Prevalence of diabetes, impaired glucose tolerance, and impaired fasting glucose in a rural population of Korea, according to 1997 American Diabetes Association and 1985 World Health Organization criteria.

Park, J Y; Kim, Y I; Choi, Cheolsoo; Chung, Yi-Wei; Kim, S W; Lee, M S; Lee, S I; Hong, Suckchang; Lee, K U

doi:10.2337/diacare.23.5.707

Cited by 18 publications

(19 citation statements)

References 2 publications

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“…The estimated prevalence of diabetes and impaired fasting glucose and the crosssectional associations of these conditions with cardiovascular risk factors are analogous with those of industrialized Western populations such as the U.S. (14) and Australia (15). The rise to Western levels in the prevalence of diabetes and associated cardiovascular risk factors in Thail a n d ( 1 6 -1 8 ) a n d o t h e r n e w l y industrializing countries of the AsiaPacific region (19,20) appears to be largely attributable to changes in sociodemographic factors (21), in particular the greater age of the population (5,13), the increased proportion living in an urban environment (22), and mounting levels of obesity (23). Because each of these is likely to rise still further, the burden of diabetes-related diseases in Thailand and the Asia-Pacific region will continue to increase for at least the next few decades (1).…”

Section: Conclusion -Thementioning

confidence: 86%

The Prevalence and Management of Diabetes in Thai Adults

et al. 2003

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OBJECTIVE -The aim of this study was to determine in Thai adults aged Ն35 years the prevalence and management of diabetes and the associations of diabetes with cardiovascular risk factors. RESEARCH DESIGN AND METHODS -The InternationalCollaborative Study of Cardiovascular Disease in Asia was a complex sample survey. Data from a structured questionnaire, brief physical examination, and blood sample were collected from 5,105 individuals aged Ն35 years (response rate 68%). Population estimates were calculated by applying sampling weights derived from the 2000 Thai census.RESULTS -The estimated national prevalence of diabetes in Thai adults was 9.6% (2.4 million people), which included 4.8% previously diagnosed and 4.8% newly diagnosed. The prevalence of impaired fasting glucose was 5.4% (1.4 million people). Diagnosed diabetes, undiagnosed diabetes, and impaired fasting glucose were associated with greater age, BMI, waist-to-hip ratio, systolic blood pressure, total cholesterol, and serum creatinine levels. The majority of individuals with diagnosed diabetes had received dietary or other behavioral advice, and 82% were taking oral hypoglycemic therapy. Blood pressure-lowering therapy was provided to 67% of diagnosed diabetic patients with concomitant hypertension.CONCLUSIONS -Diabetes is common in Thailand, but one-half of all cases are undiagnosed. Because diagnosed diabetes is likely to be treated with proven, low-cost, preventive therapies such as glucose lowering and blood pressure lowering, initiatives that increased diagnosis rates would be expected to produce substantial health benefits in Thailand.

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Section: Conclusion -Thementioning

confidence: 86%

The Prevalence and Management of Diabetes in Thai Adults

et al. 2003

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“…In 1993, Korean diabetes prevalence was reported to be 7.2% in a community-based cross-sectional study (8). Another Korean study reported a prevalence of diabetes in a rural area of 7.9% according to ADA criteria (19). However, these studies were based on rural populations.…”

Section: Prevalence Of Diabetes and Ifg In Koreamentioning

confidence: 87%

Prevalence of Diabetes and Impaired Fasting Glucose in Korea

et al. 2006

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OBJECTIVE -The purpose of this study was to estimate the prevalence of diabetes and impaired fasting glucose (IFG) and their association with risk factors in the Korean population. RESEARCH DESIGN AND METHODS -The Korean National Health and NutritionSurvey 2001 was a nationally representative survey with a stratified multistage sampling design. Data from a comprehensive questionnaire, a physical examination, and blood tests were obtained from 5,844 Korean adults (2,513 men and 3,331 women) aged Ͼ20 years.RESULTS -The age-adjusted prevalence of diabetes in this Korean population was 7.6%, and the age-adjusted prevalences of previously diagnosed diabetes and newly diagnosed diabetes were 4.4 and 3.3%, respectively (fasting plasma glucose Ն7.0 mmol/l). Overall, these results indicate that 8.1% or 1.4 million Korean men and 7.5% or 1.3 million Korean women have diabetes. The age-adjusted prevalence of IFG was 23.9%, using the new American Diabetes Association criteria (fasting plasma glucose 5.6 -6.9 mmol/l). Diabetes prevalence increased with age and peaked in the oldest age-group; however, IFG prevalence did not show the same trend. Diabetes was found to be associated with age, BMI, blood pressure, triglyceride, HDL cholesterol, education levels, alcohol consumption, exercise, and a family history of diabetes.CONCLUSIONS -This study shows that diabetes and IFG are common in Korea, and about one-half of diabetes cases remain undiagnosed. These results emphasize the need to develop an urgent public program to improve the detection, prevention, and treatment of diabetes. Diabetes Care 29:226 -231, 2006T ype 2 diabetes is recognized as a global health problem nowadays, and it has been projected that the number of diabetic patients will rise from an estimated 135 million in 1995 to 300 million in 2025 (1). Moreover, the AsiaPacific region is considered to be on the verge of an emerging diabetes epidemic (2).Individuals with diabetes have a higher risk of complications such as retinopathy, nephropathy, neuropathy, and cardiovascular disease (3). According to the Korea National Statistical Office, the mortality rate due to diabetes was 25.0 per 100,000 persons in 2003, and thus it is currently rated as Korea's fourth leading cause of death (4). Although the importance of early diagnosis and secondary intervention programs for the prevention of diabetes complications have been emphasized, about one-half of those with diabetes remain unidentified (5). Epidemiological studies on diabetes have a significant impact on diabetes research, care, and prevention programs. The prevalence of diabetes varies widely among populations according to race, lifestyle, and urbanization (6). In a recent survey in the U.S., its prevalence was 8.2% in adults aged 20 -74 years (7). In Korea, a number of studies have been conducted on diabetes prevalence, including one by the present authors (8 -10). However, previous studies have been regionally based, and thus reliable nationwide data about the prevalence of diabetes and impaired fasting gluco...

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“…(a) Population based, (b) performed after 1990, (c) included both men and women, (d) studied individuals who were at least 30 years of age, and (e) used the standard 2-h 75 g OGTT on the morning after an overnight fast. The subjects and methods of each study have been previously described [8,[20][21][22]. A brief description of the studies is as follows.…”

Section: Methodsmentioning

confidence: 99%

“…With rapid socioeconomic progress, the prevalence of type 2 diabetes has markedly increased in Korea and is now similar to that in Western countries [17,18]. Of the community-based epidemiological studies reporting the prevalence of diabetes and its risk factors in Korea, the Committee of the Korean Diabetes Association on the Diagnosis and Classification of Diabetes Mellitus selected four recent studies (1993)(1994)(1995)(1996)(1997)(1998)(1999)(2000) with complete datasets of OGTT results: the Yonchon study [19,20], the Chongup study [21], the Mokdong study [22], and the Ansan study [8]. Based on this pooled analysis, we reported previously that the optimal cutoff point of FPG values for the diagnosis of diabetes and impaired glucose tolerance (IGT) are 6.1 and 5.4 mmol/L, respectively [23].…”

Section: Introductionmentioning

confidence: 99%