Risk factors associated with the dramatic increase in the prevalence of diabetes in the adult Chinese population in Qingdao, China

Feng, Na; Pang, Zengchang; Dong, Y H; Gao, Weiguo; Nan, Hairong; Wang, S. J.; Zhang, L.; Ren, Jie; Tuomilehto, Jaakko; Hammar, Niklas; Malmberg, Klas; Andersson, Susanne; Qiao, Qing

doi:10.1111/j.1464-5491.2009.02791.x

Cited by 44 publications

(31 citation statements)

References 16 publications

(20 reference statements)

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“…With the blooming economy, mainland China has its obesity problem deteriorated in many major cities. The mean BMI recently reported in Qingdao, China was around 26 kg/m 2 , which was much higher than that in our surveys (Ning et al, 2009). …”

Section: Resultscontrasting

confidence: 49%

Worsening trend of central obesity despite stable or declining body mass index in Hong Kong Chinese between 1996 and 2005

Tang

Chan

2010

Eur J Clin Nutr

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We analyzed the obesity trends in Hong Kong using data from a health assessment program. We recruited 84 357 subjects (27 452 men and 56 905 women; age: mean ± s.d. 49.0 ± 14.7 years, range 20-98 years) in three phases: 5% (25.8, 29.3) and 26.6% (26.0, 27.3), respectively (P: NS). In summary, despite stable or declining BMI, age-standardized central obesity failed to decline in Hong Kong Chinese women and continued to increase in Chinese men over a 10-year period.

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Section: Resultscontrasting

confidence: 49%

Worsening trend of central obesity despite stable or declining body mass index in Hong Kong Chinese between 1996 and 2005

Tang

Chan

2010

Eur J Clin Nutr

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“…An earlier study in 1980 in Shanghai (24) showed a prevalence of ,1%, whereas a more recent national survey (19) revealed a prevalence of 11%. Yet another study (25) (26) from India, the Chennai Urban Rural Epidemiology Study (CURES), has shown one of the highest incidences of diabetes yet reported. In that study, there was an incidence of 22.2 per 1,000 person-years.…”

Section: Secular Trends In the Type 2 Diabetes Epidemicmentioning

confidence: 99%

Epidemiology of Diabetes—Status of a Pandemic and Issues Around Metabolic Surgery

Zimmet

Alberti

2016

Diabetes Care

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The number of people with diabetes worldwide has more than doubled during the past 20 years. One of the most worrying features of this rapid increase is the emergence of type 2 diabetes in children, adolescents, and young adults. Although the role of traditional risk factors for type 2 diabetes, such as genetic, lifestyle, and behavioral risk factors, has been given attention, recent research has focused on identifying the contributions of epigenetic mechanisms and the effect of the intrauterine environment. Epidemiological data predict an inexorable and unsustainable increase in global health expenditure attributable to diabetes, so disease prevention should be given high priority. An integrated approach is needed to prevent type 2 diabetes and must recognize its heterogeneity. Future research needs to be directed at improved understanding of the potential role of determinants, such as the maternal environment and other early life factors, as well as changing trends in global demography, to help shape disease prevention programs. Equally important is a better understanding of the role of metabolic surgery in helping to address the management both of persons with type 2 diabetes and of those persons in the community who are at higher risk for type 2 diabetes, particularly in emerging nations where the diabetes epidemic is in full flight.

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“…Other studies have supported the statistical significance of gender at the national level in Kabul 13 and in other countries. 25 Significant increases in the global age-standardized prevalence of diabetes was observed in both men and women, with the greatest increase and highest prevalence reported in men. This increase could be due to the factors such as global population aging and sex differences in prevalence of risk factors, such as smoking and BMI.…”

Section: Discussionmentioning

confidence: 99%

“…However, our findings are consistent with similar reports from India, Pakistan, and China. 10,[23][24][25] Global studies reported that low-and middle-income countries have a greater burden of diabetes. 5 Countries from the Eastern Mediterranean region including the UAE, Saudi Arabia, Bahrain, Kuwait, and Oman have reported a higher prevalence of diabetes ranging from 13.4-18.7% among wider age ranges.…”

Section: Discussionmentioning

confidence: 99%

Diabetes Mellitus Among Adults in Herat, Afghanistan: A Cross-Sectional Study

Saeed

2017

cajgh

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Introduction: Diabetes is reaching epidemic levels in Afghanistan. This study identifies the risk factors associated with diabetes in Herat City, Afghanistan, and explores the prevalence of previously undiagnosed diabetes. Methods: A cross-sectional study was conducted using multistage cluster sampling by adopting the World Health Organization's (WHO) STEPwise approach to Surveillance (STEPS). We enrolled 1129 participants aged 25-70 years between May and June of 2015 (47.4% males, 52.6% females). A structured questionnaire was used for data collection of demographic, socioeconomic, and behavioral factors. Investigators collected anthropometric measurements and blood samples from study participants. A multivariable logistic regression model was used to identify factors associated with diabetes prevalence. Results: We found that the prevalence of diabetes in Herat City was 9.9% (9.8% in males and 10.1% in females). Of the 1129 respondents, only 3.3% were previously diagnosed with diabetes or were under treatment, whereas 6.6% of respondents were previously undiagnosed. The multivariable analyses showed that age, frequency of rice consumption, type of cooking oil, and systolic blood pressure were associated with diabetes. Conclusions: This is one of the first studies to discuss the high prevalence of undiagnosed diabetes in Herat, Afghanistan. This study found several modifiable factors that were associated with diabetes in Herat, Afghanistan. Future reduction of disease burden should focus on these factors in the development of the most optimal diabetes prevention programs.

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Risk factors associated with the dramatic increase in the prevalence of diabetes in the adult Chinese population in Qingdao, China

Cited by 44 publications

References 16 publications

Worsening trend of central obesity despite stable or declining body mass index in Hong Kong Chinese between 1996 and 2005

Worsening trend of central obesity despite stable or declining body mass index in Hong Kong Chinese between 1996 and 2005

Epidemiology of Diabetes—Status of a Pandemic and Issues Around Metabolic Surgery

Diabetes Mellitus Among Adults in Herat, Afghanistan: A Cross-Sectional Study

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