Changes in the prevalence of diabetes and control of risk factors for diabetes among Chinese adults from 2007 to 2017: An analysis of repeated national cross‐sectional surveys
Abstract Introduction To examine changes in the prevalence of diabetes and the control of risk factors for diabetes over 10 years among adults in China. Methods Two population‐based cross‐sectional surveys were used to obtain a nationally representative sample of adults aged 20 years and older in ma...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2024-02-01
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| Series: | Journal of Diabetes |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/1753-0407.13492 |
| _version_ | 1797294345761587200 |
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| author | Chenye Jin Yaxin Lai Yongze Li Di Teng Wenying Yang Weiping Teng Zhongyan Shan For the China National Diabetes and Metabolic Disorders Study Group and the Thyroid Disorders, Iodine Status and Diabetes Epidemiological Survey Group |
| author_facet | Chenye Jin Yaxin Lai Yongze Li Di Teng Wenying Yang Weiping Teng Zhongyan Shan For the China National Diabetes and Metabolic Disorders Study Group and the Thyroid Disorders, Iodine Status and Diabetes Epidemiological Survey Group |
| author_sort | Chenye Jin |
| collection | DOAJ |
| description | Abstract Introduction To examine changes in the prevalence of diabetes and the control of risk factors for diabetes over 10 years among adults in China. Methods Two population‐based cross‐sectional surveys were used to obtain a nationally representative sample of adults aged 20 years and older in mainland China in 2007 (n = 46 239) and 2017 (n = 73 340). Changes in the prevalence of diabetes, impaired fasting glucose, impaired glucose tolerance, and prediabetes, as diagnosed by the World Health Organization criteria, were assessed over time. Results The weighted prevalence of diagnosed diabetes (3.8% vs 6.3%, p = .0001) and total diabetes (9.7% vs 11.7%, p = .005) increased among the overall population between 2007 and 2017. The weighted prevalence of undiagnosed diabetes (5.9% vs 5.4%, p = .7), impaired fasting glucose (2.7% vs 2.6%, p = .68), impaired glucose tolerance (12.7% vs 12.5%, p = .95), prediabetes (15.4% vs 15.1%, p = .79), the treatment of diabetes (34.1% vs 32.5%, p = .44), and the control of diabetes (31.1% vs 32.8%, p = .73) did not significantly change over this period. The awareness of diabetes (39.4% vs 53.6%, p = .0004) increased over 10 years among the overall population. The proportion of achieved high‐density lipoprotein cholesterol targets increased (p = .005), but the proportion of achieved body mass index (p = .01) and waist circumference (p = .0002) targets decreased significantly. Conclusions Between 2007 and 2017, the prevalence of total diabetes (diagnosed by the World Health Organization criteria), especially diagnosed diabetes, increased among adults in China. Although awareness of diabetes improved, effective interventions and clinical strategies are urgently required. |
| first_indexed | 2024-03-07T21:29:54Z |
| format | Article |
| id | doaj.art-928d9495f8ee4638ab3c2a5bf86529d8 |
| institution | Directory Open Access Journal |
| issn | 1753-0393 1753-0407 |
| language | English |
| last_indexed | 2024-03-07T21:29:54Z |
| publishDate | 2024-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes |
| spelling | doaj.art-928d9495f8ee4638ab3c2a5bf86529d82024-02-27T01:30:32ZengWileyJournal of Diabetes1753-03931753-04072024-02-01162n/an/a10.1111/1753-0407.13492Changes in the prevalence of diabetes and control of risk factors for diabetes among Chinese adults from 2007 to 2017: An analysis of repeated national cross‐sectional surveysChenye Jin0Yaxin Lai1Yongze Li2Di Teng3Wenying Yang4Weiping Teng5Zhongyan Shan6For the China National Diabetes and Metabolic Disorders Study Group and the Thyroid Disorders, Iodine Status and Diabetes Epidemiological Survey GroupDepartment of Rheumatology and Immunology First Hospital of China Medical University Shenyang ChinaDepartment of Endocrinology and Metabolism and the Institute of Endocrinology, NHC Key Laboratory of Diagnosis and Treatment of Thyroid Diseases First Hospital of China Medical University Shenyang ChinaDepartment of Endocrinology and Metabolism and the Institute of Endocrinology, NHC Key Laboratory of Diagnosis and Treatment of Thyroid Diseases First Hospital of China Medical University Shenyang ChinaDepartment of Endocrinology and Metabolism and the Institute of Endocrinology, NHC Key Laboratory of Diagnosis and Treatment of Thyroid Diseases First Hospital of China Medical University Shenyang ChinaDepartment of Endocrinology China‐Japan Friendship Hospital Beijing ChinaDepartment of Endocrinology and Metabolism and the Institute of Endocrinology, NHC Key Laboratory of Diagnosis and Treatment of Thyroid Diseases First Hospital of China Medical University Shenyang ChinaDepartment of Endocrinology and Metabolism and the Institute of Endocrinology, NHC Key Laboratory of Diagnosis and Treatment of Thyroid Diseases First Hospital of China Medical University Shenyang ChinaAbstract Introduction To examine changes in the prevalence of diabetes and the control of risk factors for diabetes over 10 years among adults in China. Methods Two population‐based cross‐sectional surveys were used to obtain a nationally representative sample of adults aged 20 years and older in mainland China in 2007 (n = 46 239) and 2017 (n = 73 340). Changes in the prevalence of diabetes, impaired fasting glucose, impaired glucose tolerance, and prediabetes, as diagnosed by the World Health Organization criteria, were assessed over time. Results The weighted prevalence of diagnosed diabetes (3.8% vs 6.3%, p = .0001) and total diabetes (9.7% vs 11.7%, p = .005) increased among the overall population between 2007 and 2017. The weighted prevalence of undiagnosed diabetes (5.9% vs 5.4%, p = .7), impaired fasting glucose (2.7% vs 2.6%, p = .68), impaired glucose tolerance (12.7% vs 12.5%, p = .95), prediabetes (15.4% vs 15.1%, p = .79), the treatment of diabetes (34.1% vs 32.5%, p = .44), and the control of diabetes (31.1% vs 32.8%, p = .73) did not significantly change over this period. The awareness of diabetes (39.4% vs 53.6%, p = .0004) increased over 10 years among the overall population. The proportion of achieved high‐density lipoprotein cholesterol targets increased (p = .005), but the proportion of achieved body mass index (p = .01) and waist circumference (p = .0002) targets decreased significantly. Conclusions Between 2007 and 2017, the prevalence of total diabetes (diagnosed by the World Health Organization criteria), especially diagnosed diabetes, increased among adults in China. Although awareness of diabetes improved, effective interventions and clinical strategies are urgently required.https://doi.org/10.1111/1753-0407.13492diabetesepidemiologyprediabetesprevalence |
| spellingShingle | Chenye Jin Yaxin Lai Yongze Li Di Teng Wenying Yang Weiping Teng Zhongyan Shan For the China National Diabetes and Metabolic Disorders Study Group and the Thyroid Disorders, Iodine Status and Diabetes Epidemiological Survey Group Changes in the prevalence of diabetes and control of risk factors for diabetes among Chinese adults from 2007 to 2017: An analysis of repeated national cross‐sectional surveys Journal of Diabetes diabetes epidemiology prediabetes prevalence |
| title | Changes in the prevalence of diabetes and control of risk factors for diabetes among Chinese adults from 2007 to 2017: An analysis of repeated national cross‐sectional surveys |
| title_full | Changes in the prevalence of diabetes and control of risk factors for diabetes among Chinese adults from 2007 to 2017: An analysis of repeated national cross‐sectional surveys |
| title_fullStr | Changes in the prevalence of diabetes and control of risk factors for diabetes among Chinese adults from 2007 to 2017: An analysis of repeated national cross‐sectional surveys |
| title_full_unstemmed | Changes in the prevalence of diabetes and control of risk factors for diabetes among Chinese adults from 2007 to 2017: An analysis of repeated national cross‐sectional surveys |
| title_short | Changes in the prevalence of diabetes and control of risk factors for diabetes among Chinese adults from 2007 to 2017: An analysis of repeated national cross‐sectional surveys |
| title_sort | changes in the prevalence of diabetes and control of risk factors for diabetes among chinese adults from 2007 to 2017 an analysis of repeated national cross sectional surveys |
| topic | diabetes epidemiology prediabetes prevalence |
| url | https://doi.org/10.1111/1753-0407.13492 |
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