Focus on the fetus through enhanced maternal care: the way forward for diabetes and cardiovascular disease prevention

I. A. Jayawardane, S. Sudasinghe, C. Wijeratne
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引用次数: 1

Abstract

Type 2 diabetes is considered the ‘mother of all diseases’ due to its macrovascular and microvascular complications negatively impacting on quality of life. It has a huge impact on well-being of South Asian populations being number one cause for premature disability and death. Its impact on economic development of lower and middle-income countries being significant, saw heads of states pledge at the UN general assembly 2011 to pay special attention in enhancing healthy lifestyle. This initiative has been unable to stem the tide in the next decade. The global prevalence of diabetes and related metabolic disease has risen exponentially. Worldwide trends of age-standardized diabetes prevalence increased from 4.3% in 1980 to 9.0% in 2014 in men, and from 5.0% to 7.9% in women, with women surpassing men with advancing age. In 2019, a total of 463 million people was estimated to be living with diabetes, representing 9.3% of the global adult population (20–79 years). This is projected to increase to 578 million (10.2%) in 2030 and 700 million (10.9%) in 2045. The prevalence of diabetes in women in 2019 was estimated to be 9.0%, and 9.6% in men. The increase in diabetes prevalence with age leads to a prevalence of 19.9% in people aged 65–79 years. It is well accepted that women are not far behind men in prevalence and also recognized to suffer from more severe complications. World Diabetes Day is observed on 14 November, since 2006. More recently the internationally agreed themes include ‘Healthy WomenHealthy Nation’ and ‘Diabetes and the Family’. Many countries struggling with the rise of type 2 diabetes have focused on the affliction of prediabetes and diabetes in young women.
关注胎儿通过加强孕产妇保健:糖尿病和心血管疾病预防的前进之路
2型糖尿病因其大血管和微血管并发症对生活质量产生负面影响而被认为是“所有疾病之母”。它对南亚人口的福祉产生了巨大影响,是过早残疾和死亡的头号原因。它对低收入和中等收入国家的经济发展具有重大影响,各国元首在2011年联合国大会上承诺特别关注促进健康的生活方式。在接下来的十年里,这一举措无法阻止这一趋势。糖尿病及相关代谢疾病的全球患病率呈指数级上升。全球年龄标准化糖尿病流行趋势男性从1980年的4.3%上升到2014年的9.0%,女性从5.0%上升到7.9%,随着年龄的增长,女性超过男性。2019年,估计共有4.63亿人患有糖尿病,占全球成年人口(20-79岁)的9.3%。预计到2030年将增加到5.78亿(10.2%),到2045年将增加到7亿(10.9%)。据估计,2019年女性糖尿病患病率为9.0%,男性为9.6%。糖尿病患病率随年龄增长而增加,65-79岁人群的患病率为19.9%。人们普遍认为,妇女在患病率方面并不比男子落后多少,而且人们也认识到妇女患有更严重的并发症。自2006年以来,每年11月14日为世界糖尿病日。最近国际商定的主题包括“健康妇女、健康国家”和“糖尿病与家庭”。许多与2型糖尿病上升作斗争的国家都把重点放在了糖尿病前期和年轻女性糖尿病的困扰上。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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