Prevalence and incidence rate of diabetes mellitus in a Swedish community during 30 years of follow-up
Prevalence and incidence rate of diabetes mellitus in a Swedish community during 30 years of follow-up
复制标题
DOI：
10.1007/s00125-007-0593-4
复制
发表时间：
2007-04-01
期刊：
影响因子：
8.2
通讯作者：
Svardsudd, K.
中科院分区：
文献类型：
--
作者：
Jansson, S. P. O.;Andersson, D. K. G.;Svardsudd, K.
据报道，在过去20年中，大多数欧洲国家的糖尿病患病率都在上升。在这项研究中，我们报告了1972年至2001年瑞典中部农村社区Laxa糖尿病患病率和发病率的发展情况。从1972年开始，在Laxa的初级保健中心（PHCC）根据PHCC、附近医院和该地区私人医生的临床记录数据建立了糖尿病登记册。此外，从1983年起，对85%年龄在35岁至79岁之间的居民进行了病例发现程序。研究期间共新发糖尿病病例776例，其中1型糖尿病36例，2型糖尿病740例。1型糖尿病和2型糖尿病的年龄标准化发病率分别为每1,000人0.15例和3.03例。两种糖尿病的发病率都没有随着时间的推移而增加。女性和男性的年龄标准化患病率分别从1972年的28.3 / 1,000和25.9 / 1,000增加到1988年的45 / 1,000和46.3 / 1,000 (p < 0.0001)，此后下降到女性的平均43.5 / 1,000，而男性的平均患病率在研究期间的其余时间为44.9 / 1,000。糖尿病在Laxa的患病率很高，但在过去的13年中没有增加。在整个30年期间，发病率相对稳定。
Increasing diabetes prevalence has been reported in most European countries in the last 20 years. In this study we report on the development of prevalence and incidence of diabetes from 1972 to 2001 in Laxa, a rural community in central Sweden.A diabetes register was established at the primary healthcare centre (PHCC) in Laxa, beginning in 1972 and based on data from clinical records at the PHCC, nearby hospitals and private practitioners in the area. In addition, case-finding procedures involving 85% of the residents aged 35 to 79 years old was performed from 1983 onwards.During the study period a total of 776 new diabetes cases was found, 36 type 1 diabetes mellitus and 740 type 2 diabetes mellitus. The age-standardised incidence rates for type 1 diabetes mellitus and type 2 diabetes mellitus were 0.15 and 3.03 cases per 1,000 population, respectively. No increase in incidence over time was detected for either forms of diabetes. Age-standardised prevalence for women and men increased from 28.3 and 25.9, respectively, per 1,000 in 1972 to 45 and 46.3 per 1,000 in 1988 (p < 0.0001), thereafter falling to a mean of 43.5 per 1,000 for women, while men had a mean of 44.9 per 1,000 for the rest of the study period.The prevalence of diabetes mellitus in Laxa is high, but has not increased during the last 13 years. The incidence rate was relatively stable over the whole 30-year period.