Prevalence, awareness, treatment, control of type 2 diabetes mellitus and risk factors in Chinese rural population: the RuralDiab study.
Prevalence, awareness, treatment, control of type 2 diabetes mellitus and risk factors in Chinese rural population: the RuralDiab study.
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中国农村人口 2 型糖尿病的患病率、知晓率、治疗、控制及危险因素：RuralDiab 研究
DOI：
10.1038/srep31426
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发表时间：
2016-08-11
影响因子：
4.6
通讯作者：
Wang C
中科院分区：
文献类型：
--
作者：
Liu X;Li Y;Li L;Zhang L;Ren Y;Zhou H;Cui L;Mao Z;Hu D;Wang C
该研究旨在调查中国农村地区2型糖尿病（T2DM）的患病率、知晓率、治疗率和控制率，并探索潜在的风险因素。从农村糖尿病、肥胖与生活方式（RuralDiab）研究中招募了农村地区共16413名年龄在18 - 74岁的个体进行流行病学研究。同时，进行了一项包含7项已发表研究的荟萃分析以验证横断面研究的结果。T2DM的粗患病率、年龄标准化患病率、知晓率、治疗率和控制率分别为12.19%、67.00%、62.35%、22.20%以及6.98%、60.11%、54.85%、18.77%。T2DM的患病率、知晓率、治疗率和控制率随年龄增长呈现上升趋势（趋势P＜0.01），并且与教育程度、饮酒、较多的蔬菜和水果摄入、体力活动、糖尿病家族史、体重指数（BMI）密切相关。这项荟萃分析的结果显示，中国农村T2DM的合并患病率、知晓率、治疗率和控制率分别为7.3%（5.3% - 9.4%）、57.3%（36.9% - 77.6%）、48.4%（32.4% - 64.5%）和21.0%（9.9% - 32.1%）。中国农村地区T2DM患病率较高，且对T2DM的知晓率、治疗率和控制率不足。应倡导健康的生活方式，以降低中国农村居民T2DM的患病率，并提高其知晓率、治疗率和控制率。
The study aimed to investigate prevalence, awareness, treatment and control of type 2 diabetes mellitus (T2DM), and to explore potential risk factors in rural areas of China. A total of 16413 individuals aged 18–74 years in rural districts were recruited from the Rural Diabetes, Obesity and Lifestyle (RuralDiab) study for the epidemiological research. Meanwhile, a meta-analysis including 7 published studies was conducted to validate the result of the cross-sectional study. The rates of crude and age-standardized prevalence, awareness, treatment and control of T2DM were 12.19%, 67.00%, 62.35%, 22.20% and 6.98%, 60.11%, 54.85%, 18.77%, respectively. The prevalence, awareness, treatment and control of T2DM displayed increased trends with age (Ptrend < 0.01) and were strongly associated with education, drinking, more vegetable and fruit intake, physical activity, family history of diabetes, body mass index (BMI). The results of this meta-analysis showed that the pooled prevalence, awareness, treatment and control of T2DM in China countryside were 7.3% (5.3–9.4%), 57.3% (36.9–77.6%), 48.4% (32.4–64.5%) and 21.0% (9.9–32.1%), respectively. The prevalence of T2DM was high with inadequate awareness, treatment and control of T2DM in China rural areas. Healthy lifestyles should be advocated to reduce prevalence and improve awareness, treatment, and control of T2DM in Chinese rural residents.