南亚糖尿病的上升趋势：系统回顾和荟萃分析

IF 4.3 Q1 ENDOCRINOLOGY & METABOLISM

Diabetes & Metabolic Syndrome-Clinical Research & Reviews Pub Date : 2024-11-01 DOI:10.1016/j.dsx.2024.103160

Priyanga Ranasinghe , Nethmini Rathnayake , Sameera Wijayawardhana , Hajanthy Jeyapragasam , V. Jithmal Meegoda , Ranil Jayawardena , Anoop Misra

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引用次数: 0

摘要

背景众所周知，南亚人患 2 型糖尿病 (T2D) 的几率较高。我们根据 2000 年至 2024 年进行的调查，描述了南亚地区糖尿病、糖尿病前期和未确诊糖尿病的最新患病率和趋势。方法我们在 PubMed、Web of Science 和 Scopus 数据库中进行了全面搜索，以了解有关糖尿病/糖尿病患病率的人群研究。包括 STEPS 调查在内，共筛选出 7261 条符合条件的记录，其中 89 条被纳入本次分析。结果南亚的糖尿病患病率从 2000-2004 年的 11.29% 上升到 2020-2024 年的 22.30%。二十年来，斯里兰卡和巴基斯坦的糖尿病发病率急剧上升。印度和孟加拉国的患病率也有所上升，分别从2.5%（2015-16年）上升到8.1%（2019-21年）和5.5%（2006年）上升到8.3%（2018年）。男性糖尿病患病率较高。在整个地区，城市地区的患病率高于农村地区，两个地区的患病率都呈上升趋势。糖尿病前期的情况也类似。尽管负担沉重，但仍有很大一部分患者未得到诊断，印度德里的比例高达 17.5%（2010-11 年）。整个地区的城市患病率高于农村。糖尿病前期也呈现出类似的上升趋势，未确诊者占相当大的比例，这提醒我们需要协调努力，进行早期诊断和预防。

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Rising trends of diabetes in South Asia: A systematic review and meta-analysis

Background

South Asians are known for their increased predisposition for type 2 diabetes (T2D). We describe the most recent prevalence and trends of diabetes, prediabetes, and undiagnosed diabetes in South Asia based on surveys conducted from 2000 to 2024.

Methods

A comprehensive search was conducted in PubMed, Web of Science and Scopus databases for population-based studies describing diabetes/prediabetes prevalence. Including STEPS surveys, 7261 records were screened for eligibility, of which 89 were included in this analysis. Prevalences and trends of diabetes, undiagnosed diabetes and prediabetes were analysed by country, making male/female and urban/rural comparisons.

Results

Prevalence of diabetes in South Asia has increased from 11.29 % in 2000–2004 to 22.30 % in 2020–2024. Sri Lanka and Pakistan have demonstrated a steep rise in diabetes over the two decades. India and Bangladesh, have also shown a rise in prevalence from 2.5 % (2015–16) to 8.1 % (2019–21) and 5.5 % (2006) to 8.3 % (2018), respectively. Diabetes prevalence among males was higher. Urban prevalence was higher than rural throughout the region, with both sectors showing a rising trend. Prediabetes followed a similar pattern. Despite the high burden, a large proportion remained undiagnosed, being as high as 17.5 % in Delhi, India (2010–11).

Conclusion

Pooled prevalences show a rising burden of diabetes over the past decade, with a considerable proportion being undiagnosed, in South Asia. Urban prevalence is higher than rural prevalence throughout the region. Prediabetes also shows a similar rising trend, with a notable proportion o being undiagnosed, alerting the need for coordinated efforts for early diagnosis, and prevention.

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来源期刊

Diabetes & Metabolic Syndrome-Clinical Research & Reviews ENDOCRINOLOGY & METABOLISM-

CiteScore

22.90

自引率

2.00%

发文量

248

审稿时长

51 days

期刊介绍： Diabetes and Metabolic Syndrome: Clinical Research and Reviews is the official journal of DiabetesIndia. It aims to provide a global platform for healthcare professionals, diabetes educators, and other stakeholders to submit their research on diabetes care. Types of Publications: Diabetes and Metabolic Syndrome: Clinical Research and Reviews publishes peer-reviewed original articles, reviews, short communications, case reports, letters to the Editor, and expert comments. Reviews and mini-reviews are particularly welcomed for areas within endocrinology undergoing rapid changes.