Prevalence of diabetes mellitus and impaired glucose tolerance in aborigines and Chinese in eastern Taiwan
Prevalence of diabetes mellitus and impaired glucose tolerance in aborigines and Chinese in eastern Taiwan
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DOI：
10.1016/s0168-8227(97)00104-6
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发表时间：
1997-12-01
影响因子：
5.1
通讯作者：
Lee, ML
中科院分区：
文献类型：
--
作者：
Chen, HD;Shaw, CK;Lee, ML
本研究的目的是确定台湾东部三个不同民族的糖尿病和糖耐量受损 (IGT) 患病率。这项研究是在六个乡村的汉族、原住民阿美族和原住民泰雅族中进行的。邀请40岁及以上的居民参加。按照世界卫生组织 (WHO) 的建议，使用 75 克口服葡萄糖耐量试验 (OGTT) 进行人群筛查。使用世界卫生组织标准来确定结果。共有 1013 名成年人（460 名男性和 553 名女性）接受了检查，应答率为 62.1%。有反应者和无反应者之间的性别、年龄和糖尿病史没有显着差异。按年龄调整的糖尿病患病率，华人为11.0%（男性9.8%，女性12.3%），阿美族为9.1%（男性12.1%，女性7.4%），泰雅族为10.8%（男性11.5%，女性9.4%），两国为9.9%（男性11.5%，女性8.5%）。原住民群体聚集在一起。尽管糖尿病患病率的性别差异没有统计学意义，但中国女性的糖尿病患病率似乎略高于中国男性（12.3% vs 9.8%）。尽管如此，原住民男性的糖尿病患病率略高于原住民女性（阿美族为12.1%，泰雅族为11.5%，泰雅族为10.7%）。华人、阿美族、泰雅族和两个原住民群体的 IGT 患病率分别为 7.2%、8.5%、10.8% 和 9.7%。这三个种族的糖尿病和IGT患病率没有显着差异。环境，而不是种族，更有可能是主要因素。结果发现，这项研究中的糖尿病患病率大约是1987年台湾调查报告的两倍。差异可能是由于筛选方法和评估周期不同造成的。 (C) 1997 爱思唯尔科学爱尔兰有限公司
The aim of this study was to determine the prevalence of diabetes mellitus and impaired glucose tolerance (IGT) in three different ethnic groups in eastern Taiwan. The study was performed among Han Chinese, aboriginal Ami and aboriginal Atayal in six rural villages. Inhabitants aged 40 years and over were invited to participate. A 75-g oral glucose tolerance test (OGTT) was used as suggested by the World Health Organization (WHO) for population screening purposes. WHO criteria were used for determining the results. A total of 1013 adults (460 men and 553 women) were examined with a response rate of 62.1%. There were no significant differences in sex, age and history of diabetes between responders and non-responders. The age-adjusted prevalence of diabetes was 11.0% (9.8% in men and 12.3% in women) in the Chinese, 9.1% (12.1% in men and 7.4% in women) in the Amis, 10.8% (11.5% in men and 9.4% in women) in the Atayal and 9.9% (11.5% in men and 8.5% in women) for the two aboriginal groups together. Although sex differences in prevalence of diabetes were not statistically significant, it seems that diabetes was slightly more prevalent in Chinese women than in Chinese men (12.3 versus 9.8%). Nonetheless, the prevalence rate of diabetes was somewhat higher in the aboriginal males than in the aboriginal females (12.1 versus 9.8% for Ami and 11.5 versus 10.7% for Atayal). The prevalence of IGT was 7.2, 8.5, 10.8 and 9.7% for the Chinese, Amis, Atayal and the two aboriginal groups, respectively. There were no substantial differences in the prevalence of diabetes and IGT among these three ethnic groups. Environment, rather than ethnicity, was more likely the predominant factor. It was found that the prevalence of diabetes in this study was about twice as high as that reported in a 1987 survey in Taiwan. The discrepancy may be due to different screening methods and assessment periods. (C) 1997 Elsevier Science Ireland Ltd.