Prevalence of Diabetes and Impaired Fasting Glucose in Hypertensive Adults in Rural China: Far from Leveling-Off

International Journal of Environmental Research and Public Health

Zhaoqing Sun¹  Shasha Yu²  Yingxian Sun²  Xiaofan Guo²  Hongmei Yang²  Liqiang Zheng³ 

[1] Department of Cardiology, Shenjing Hospital of China Medical University, Shenyang 110001, China;Department of Cardiology, The First Hospital of China Medical University, 155 Nanjing North Street, Heping District, Shenyang 110001, China;Department of Clinical Epidemiology, Shenjing Hospital of China Medical University,Shenyang 110001, China;

关键词: diabetes;    impaired fasting glucose;    prevalence;    related factor;    hypertension;   

DOI  :  10.3390/ijerph121114764

来源: DOAJ

【 摘 要 】

In recent years data from many investigations has shown a leveling–off trend in diabetes incidence. In order to explain the diabetes epidemic in rural China during the past ten years, we conducted a survey from July 2012 to August 2013. Data from comprehensive questionnaires, physical examinations, and blood tests were obtained from 5919 residents with hypertension, aged ≥ 35 years. Diabetes and impaired fasting glucose (IFG) were defined according to the American Diabetes Association (ADA) criteria. The overall prevalence of diabetes and IFG were 15.3% (13.6% in men, 16.8% in women) and 40.7% (44.1% in men, 34.7% in women) in the hypertensive rural Chinese population. The prevalence of previously diagnosed diabetes was 6.5% (4.6% in men, 8.4% in women). The prevalence of undiagnosed diabetes was 8.7% (9.0% in men, 8.5% in women). Multivariate logistic regression revealed that increasing age, drinking, overweight or obesity, systolic blood pressure, low HDL-C, high total cholesterol and triglycerides increased the risk of diabetes (p < 0.05). Diabetes is thus still prevalent in rural areas of China and is manifesting an accelerating trend. It remains an important public health problem in China, especially in rural areas and routine assessment for the early detection and treatment of diabetes should be emphasized.

【 授权许可】

Unknown