Type 2 diabetes in rural and urban population: diverse prevalence and associated risk factors in Bangladesh
Type 2 diabetes in rural and urban population: diverse prevalence and associated risk factors in Bangladesh
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DOI：
10.1111/j.1464-5491.2005.01558.x
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发表时间：
2005-07-01
影响因子：
3.5
通讯作者：
Vaaler, S
中科院分区：
文献类型：
--
作者：
Hussain, A;Rahim, MA;Vaaler, S
目的描述孟加拉国农村和城市人群2型糖尿病患病率及其相关危险因素的差异。诊断标准[空腹血糖（FBG）和口服葡萄糖耐量试验（OGTT）]进行了比较和审查为both population.Methods共1555例受试者从城市和4757从农村社区（年龄>= 20岁）具有相似的文化和种族背景的横断面调查。空腹血糖值测定从所有和2小时后的葡萄糖毛细血管血标本测定后，75克口服葡萄糖负荷为选定的数字（城市476，农村1046）。结果糖尿病患病率较高，城市（8.1%）相比，农村人口（2.3%）。年龄、性别和男性腰臀比是城市和农村受试者空腹和2小时血糖值调整后的重要危险因素。城市（Kappa 0.41）和农村（Kappa 0.40）areas.Conclusions一个较高的患病率糖尿病（DM）在城市人群中观察到的FBG和OGTT之间的协议差与农村受试者相比，尽管相似的身体质量指数（BMI）。肥胖、腰臀比或高血压的差异不能解释城市人群中T2DM发病率的增加。
Aims To describe differences in prevalence of Type 2 diabetes mellitus with its associated risk factors between rural and urban populations in Bangladesh. Diagnostic criteria [fasting blood glucose (FBG) and oral glucose tolerance tests (OGTT)] were compared and reviewed for both populations.Methods A total of 1555 subjects from urban and 4757 from rural communities (age >= 20 years) with similar cultural and ethnic backgrounds were randomly selected in a cross-sectional survey. FBG values were determined from all and 2-h post-glucose capillary blood samples were determined after a 75-g oral glucose load for a selected number (urban 476, rural 1046).Results A higher prevalence of diabetes was found in urban (8.1%) compared with rural populations (2.3%). Age, sex and waist-to-hip ratio for men were significant risk factors for both urban and rural subjects following fasting and 2-h post-glucose values adjusted for a number of confounding variables. Poor agreement was observed between FBG and OGTT for both urban (kappa 0.41) and rural (kappa 0.40) areas.Conclusions A higher prevalence of diabetes mellitus (DM) in the urban population was observed compared with rural subjects despite similar body mass indexes (BMI). Differences in obesity, waist/hip ratio or hypertension failed to explain the increasing occurrence of T2DM in the urban population.