Prevalence and management of diabetes and associated risk factors by regions of Thailand - Third National Health Examination Survey 2004
Prevalence and management of diabetes and associated risk factors by regions of Thailand - Third National Health Examination Survey 2004
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DOI：
10.2337/dc06-2319
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发表时间：
2007-08-01
期刊：
影响因子：
16.2
通讯作者：
Lim, Stephen S.
中科院分区：
文献类型：
--
作者：
Aekplakorn, Wichai;Abbott-Klafter, Jesse;Lim, Stephen S.
目的-本研究的目的是确定糖尿病和空腹血糖受损（IFG）的患病率及其与心血管危险因素的相关性，并评估泰国地理区域糖尿病患者的血糖、血压和胆固醇管理。研究设计和方法-使用分层，多阶段抽样设计，数据来自全国代表性样本的37,138人年龄！15年来收集问卷调查，体检，血液样本。结果：2004年全国人口中糖尿病和IFG的患病率分别为6.7%（男性6.0%，女性7.4%）和12.5%（男性14.7%，女性10.4%）。糖尿病在城市男性中比在农村男性中更常见，但在其他方面，各地理区域的患病率相对一致。在超过一半的糖尿病患者中，这种疾病以前没有被诊断出来，尽管大多数糖尿病患者接受口服降糖药或胰岛素治疗。糖尿病患者和IFG患者中相关危险因素的患病率较高。三分之二的糖尿病合并高血压（>= 130/80 mmHg）患者不知道他们患有高血压，>70%的糖尿病合并高胆固醇（总胆固醇>= 6.2 mmol/l）患者不知道他们患有高胆固醇。结论：糖尿病和IFG的患病率在所有地区都很高。如果要避免泰国糖尿病的健康负担，就需要改善糖尿病及其相关危险因素的预防、诊断和治疗。
OBJECTIVE - The aim of this study was to determine the prevalence of diabetes and impaired fasting glucose (IFG) and their association with cardiovascular risk factors and to evaluate the management of blood glucose, blood pressure, and cholesterol in individuals with diabetes by geographical regions of Thailand. RESEARCH DESIGN AND METHODS - With the use of a stratified, multistage sampling design, data from a nationally representative sample of 37,138 individuals aged ! 15 years were collected using questionnaires, physical examination, and blood samples. RESULTS - The prevalence of diabetes and IFG weighted to the national 2004 population was 6.7% (6.0% in men and 7.4% in women) and 12.5% (14.7% in men and 10.4% in women), respectively. Diabetes was more common in urban than in rural men but otherwise prevalence was relatively uniform across geographical regions. In more than one-half of those with diabetes, the disease had not been previously diagnosed, although the majority of those with diabetes were treated with oral antiglycemic agents or insulin. The prevalence of associated risk factors was high among individuals with diabetes as well as those with IFG. Two-thirds of those with diabetes and concomitant high blood pressure (>= 130/80 mmHg) were not aware that they had high blood pressure, and >70% of those with diabetes and concomitant high cholesterol (total Cholesterol >= 6.2 mmol/1) were not aware that they had high cholesterol. CONCLUSIONS - The prevalences of diabetes and IFG were uniformly high in all regions. Improvements in prevention, diagnosis, and treatment of diabetes and associated risk factors are required if the health burden of diabetes in Thailand is to be averted.