Prevalence and risk factors for diabetes in Ho Chi Minh City, Vietnam
Prevalence and risk factors for diabetes in Ho Chi Minh City, Vietnam
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DOI：
10.1111/j.1464-5491.2004.01159.x
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发表时间：
2004-04-01
影响因子：
3.5
通讯作者：
Yamamoto, S
中科院分区：
文献类型：
--
作者：
Son, LENTD;Kusama, K;Yamamoto, S
目的 确定越南胡志明市糖尿病患病率及相关危险因素。方法 在一项横断面研究中，对胡志明市 2932 名 15 岁及以上的参与者进行了糖尿病筛查。该研究于 2001 年 3 月至 5 月进行。记录了人口统计、职业、人体测量和血压。根据空腹毛细血管血和静脉血计算血糖。根据WHO和美国糖尿病协会标准对糖尿病和空腹血糖受损(IFG)进行分类。结果糖尿病和空腹血糖受损的粗患病率分别为6.6%和3.2%。根据越南人口普查进行年龄、性别调整后，患病率分别为 3.8% 和 2.5%；大约40%的病例被发现为新诊断的糖尿病。城市地区糖尿病的粗患病率大约比 1993 年研究记录的高 2.8 倍（分别为 6.9% 和 2.5%）。在这项研究中，糖尿病与性别、年龄、超重、腰臀比（WHR）以及是否曾生过大于胎龄儿的病史呈正相关；结论本研究发现胡志明市年龄、性别调整后的糖尿病和IFG患病率分别为3.8%和2.5%,近十年来快速上升。我们的研究还表明，老龄化、高腰臀比、超重和久坐的生活方式可能是越南这一过渡时期糖尿病患病率增加的重要决定因素。
Aims To determine the prevalence of diabetes and associated risk factors in Ho Chi Minh City, Vietnam.Methods A total of 2932 participants aged 15 and above in Ho Chi Minh City were screened for diabetes in a cross-sectional study. The study was conducted from March-May 2001. Demographic, occupation, anthropometry and blood pressure were recorded. Blood glucose was calculated on fasting capillary and venous blood. The classification of diabetes and impaired fasting glucose (IFG) was carried out according to WHO and American Diabetes Association criteria.Results The crude prevalence of diabetes and IFG were 6.6 and 3.2%, respectively. After age, sex-adjustment to the Vietnam population census, the prevalence was 3.8 and 2.5%, respectively; approximately 40% of cases were found to be newly diagnosed diabetes. The crude prevalence of diabetes in the urban area was approximately 2.8 times higher than that recorded in the 1993 study (6.9 vs. 2.5%, respectively). In this study, there was a positive association between diabetes and sex, age, overweight, waist hip ratio (WHR), and having a history of delivering large for gestational age child; there was a negative association between diabetes and physical activity and occupation.Conclusions This study found that the age, sex-adjusted prevalence of diabetes and IFG in Ho Chi Minh City were 3.8 and 2.5%, respectively, a rapid increase in the recent decade. Our study also indicates that ageing, a high WHR level, overweight and a sedentary lifestyle may be important determinants of the increased prevalence of diabetes during this transition period in Vietnam.