Prevalence of diabetes and impaired fasting glucose in the Chinese adult population: International Collaborative Study of Cardiovascular Disease in Asia (InterASIA)

Prevalence of diabetes and impaired fasting glucose in the Chinese adult population: International Collaborative Study of Cardiovascular Disease in Asia (InterASIA)
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DOI:
10.1007/s00125-003-1167-8
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发表时间:
2003-09-01
期刊:
影响因子:
8.2
通讯作者:
He, J
He, J
中科院分区:
医学1区
文献类型:
--
作者:
Gu, D;Reynolds, K;He, J

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目的/假设。估计中国普通成年人群中确诊和未确诊糖尿病及空腹血糖受损的患病率。方法.亚洲心血管疾病国际合作研究于2000年至2001年进行,包括15540名年龄在35至74岁之间的成年人的全国代表性样本。采集过夜空腹血液样本以测量血清葡萄糖,并通过标准问卷获得糖尿病史和使用降血糖药物的信息。未确诊的糖尿病(空腹血糖≥ 7.0 mmol/l)和空腹血糖受损(6.1-6.9 mmol/l)的定义采用美国糖尿病协会标准。结果中国成年人自我报告的确诊糖尿病、未确诊糖尿病和空腹血糖受损的患病率分别为1.3%、4.2%和7.3%。总体而言,中国35至74岁的男性中有5.2%或1270万人患有糖尿病,女性中有5.8%或1330万人患有糖尿病(自我报告的诊断加上未诊断的糖尿病)。中国北方居民糖尿病的年龄标准化患病率高于南方居民(7.4%比5.4%,p
Aims/hypothesis. To estimate the prevalence of diagnosed and undiagnosed diabetes and impaired fasting glucose in the general adult population of China. Methods. The International Collaborative Study of Cardiovascular Disease in ASIA, conducted from 2000 to 2001, included a nationally representative sample of 15 540 adults, aged 35 to 74 years. An overnight fasting blood specimen was collected to measure serum glucose and information on history of diabetes and use of hypoglycaemic medications was obtained by a standard questionnaire. Undiagnosed diabetes (fasting glucose greater than or equal to7.0 mmol/l) and impaired fasting glucose (6.1-6.9 mmol/l) were defined using the American Diabetes Association criteria. Results. Prevalence of self-reported diagnosed diabetes, undiagnosed diabetes, and impaired fasting glucose in Chinese adults were 1.3%, 4.2%, and 7.3%, respectively. Overall, 5.2% or 12.7 million men and 5.8% or 13.3 million women in China aged 35 to 74 years had diabetes (self-reported diagnosis plus undiagnosed diabetes). The age-standardized prevalence of diabetes was higher in residents of northern compared to southern China (7.4% vs 5.4%, p