Prevalence of diabetes recorded in mainland China using 2018 diagnostic criteria from the American Diabetes Association: national cross sectional study
Prevalence of diabetes recorded in mainland China using 2018 diagnostic criteria from the American Diabetes Association: national cross sectional study
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DOI：
10.1136/bmj.m997
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发表时间：
2020-04-28
影响因子：
105.7
通讯作者：
Shan, Zhongyan
中科院分区：
文献类型：
--
作者：
Li, Yongze;Teng, Di;Shan, Zhongyan
目的评估糖尿病的患病率及其危险因素。方法以中国大陆31个省份为研究对象，采用2015 - 2017年具有全国代表性的横断面数据。参与者75 880名18岁及以上的参与者-中国大陆人群的全国代表性样本。主要结局指标中国成年人糖尿病患病率，根据2018年美国糖尿病协会（ADA）和世界卫生组织诊断标准估计的性别，地区和种族群体的患病率。参与者在问卷上记录人口统计学特征、生活方式和疾病史。人体测量和临床评估的血清浓度空腹血糖（一次测量）、两小时血浆葡萄糖和糖化血红蛋白（HbA（1c））。和前驱糖尿病ADA标准诊断的27230例占12.8%（95%置信区间12.0%-13.6%）、6.0%（5.4%-6.7%）、6.8%（6.1%-7.4%）和35.2%（33.5%-37.0%）。总糖尿病的加权患病率在50岁及以上的成年人和男性中较高。31个省份的糖尿病总患病率从贵州的6.2%到内蒙古的19.9%不等。汉族糖尿病患病率最高（12.8%），回族最低（6.3%）。使用WHO标准，总糖尿病（n=8385）的加权患病率为11.2%（95%置信区间为10.5%至11.9%）。结论2007年至2017年，中国成年人糖尿病患病率略有增加。调查结果表明，糖尿病是中国一个重要的公共卫生问题。
OBJECTIVETo assess the prevalence of diabetes and its risk factors.DESIGNPopulation based, cross sectional study.SETTING31 provinces in mainland China with nationally representative cross sectional data from 2015 to 2017.PARTICIPANTS75 880 participants aged 18 and older-a nationally representative sample of the mainland Chinese population.MAIN OUTCOME MEASURESPrevalence of diabetes among adults living in China, and the prevalence by sex, regions, and ethnic groups, estimated by the 2018 American Diabetes Association (ADA) and the World Health Organization diagnostic criteria. Demographic characteristics, lifestyle, and history of disease were recorded by participants on a questionnaire. Anthropometric and clinical assessments were made of serum concentrations of fasting plasma glucose (one measurement), two hour plasma glucose, and glycated haemoglobin (HbA(1c)).RESULTSThe weighted prevalence of total diabetes (n=9772), self-reported diabetes (n=4464), newly diagnosed diabetes (n=5308), and prediabetes (n=27 230) diagnosed by the ADA criteria were 12.8% (95% confidence interval 12.0% to 13.6%), 6.0% (5.4% to 6.7%), 6.8% (6.1% to 7.4%), and 35.2% (33.5% to 37.0%), respectively, among adults living in China. The weighted prevalence of total diabetes was higher among adults aged 50 and older and among men. The prevalence of total diabetes in 31 provinces ranged from 6.2% in Guizhou to 19.9% in Inner Mongolia. Han ethnicity had the highest prevalence of diabetes (12.8%) and Hui ethnicity had the lowest (6.3%) among five investigated ethnicities. The weighted prevalence of total diabetes (n=8385) using the WHO criteria was 11.2% (95% confidence interval 10.5% to 11.9%).CONCLUSIONThe prevalence of diabetes has increased slightly from 2007 to 2017 among adults living in China. The findings indicate that diabetes is an important public health problem in China.