Diabetes in the Western Pacific Region-Past, Present and Future
Diabetes in the Western Pacific Region-Past, Present and Future
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DOI：
10.1016/j.diabres.2013.11.012
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发表时间：
2014-02-01
影响因子：
5.1
通讯作者：
Shaw, Jonathan
中科院分区：
文献类型：
--
作者：
Chan, Juliana C. N.;Cho, Nam H.;Shaw, Jonathan
在2013年出版的国际糖尿病联合会（IDF）糖尿病地图集中，据报道，2013年西太平洋（WP）地区的糖尿病患病率为8.6%，即1.38亿成年人，估计到2035年将上升到11.1%，即2.01亿成年人。2013年和2035年的糖耐量受损患病率估计值分别为6.8%和9.0%。超过50%的糖尿病患者未被确诊。2013年，1.87亿人死于糖尿病，其中44%发生在60岁以下。WP地区拥有世界四分之一的人口，包括糖尿病患者人数最多的中国以及患病率最高的太平洋岛屿国家。糖尿病患病率在中年至中年成年人中迅速增加，这可能是由于儿童肥胖和妊娠糖尿病的高发病率以及人口和社会文化的快速转变。遗传、种族、文化和社会经济发展的差异导致宿主-环境-生活方式之间复杂的相互作用，疾病异质性显著，进一步受到获得护理和治疗的影响。尽管存在这些挑战，但WP地区为预防和控制糖尿病提供了值得注意的例子。(C)2013爱思唯尔爱尔兰有限公司保留所有权利。
In the 2013 issue of the International Diabetes Federation (IDF) Diabetes Atlas, the prevalence of diabetes in the Western Pacific (WP) Region was reported to be 8.6% in 2013, or 138 million adults, and estimated to rise to 11.1%, or 201 million adults, in 2035. The prevalence estimates of impaired glucose tolerance in 2013 and 2035 were 6.8% and 9.0%, respectively. Over 50% of people with diabetes were undiagnosed. In 2013, 187 million deaths were attributable to diabetes, 44% of which occurred in the under the age of 60. The WP Region is home to one quarter of the world's population, and includes China with the largest number of people with diabetes as well as Pacific Islands countries with the highest prevalence rates. There is a rapid increase in diabetes prevalence in the young-to-middle aged adults, possibly driven by high rates of childhood obesity and gestational diabetes as well as rapid demographic and sociocultural transitions. Differences in genetics, ethnicity, cultures and socioeconomic development have led to complex host-environment-lifestyle interactions with marked disease heterogeneity, further influenced by access to care and treatment. Despite these challenges, the WP Region has provided notable examples to prevent and control diabetes. (C) 2013 Elsevier Ireland Ltd. All rights reserved.