Changes in the prevalence of diabetes and control of risk factors for diabetes among Chinese adults from 2007 to 2017: An analysis of repeated national cross-sectional surveys

IF 3 2区医学 Q2 ENDOCRINOLOGY & METABOLISM

Journal of Diabetes Pub Date : 2023-11-05 DOI:10.1111/1753-0407.13492

Chenye Jin, Yaxin Lai, Yongze Li, Di Teng, Wenying Yang, Weiping Teng, Zhongyan Shan, For the China National Diabetes and Metabolic Disorders Study Group and the Thyroid Disorders, Iodine Status and Diabetes Epidemiological Survey Group

{"title":"Changes in the prevalence of diabetes and control of risk factors for diabetes among Chinese adults from 2007 to 2017: An analysis of repeated national cross-sectional surveys","authors":"Chenye Jin, Yaxin Lai, Yongze Li, Di Teng, Wenying Yang, Weiping Teng, Zhongyan Shan, For the China National Diabetes and Metabolic Disorders Study Group and the Thyroid Disorders, Iodine Status and Diabetes Epidemiological Survey Group","doi":"10.1111/1753-0407.13492","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Introduction</h3>\n \n <p>To examine changes in the prevalence of diabetes and the control of risk factors for diabetes over 10 years among adults in China.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Two population-based cross-sectional surveys were used to obtain a nationally representative sample of adults aged 20 years and older in mainland China in 2007 (<i>n</i> = 46 239) and 2017 (<i>n</i> = 73 340). Changes in the prevalence of diabetes, impaired fasting glucose, impaired glucose tolerance, and prediabetes, as diagnosed by the World Health Organization criteria, were assessed over time.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The weighted prevalence of diagnosed diabetes (3.8% vs 6.3%, <i>p</i> = .0001) and total diabetes (9.7% vs 11.7%, <i>p</i> = .005) increased among the overall population between 2007 and 2017. The weighted prevalence of undiagnosed diabetes (5.9% vs 5.4%, <i>p</i> = .7), impaired fasting glucose (2.7% vs 2.6%, <i>p</i> = .68), impaired glucose tolerance (12.7% vs 12.5%, <i>p</i> = .95), prediabetes (15.4% vs 15.1%, <i>p</i> = .79), the treatment of diabetes (34.1% vs 32.5%, <i>p</i> = .44), and the control of diabetes (31.1% vs 32.8%, <i>p</i> = .73) did not significantly change over this period. The awareness of diabetes (39.4% vs 53.6%, <i>p</i> = .0004) increased over 10 years among the overall population. The proportion of achieved high-density lipoprotein cholesterol targets increased (<i>p</i> = .005), but the proportion of achieved body mass index (<i>p</i> = .01) and waist circumference (<i>p</i> = .0002) targets decreased significantly.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Between 2007 and 2017, the prevalence of total diabetes (diagnosed by the World Health Organization criteria), especially diagnosed diabetes, increased among adults in China. Although awareness of diabetes improved, effective interventions and clinical strategies are urgently required.</p>\n </section>\n </div>","PeriodicalId":189,"journal":{"name":"Journal of Diabetes","volume":"16 2","pages":""},"PeriodicalIF":3.0000,"publicationDate":"2023-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1753-0407.13492","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Diabetes","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/1753-0407.13492","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction

To examine changes in the prevalence of diabetes and the control of risk factors for diabetes over 10 years among adults in China.

Methods

Two population-based cross-sectional surveys were used to obtain a nationally representative sample of adults aged 20 years and older in mainland China in 2007 (n = 46 239) and 2017 (n = 73 340). Changes in the prevalence of diabetes, impaired fasting glucose, impaired glucose tolerance, and prediabetes, as diagnosed by the World Health Organization criteria, were assessed over time.

Results

The weighted prevalence of diagnosed diabetes (3.8% vs 6.3%, p = .0001) and total diabetes (9.7% vs 11.7%, p = .005) increased among the overall population between 2007 and 2017. The weighted prevalence of undiagnosed diabetes (5.9% vs 5.4%, p = .7), impaired fasting glucose (2.7% vs 2.6%, p = .68), impaired glucose tolerance (12.7% vs 12.5%, p = .95), prediabetes (15.4% vs 15.1%, p = .79), the treatment of diabetes (34.1% vs 32.5%, p = .44), and the control of diabetes (31.1% vs 32.8%, p = .73) did not significantly change over this period. The awareness of diabetes (39.4% vs 53.6%, p = .0004) increased over 10 years among the overall population. The proportion of achieved high-density lipoprotein cholesterol targets increased (p = .005), but the proportion of achieved body mass index (p = .01) and waist circumference (p = .0002) targets decreased significantly.

Conclusions

Between 2007 and 2017, the prevalence of total diabetes (diagnosed by the World Health Organization criteria), especially diagnosed diabetes, increased among adults in China. Although awareness of diabetes improved, effective interventions and clinical strategies are urgently required.

Abstract Image

查看原文本刊更多论文

2007-2017年中国成年人糖尿病患病率的变化和糖尿病危险因素的控制：对重复的全国横断面调查的分析。

引言：研究糖尿病患病率的变化和10岁以上糖尿病危险因素的控制方法：采用两项基于人群的横断面调查，获得20岁成人的全国代表性样本 2007年中国大陆的岁及以上（n = 46 239）和2017（n = 73 340）。根据世界卫生组织的标准，评估了糖尿病、空腹血糖受损、糖耐量受损和糖尿病前期患病率随时间的变化。结果：诊断为糖尿病的加权患病率（3.8%vs 6.3%，p = .0001）和总糖尿病（9.7%vs11.7%，p = .005）在2007年至2017年间的总体人口中有所增加。未确诊糖尿病的加权患病率（5.9%vs 5.4%，p = .7），空腹血糖受损（2.7%对2.6%，p = .68），糖耐量受损（12.7%vs12.5%，p = .95），糖尿病前期（15.4%对15.1%，p = .79），糖尿病的治疗（34.1%vs 32.5%，p = .44），以及糖尿病的控制（31.1%vs32.8%，p = .73）在这段时间内没有显著变化。对糖尿病的认识（39.4%vs53.6%，p = .0004）增加超过10 年。实现高密度脂蛋白胆固醇目标的比例增加（p = .005），但达到体重指数的比例（p = .01）和腰围（p = .0002）目标显著降低。结论：2007年至2017年间，中国成年人中全糖尿病（根据世界卫生组织标准诊断），尤其是诊断糖尿病的患病率有所上升。尽管人们对糖尿病的认识有所提高，但迫切需要有效的干预措施和临床策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Diabetes ENDOCRINOLOGY & METABOLISM-

CiteScore

6.50

自引率

2.20%

发文量

审稿时长

>12 weeks

期刊介绍： Journal of Diabetes (JDB) devotes itself to diabetes research, therapeutics, and education. It aims to involve researchers and practitioners in a dialogue between East and West via all aspects of epidemiology, etiology, pathogenesis, management, complications and prevention of diabetes, including the molecular, biochemical, and physiological aspects of diabetes. The Editorial team is international with a unique mix of Asian and Western participation. The Editors welcome submissions in form of original research articles, images, novel case reports and correspondence, and will solicit reviews, point-counterpoint, commentaries, editorials, news highlights, and educational content.