Trends in Prevalence, Awareness, Treatment, and Control of Diabetes Mellitus in Mainland China from 1979 to 2012

Li, Minzhi; Su, Li; Liang, Baoyun; Tan, Jinjing; Chen, Qing; Long, Jianxiong; Xie, Jingui; Wu, Guangliang; Yan, Yan; Guo, Xiaokui; Gu, Lian

doi:10.1155/2013/753150

Cited by 94 publications

(101 citation statements)

References 42 publications

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“…A meta-analysis of 15 studies in Japan reported no increase in diabetes prevalence, 28 as observed in our analysis. Several recent reports have also documented similar increases in diabetes prevalence to those observed in our analysis in China,29, 30 India,31, 32, 33, 34 Iran, 35 Turkey, 36 and Saudi Arabia 37 . Finally, our finding of the slower rise in diabetes prevalence in women compared with men is consistent with historical data in a few high-income countries 18, 19…”

Section: Discussionsupporting

confidence: 92%

Worldwide trends in diabetes since 1980: a pooled analysis of 751 population-based studies with 4·4 million participants

Zeng¹,

Lu²,

et al. 2016

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SummaryBackgroundOne of the global targets for non-communicable diseases is to halt, by 2025, the rise in the age-standardised adult prevalence of diabetes at its 2010 levels. We aimed to estimate worldwide trends in diabetes, how likely it is for countries to achieve the global target, and how changes in prevalence, together with population growth and ageing, are affecting the number of adults with diabetes.MethodsWe pooled data from population-based studies that had collected data on diabetes through measurement of its biomarkers. We used a Bayesian hierarchical model to estimate trends in diabetes prevalence—defined as fasting plasma glucose of 7·0 mmol/L or higher, or history of diagnosis with diabetes, or use of insulin or oral hypoglycaemic drugs—in 200 countries and territories in 21 regions, by sex and from 1980 to 2014. We also calculated the posterior probability of meeting the global diabetes target if post-2000 trends continue.FindingsWe used data from 751 studies including 4 372 000 adults from 146 of the 200 countries we make estimates for. Global age-standardised diabetes prevalence increased from 4·3% (95% credible interval 2·4–7·0) in 1980 to 9·0% (7·2–11·1) in 2014 in men, and from 5·0% (2·9–7·9) to 7·9% (6·4–9·7) in women. The number of adults with diabetes in the world increased from 108 million in 1980 to 422 million in 2014 (28·5% due to the rise in prevalence, 39·7% due to population growth and ageing, and 31·8% due to interaction of these two factors). Age-standardised adult diabetes prevalence in 2014 was lowest in northwestern Europe, and highest in Polynesia and Micronesia, at nearly 25%, followed by Melanesia and the Middle East and north Africa. Between 1980 and 2014 there was little change in age-standardised diabetes prevalence in adult women in continental western Europe, although crude prevalence rose because of ageing of the population. By contrast, age-standardised adult prevalence rose by 15 percentage points in men and women in Polynesia and Micronesia. In 2014, American Samoa had the highest national prevalence of diabetes (>30% in both sexes), with age-standardised adult prevalence also higher than 25% in some other islands in Polynesia and Micronesia. If post-2000 trends continue, the probability of meeting the global target of halting the rise in the prevalence of diabetes by 2025 at the 2010 level worldwide is lower than 1% for men and is 1% for women. Only nine countries for men and 29 countries for women, mostly in western Europe, have a 50% or higher probability of meeting the global target.InterpretationSince 1980, age-standardised diabetes prevalence in adults has increased, or at best remained unchanged, in every country. Together with population growth and ageing, this rise has led to a near quadrupling of the number of adults with diabetes worldwide. The burden of diabetes, both in terms of prevalence and number of adults affected, has increased faster in low-income and middle-income countries than in high-income countries.FundingWellcome Trust.

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Section: Discussionsupporting

confidence: 92%

Worldwide trends in diabetes since 1980: a pooled analysis of 751 population-based studies with 4·4 million participants

Zeng¹,

Lu²,

et al. 2016

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“…Although poor glycemic control has been associated with greater diabetes‐related health care costs (Degli Esposti et al ., 2013), several studies in different settings have reported suboptimal glycemic control rates among T2D patients (Hu et al ., 2008; McDonald et al ., 2009; Li et al ., 2013). Moreover, a decrease in adequate glycemic control rates has been also observed during past years in some locations (Koro et al ., 2004).…”

Section: Introductionmentioning

confidence: 99%

Association between depression and glycemic control among type 2 diabetes patients in Lima, Peru

Crispín‐Trebejo

Robles‐Cuadros

Bernabé‐Ortiz

2015

Asia-Pacific Psychiatry

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IntroductionThere is limited and controversial information regarding the potential impact of depression on glycemic control. This study aims to evaluate the association between depression and poor glycemic control. In addition, the prevalence of depression and rates of poor glycemic control were determined.MethodsCross‐sectional study performed in the endocrinology unit of two hospitals of ESSALUD in Peru. The outcome of interest was poor glycemic control, evaluated by glycated hemoglobin (HbA1c: < 7% versus ≥ 7%), whereas the exposure of interest was depression defined as 15 or more points in the Patient Health Questionnaire‐9 tool.The association of interest was evaluated using Poisson regression models with robust standard errors reporting prevalence ratios (PR) and 95% confidence intervals (95% CI) adjusting for potential confounders.ResultsA total of 277 participants, 184 (66.4%) males, mean age 59.0 (SD: 4.8), and 7.1 (SD: 6.8) years of disease were analyzed. Only 31 participants (11.2%; 95% CI: 7.5%–14.9%) had moderately severe or severe depression, whereas 70 (25.3%; 95% CI 20.3%–30.8%) had good glycemic control. Depression increased the probability of having poor glycemic control (PR = 1.32; 95% CI 1.15–1.51) after adjusting for several potential confounders.ConclusionsThere is an association between depression and poor glycemic control among type 2 diabetes patients. Our results suggest that early detection of depression might be important to facilitate appropriate glycemic control and avoid further metabolic complications.

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“…Recent studies have indicated substantial geographic variations and changes in the prevalence of diabetes in China over time, representing a key public health challenge [1][2][3][4][5]. In 2002 National Nutrition Survey, the prevalence of diabetes in adults was only 2.7 % [6], and in 2010 Chronic Disease Risk Factor Surveillance in China, the prevalence had increased to 9.7 % according to the same criteria [7].…”

Section: Introductionmentioning

confidence: 99%

Spatiotemporal variation in diabetes mortality in China: multilevel evidence from 2006 and 2012

et al. 2015

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Background: Despite previous studies reporting spatial in equality in diabetes prevalence across China, potential geographic variations in diabetes mortality have not been explored. Methods: Age and gender stratified annual diabetes mortality counts for 161 counties were extracted from the China Mortality Surveillance System and interrogated using multilevel negative binomial regression. Random slopes were used to investigate spatiotemporal variation and the proportion of variance explained was used to assess the relative importance of geographical region, urbanization, mean temperature, local diabetes prevalence, behavioral risk factors and relevant biomarkers.

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Trends in Prevalence, Awareness, Treatment, and Control of Diabetes Mellitus in Mainland China from 1979 to 2012

Cited by 94 publications

References 42 publications

Worldwide trends in diabetes since 1980: a pooled analysis of 751 population-based studies with 4·4 million participants

Worldwide trends in diabetes since 1980: a pooled analysis of 751 population-based studies with 4·4 million participants

Association between depression and glycemic control among type 2 diabetes patients in Lima, Peru

Spatiotemporal variation in diabetes mortality in China: multilevel evidence from 2006 and 2012

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