Prevalence and Risk Factors of Type 2 Diabetes and Prediabetes Among 53,288 Middle-Aged and Elderly Adults in China: A Cross-Sectional Study

Mengdi Xia,1,* Kaixiang Liu,2,* Jie Feng,1 Zaiqiong Zheng,1 Xisheng Xie1 1Department of Nephrology, The Second Clinical Medical Institution of North Sichuan Medical College (Nanchong Central Hospital) and Nanchong Key Laboratory of Basic Science & Clinical Research on Chronic Kidney Disease,...

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Main Authors: Xia M, Liu K, Feng J, Zheng Z, Xie X
Format: Article
Language:English
Published: Dove Medical Press 2021-05-01
Series:Diabetes, Metabolic Syndrome and Obesity
Subjects:
Online Access:https://www.dovepress.com/prevalence-and-risk-factors-of-type-2-diabetes-and-prediabetes-among-5-peer-reviewed-fulltext-article-DMSO
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author Xia M
Liu K
Feng J
Zheng Z
Xie X
author_facet Xia M
Liu K
Feng J
Zheng Z
Xie X
author_sort Xia M
collection DOAJ
description Mengdi Xia,1,* Kaixiang Liu,2,* Jie Feng,1 Zaiqiong Zheng,1 Xisheng Xie1 1Department of Nephrology, The Second Clinical Medical Institution of North Sichuan Medical College (Nanchong Central Hospital) and Nanchong Key Laboratory of Basic Science & Clinical Research on Chronic Kidney Disease, Nanchong, Sichuan, People’s Republic of China; 2Department of Nephrology, Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan, People’s Republic of China*These authors contributed equally to this workCorrespondence: Xisheng XieDepartment of Nephrology, The Second Clinical Medical Institution of North Sichuan Medical College (Nanchong Central Hospital), South Renmin Road 97, Shunqing District, Nanchong, Sichuan Province, 637000, People’s Republic of ChinaTel +86 158 8170 0265Email xishengx@126.comBackground: Diabetes is a metabolic disorder that causes a heavy burden on healthcare systems worldwide. The aim of this study was to determine the prevalence of type 2 diabetes and prediabetes and its associated factors among eight communities in Nanchong, China.Methods: This was an observational cross-sectional study conducted throughout eight communities in Nanchong, China. The participants were 53,288 individuals aged 45 years or older. The participants’ characteristics, comorbidities, health behaviors, family history, and dietary intake were assessed. Multinomial logistic regression models were fitted to identify factors associated with type 2 diabetes and prediabetes.Results: The prevalence of diabetes and prediabetes was 13.9% (95% confidence interval [CI], 13.6– 14.2) and 3.1% (95% CI, 2.9– 3.2) of the population, respectively. After adjusting for other risk factors, advanced age, overweight, obesity, abdominal obesity, comorbidities, smoking, a family history of diabetes, and Chinese cooking vegetable intake were associated with an increased risk of type 2 diabetes and prediabetes.Conclusion: The prevalence of type 2 diabetes in the Chinese population is rising compared with data from the past. The risk factors of type 2 diabetes and prediabetes identified in this study will aid the identification of individuals at a high-risk of diabetes and the implementation of effective health promotion programs and campaigns.Clinical Trial Registry Number: ChiCTR-HOC-17013200.Keywords: cross-sectional study, diabetes, prevalence, risk factors
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spelling doaj.art-22b5052738d94b7ab2284b77fbbaec512023-02-02T09:33:23ZengDove Medical PressDiabetes, Metabolic Syndrome and Obesity1178-70072021-05-01Volume 141975198564430Prevalence and Risk Factors of Type 2 Diabetes and Prediabetes Among 53,288 Middle-Aged and Elderly Adults in China: A Cross-Sectional StudyXia MLiu KFeng JZheng ZXie XMengdi Xia,1,* Kaixiang Liu,2,* Jie Feng,1 Zaiqiong Zheng,1 Xisheng Xie1 1Department of Nephrology, The Second Clinical Medical Institution of North Sichuan Medical College (Nanchong Central Hospital) and Nanchong Key Laboratory of Basic Science & Clinical Research on Chronic Kidney Disease, Nanchong, Sichuan, People’s Republic of China; 2Department of Nephrology, Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan, People’s Republic of China*These authors contributed equally to this workCorrespondence: Xisheng XieDepartment of Nephrology, The Second Clinical Medical Institution of North Sichuan Medical College (Nanchong Central Hospital), South Renmin Road 97, Shunqing District, Nanchong, Sichuan Province, 637000, People’s Republic of ChinaTel +86 158 8170 0265Email xishengx@126.comBackground: Diabetes is a metabolic disorder that causes a heavy burden on healthcare systems worldwide. The aim of this study was to determine the prevalence of type 2 diabetes and prediabetes and its associated factors among eight communities in Nanchong, China.Methods: This was an observational cross-sectional study conducted throughout eight communities in Nanchong, China. The participants were 53,288 individuals aged 45 years or older. The participants’ characteristics, comorbidities, health behaviors, family history, and dietary intake were assessed. Multinomial logistic regression models were fitted to identify factors associated with type 2 diabetes and prediabetes.Results: The prevalence of diabetes and prediabetes was 13.9% (95% confidence interval [CI], 13.6– 14.2) and 3.1% (95% CI, 2.9– 3.2) of the population, respectively. After adjusting for other risk factors, advanced age, overweight, obesity, abdominal obesity, comorbidities, smoking, a family history of diabetes, and Chinese cooking vegetable intake were associated with an increased risk of type 2 diabetes and prediabetes.Conclusion: The prevalence of type 2 diabetes in the Chinese population is rising compared with data from the past. The risk factors of type 2 diabetes and prediabetes identified in this study will aid the identification of individuals at a high-risk of diabetes and the implementation of effective health promotion programs and campaigns.Clinical Trial Registry Number: ChiCTR-HOC-17013200.Keywords: cross-sectional study, diabetes, prevalence, risk factorshttps://www.dovepress.com/prevalence-and-risk-factors-of-type-2-diabetes-and-prediabetes-among-5-peer-reviewed-fulltext-article-DMSOcross-sectional studydiabetesprevalencerisk factors
spellingShingle Xia M
Liu K
Feng J
Zheng Z
Xie X
Prevalence and Risk Factors of Type 2 Diabetes and Prediabetes Among 53,288 Middle-Aged and Elderly Adults in China: A Cross-Sectional Study
Diabetes, Metabolic Syndrome and Obesity
cross-sectional study
diabetes
prevalence
risk factors
title Prevalence and Risk Factors of Type 2 Diabetes and Prediabetes Among 53,288 Middle-Aged and Elderly Adults in China: A Cross-Sectional Study
title_full Prevalence and Risk Factors of Type 2 Diabetes and Prediabetes Among 53,288 Middle-Aged and Elderly Adults in China: A Cross-Sectional Study
title_fullStr Prevalence and Risk Factors of Type 2 Diabetes and Prediabetes Among 53,288 Middle-Aged and Elderly Adults in China: A Cross-Sectional Study
title_full_unstemmed Prevalence and Risk Factors of Type 2 Diabetes and Prediabetes Among 53,288 Middle-Aged and Elderly Adults in China: A Cross-Sectional Study
title_short Prevalence and Risk Factors of Type 2 Diabetes and Prediabetes Among 53,288 Middle-Aged and Elderly Adults in China: A Cross-Sectional Study
title_sort prevalence and risk factors of type 2 diabetes and prediabetes among 53 288 middle aged and elderly adults in china a cross sectional study
topic cross-sectional study
diabetes
prevalence
risk factors
url https://www.dovepress.com/prevalence-and-risk-factors-of-type-2-diabetes-and-prediabetes-among-5-peer-reviewed-fulltext-article-DMSO
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