Time trend analysis of the prevalence and incidence of diagnosed type 2 diabetes among adults in Taiwan from 2000 to 2007: a population-based study.
Time trend analysis of the prevalence and incidence of diagnosed type 2 diabetes among adults in Taiwan from 2000 to 2007: a population-based study.
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DOI：
10.1186/1471-2458-13-318
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发表时间：
2013-04-09
影响因子：
4.5
通讯作者：
Li TC
中科院分区：
文献类型：
--
作者：
Lin CC;Li CI;Hsiao CY;Liu CS;Yang SY;Lee CC;Li TC
随着久坐不动的生活方式和高热量的饮食摄入，台湾人口中2型糖尿病的患病率迅速上升。本研究旨在探讨2000年至2007年间台湾成人2型糖尿病患病率及发病率的年度趋势。一项以人口为基础的研究，所有年龄在20岁及以上的居民（2000年为12,191,076人，2007年为18,772,180人）参加了国家健康保险（NHI）计划，该数据库用于识别诊断为2型糖尿病的患者。采用《国际疾病分类》第9版临床修改诊断代码，基于年龄、性别、保险费率和城市化程度估算诊断为2型糖尿病的年患病率和发病率。使用Logistic回归来估计危险因素的优势比（OR），并检查2000年至2007年诊断为2型糖尿病的年患病率或发病率的趋势。诊断为2型糖尿病的粗年患病率从2000年的5.79%显著增加到2007年的8.30%。2007年男性、年龄≥80岁的个体和居住在老龄化社会地区的个体增加最多[OR （95% CI）分别为1.416（1.412-1.420）、1.033（1.032-1.034）、31.810（31.690-31.931）和1.090(1.085-1.094)]。在整个研究期间，粗发病率波动，从2006年的7.72‰到2000年的8.98‰不等。2006年以保费中位数≥0.933（0.925-0.942）和0.810（0.805-0.815）的个体下降幅度最大。增加最多的是男性、60 ~ 79岁和老年区，分别为1.150（1.145 ~ 1.155）、15.452（15.329 ~ 15.576）和1.127（1.113 ~ 1.142）。本研究显示2000年至2007年间，台湾成人诊断为2型糖尿病的年患病率大幅增加。发病率在2000年至2007年期间波动。
The prevalence of type 2 diabetes has rapidly increased in the Taiwanese population with the increasing prevalence of a sedentary lifestyle and high-calorie dietary intake. This study aims to determine the annual trends of the prevalence and incidence of diagnosed type 2 diabetes among adults in Taiwan from 2000 to 2007. A population-based study of all residents aged 20 years and over (12,191,076 in 2000 and 18,772,180 in 2007) enrolled in the National Health Insurance (NHI) program, the database of which was used to identify patients diagnosed with type 2 diabetes. The annual prevalence and incidence of diagnosed type 2 diabetes were estimated using the International Classification of Diseases, 9th Revision, Clinical Modification diagnostic codes based on age, gender, insurance premium, and urbanization degree. Logistic regression was used to estimate the odds ratios (OR) of risk factors, as well as to examine the trend in the annual prevalence or incidence of diagnosed type 2 diabetes from 2000 to 2007. The crude annual prevalence of diagnosed type 2 diabetes increased significantly from 5.79% in 2000 to 8.30% in 2007. The increase was highest in 2007, among men, individuals aged ≥ 80 years, and individuals residing in aging society areas [OR (95% CI): 1.416 (1.412–1.420), 1.033 (1.032–1.034), 31.810 (31.690–31.931), and 1.090 (1.085–1.094), respectively]. The crude incidence fluctuated throughout the study period, ranging from 7.72 per 1,000 in 2006 to 8.98 per 1,000 in 2000. The decrease was highest in 2006, among individuals with an insurance premium ≥ median value [0.933 (0.925–0.942) and 0.810 (0.805–0.815), respectively]. The greatest increase was among men, individuals aged 60 to 79 years, and individuals residing in aging society areas [1.150 (1.145–1.155), 15.452 (15.329–15.576), and 1.127 (1.113–1.142), respectively]. This study demonstrated the substantial increase in annual prevalence of diagnosed type 2 diabetes among adults in Taiwan from 2000 to 2007. The incidence fluctuated between 2000 and 2007.