Prevalence of Pre-Diabetes and Its Associated Risk Factors in Rural Areas of Ningbo, China

Abstract

Objective: The aims of the study were to investigate the prevalence of pre-diabetes and explore its associated risk factors in rural areas of Ningbo, China. Methods: A cross-sectional survey was conducted with 4583 adult residents in rural areas of Ningbo, China between March and May 2013. The survey used a multi-stage, stratified, cluster sampling method. Data collected included demographics and medical history, anthropometric measurements, blood pressure, blood lipid, and plasma glucose. After at least 10 h of overnight fasting, participants underwent an oral glucose tolerance test (OGTT) to identify pre-diabetes. Univariate and multivariate logistic regression analyses were used to evaluate the associated risk factors for pre-diabetes, and to estimate the effect of interaction between the factors. Results: There were 1307 survey participants having pre-diabetes (28.52%) and the age-standardized prevalence was 30.53%. Multivariate logistic regression results showed that overweight/obesity, hypertension, and higher triglycerides were the risk factors for developing pre-diabetes. There were positive interactions between overweight/obesity and triglycerides, and also between hypertension and triglycerides on the multiplicative scale, suggesting that they synergistically influenced the development of pre-diabetes. Conclusions: The rural areas in Ningbo had a high prevalence of pre-diabetes. Overweight and obesity, hypertension, and elevated triglycerides were the major risk factors. There is a need of early intervention for preventing pre-diabetes.

Prevalence of prediabetes in apparently healthy population of Tehsil Kangra and adjoining areas

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Prevalence and factors associated with prediabetes and diabetes in fishing communities in penang, Malaysia: A cross-sectional study

“…The current study finding that abdominal obesity, family history of diabetes and being hypertensive were significant associated factors for diabetes has a sound basis in literature [44]. Not only do these factors independently increase the risk of diabetes, there have been suggestions that interaction between these factors further potentiate the risk of diabetes.…”

Discharge pharmacotherapy for Type 2 diabetic inpatients at two hospitals of different tiers in Zhejiang Province, China

“…Despite the fact that the study was carried out among inpatients, some findings could be cautiously extrapolated to the outpatients as well. Not unexpected with our understanding of disease status in rural and urban populations [1,19,21], patients' characteristics from two hospitals showed significant differences. Patients from SMH were older and less educated.…”

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