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有读书笔记Prevalence of Diabetes among Men and Women in China

3 shizhao 添加于 2010-4-8 15:07 | 3743 次阅读 | 1 个评论
  •  作 者

    Yang W, Lu J, Weng J, Jia W, Ji L, Xiao J, Shan Z, Liu J, Tian H, Ji Q, Zhu D, Ge J, Lin L, Chen L, Guo X, Zhao Z, Li Q, Zhou Z, Shan G, He J
  •  摘 要

    Background Because of the rapid change in lifestyle in China, there is concern that diabetes may become epidemic. We conducted a national study from June 2007 through May 2008 to estimate the prevalence of diabetes among Chinese adults. Methods A nationally representative sample of 46,239 adults, 20 years of age or older, from 14 provinces and municipalities participated in the study. After an overnight fast, participants underwent an oral glucose-tolerance test, and fasting and 2-hour glucose levels were measured to identify undiagnosed diabetes and prediabetes (i.e., impaired fasting glucose or impaired glucose tolerance). Previously diagnosed diabetes was determined on the basis of self-report. Results The age-standardized prevalences of total diabetes (which included both previously diagnosed diabetes and previously undiagnosed diabetes) and prediabetes were 9.7% (10.6% among men and 8.8% among women) and 15.5% (16.1% among men and 14.9% among women), respectively, accounting for 92.4 million adults with diabetes (50.2 million men and 42.2 million women) and 148.2 million adults with prediabetes (76.1 million men and 72.1 million women). The prevalence of diabetes increased with increasing age (3.2%, 11.5%, and 20.4% among persons who were 20 to 39, 40 to 59, and 60 years of age, respectively) and with increasing weight (4.5%, 7.6%, 12.8%, and 18.5% among persons with a body-mass index [the weight in kilograms divided by the square of the height in meters] of <18.5, 18.5 to 24.9, 25.0 to 29.9, and 30.0, respectively). The prevalence of diabetes was higher among urban residents than among rural residents (11.4% vs. 8.2%). The prevalence of isolated impaired glucose tolerance was higher than that of isolated impaired fasting glucose (11.0% vs. 3.2% among men and 10.9% vs. 2.2% among women). Conclusions These results indicate that diabetes has become a major public health problem in China and that strategies aimed at the prevention and treatment of diabetes are needed.
  •  详细资料

    • 文献种类:期刊
    • 期刊名称: New England Journal of Medicine
    • 期刊缩写: New England Journal of Medicine
    • 期卷页: 2010  362 12 1090-1101
    • ISBN: 0028-4793
  •  标 签

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    北京中日友好医院内分泌科主任杨文英教授领导的研究团队在2007年6月至2008年5月间,对中国14个省和直辖市共46239名20岁或以上的成年人进行了糖耐力测试。接受检测者在空腹的情况下喝下葡萄糖溶液,过两小时后测试其血糖水平。调查结果显示,中国糖尿病患者的男女比例为1比0.84;城市人患者比例比乡镇为高,分别为11.4%和8.2%。研究报告指出,超过一半的患者不知道自己已经患病。南京江苏省人民医院心血管内科主任医师黄峻教授说,人们进食越来越多的高卡路里和腌制食品,同时缺乏运动,使得糖尿病患者增加。

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