analysis indicates a high prevalence and increasing trend of endocrine disorders in Tajikistan. This underlines the importance of early diagnosis and timely implementation of preventive measures. The observed increase in obesity rates calls for additional attention to programmes aimed at improving the diet and lifestyle of the population. Continued basic research is needed to improve diagnostic and treatment capabilities, especially in the context of expanding national programmes for diabetes and other endocrine disorders.