Prevalence of undiagnosed diabetes and pre-diabetes and its associated risk factors in Vietnam

Nguyen, Van Dat; Vien, Quang Mai; Thai, Hung; Phan, Cong Danh; Nguyen, Huu Chau; Nguyen, Van Tuyen; Nguyen, Dinh Luong; Sir, Won Seok; Chon, Yun

doi:10.35500/jghs.2019.1.e7

Cited by 8 publications

(11 citation statements)

References 21 publications

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“…Furthermore, over the 7-year period of the study, the proportion of the 65-69 age group increased significantly, which partially contributed to the increase in the prevalence of diabetes and prediabetes. Nonetheless, our findings are similar to those of a study in Chi Linh, a northern city in which 15.9% of those aged 50-69 years were living with diabetes [10], a study in the south central coast of Vietnam that reported prevalence rates of 8.1% for diabetes and 50.1% for prediabetes [9], and a study conducted in the South Central Coast province, namely Khanh Hoa that reported a 20% prevalence of diabetes among those aged over 40 years [21]. Our results also align with those of other Asian middle-aged populations, for example, Thailand ( > 13.5% with diabetes in 2014) or China ( > 11.3% with diabetes in 2016) [22], Japanese adults aged over 40 years (men: 19.4%; women: 9.1%) [23], and adults in the United States [24].…”

Section: Discussionsupporting

confidence: 90%

“…The burden of diabetes is increasing, and it deserves more attention since it constitutes one of the largest challenges facing Vietnam due to the aging population. Evidence from previous studies in Vietnam reveals that the prevalence of diabetes was higher among those aged over 40 years [8][9][10]. Demographic changes, coupled with income growth and a westernized lifestyle, particularly in the city of Da Nang (a coastal city that is the largest city in central Vietnam, with 1.134 million inhabitants), will change the distribution of diabetes in the future [11].…”

Section: Discussionmentioning

confidence: 99%

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Examining prevalence trends of pre-diabetes and diabetes and associated risk factors in Vietnamese adults

et al. 2020

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The prevalence of diabetes mellitus is rapidly increasing in Vietnam, particularly among adults aged over 45 years. This study estimated trends in diabetes and prediabetes prevalence and determined risk factors in Vietnamese adults (over 45 years). METHODS: A cross-sectional study was conducted based on data from an annual diabetes screening program among people aged 45-69 years in an urban city in central Vietnam (Da Nang). Joinpoint regression analyses were performed to calculate the annual percentage change and p trend-values. Multinomial logistic regression analysis was used to determine risk factors. RESULTS: In total, 3,765 men and 9,149 women were included in this analysis. The age-adjusted prevalence of diabetes and prediabetes in 2017 was 11.4% and 52.9%, respectively. The prevalence of diabetes was higher in men (15.1%) than in women (10.3%), but that of prediabetes was similar in both genders (53.4% vs. 52.8%). The prevalence of prediabetes significantly increased during the study period, whereas no upward or downward trend for diabetes was observed. The prevalence of obesity, abdominal obesity, hypertension, and dyslipidemia showed no obvious trend. Obesity, a high waist-to-hip ratio, hypertension, more severe abdominal obesity, and dyslipidemia were significantly associated with a higher risk of diabetes and prediabetes. CONCLUSIONS: Diabetes and prediabetes were more prevalent among people aged over 45 years than in the general population. Da Nang has experienced a marked increase in the prevalence of prediabetes. These findings have significant implications regarding the need for nationwide public health interventions and management aiming at diabetes prevention and control.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Examining prevalence trends of pre-diabetes and diabetes and associated risk factors in Vietnamese adults

et al. 2020

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“…The Canadian Diabetes Association reported that high LDL-C and triglyceride levels were risk factors for prediabetes and diabetes [ 30 ]. A study in Vietnam showed that high levels of triglycerides and LDL-C were associated with prediabetes [ 31 ]. Moreover, a study in Bangladesh clearly demonstrated that high levels of triglycerides and LDL-C were associated with prediabetes [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of prediabetes mellitus among hill tribe adults in Thailand

Apidechkul

Chomchiei²,

Upala³

et al. 2022

PLoS ONE

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Background Prediabetes is a major silent health problem that leads to the development of diabetes within a few years, particularly among those who have a low socioeconomic status. Hill tribe people are vulnerable to prediabetes due to their unique cultural cooking methods and their hard work on farms, as well as their low economic status and educational levels. This study aimed to estimate the prevalence of prediabetes among hill tribe people in Thailand and identify the related factors. Methods This cross-sectional study included participants who belong to one of the six main hill tribes: Akah, Lahu, Hmong, Yao, Karen, and Lisu. The study was conducted in 30 hill tribe villages in Chiang Rai Province, Thailand. A validated questionnaire was administered, and 5-mL blood specimens were collected. Data were collected between November 2019 and March 2020. Logistic regression was used to determine the associations between independent variables and prediabetes. Results A total of 1,406 participants were recruited for the study; 67.8% were women, 77.2% were between 40 and 59 years old, and 82.9% were married. The majority worked in the agricultural sector (57.2%), had an annual income ≤ 50,000 baht (67.5%), and had never attended school (69.3%). The prevalence of prediabetes was 11.2%. After controlling for age and sex, five factors were found to be associated with prediabetes. Members of the Akha and Lisu tribes had 2.03 (95% CI = 1.03–3.99) and 2.20 (95% CI = 1.10–4.42) times higher odds of having prediabetes than Karen tribe members, respectively. Those with hypertension (HT) had 1.47 (95% CI = 1.03–2.08) times higher odds of having prediabetes than those with normal blood pressure. Those with a normal total cholesterol level had 2.43 (95% CI = 1.65–3.58) times higher odds of having prediabetes than those with a high total cholesterol level. Those with a high triglyceride level had 1.64 (95% CI = 1.16–2.32) times higher odds of having prediabetes than those with a normal triglyceride level. Those with a high low-density lipoprotein cholesterol (LDL-C) level had 1.96 (95% CI = 1.30–2.96) times higher odds of having prediabetes than those with a normal LDL-C level. Conclusion Appropriate dietary guidelines and exercise should be promoted among hill tribe people between 30 and 59 years old to reduce the probability of developing prediabetes.

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“…The need factors associated with undiagnosed T2D include other chronic diseases 16 , hypertension status (not hypertension 13 , 14 , hypertension 17 , 18 , 29 , 30 ), obesity 17 – 19 , 21 , 22 , 28 , 31 , low HDL-C 31 , 32 , high triglycerides 31 , 32 , dyslipidaemia 22 , cardiovascular disease status (not heart disease 14 , cardiovascular disease 18 ), and perceived poor health 16 . The study aimed to estimate the prevalence and associated factors of undiagnosed T2D among people 18 years and older in Morocco.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and correlates of undiagnosed, diagnosed, and total type 2 diabetes among adults in Morocco, 2017

Pengpid

Peltzer

2022

Sci Rep

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The study aimed to estimate the prevalence and associated factors of undiagnosed type 2 diabetes (T2D) among adults in Morocco. Cross-sectional data were analyzed from 4779 people (≥ 18 years, mean age 41.7 years) who participated in the Morocco STEPS nationally representative survey in 2017 and had completed fasting blood glucose measurement. The results indicate that the prevalence of undiagnosed T2D was 5.9% (44.7% of total T2D), diagnosed T2D 7.3% and total T2D 13.2%. In the adjusted multinomial logistic regression analysis, older age (≥ 50 years), receipt of health care advice, and obesity were positively associated with undiagnosed T2D. Older age (≥ 50 years), urban residence, receipt of health care advice, ever cholesterol screening, moderate sedentary behaviour, obesity, hypertension, and elevated total cholesterol were positively associated with diagnosed T2D. In adjusted logistic regression analysis, older age (≥ 50 years), receipt of health care advice and cholesterol screening were negatively associated with undiagnosed T2D versus diagnosed T2D. A significant proportion of adults in Morocco had undiagnosed T2D and several associated factors were identified that can help guide interventions.

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Prevalence of undiagnosed diabetes and pre-diabetes and its associated risk factors in Vietnam

Cited by 8 publications

References 21 publications

Examining prevalence trends of pre-diabetes and diabetes and associated risk factors in Vietnamese adults

Examining prevalence trends of pre-diabetes and diabetes and associated risk factors in Vietnamese adults

Epidemiology of prediabetes mellitus among hill tribe adults in Thailand

Prevalence and correlates of undiagnosed, diagnosed, and total type 2 diabetes among adults in Morocco, 2017

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