Document Detail


Type 2 diabetes and impaired glucose tolerance in North-China-based rural community adults.
MedLine Citation:
PMID:  20846702     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To estimate the prevalence of type 2 diabetes and impaired glucose tolerance (IGT), and to identify potential risk factors among adults in rural areas in North China.
STUDY DESIGN: Multistage random cluster sampling in a cross-sectional study.
METHODS: Data were collected in 2005 from 1058 adults aged >20 years. Body mass index (BMI), waist and hip circumferences, 2-hour postprandial glucose (2-hPG) and other data were collected.
RESULTS: The prevalence of diabetes and IGT was higher for both men and women in the study group compared with the national averages (diabetes: 7.17% and 7.01%, respectively; IGT: 7.55% and 7.95%, respectively). Men aged ≥60 years and women aged 50-59 years had the highest prevalence of diabetes compared with other age groups (9.62% and 9.21% respectively). Both men and women aged ≥60 years had the highest prevalence of IGT. A sudden increase in 2-hPG level was seen in women aged ≥40 years. Those with BMI ≥28 kg/m(2) were at two-fold higher risk than normal. The risk for glucose tolerance abnormalities was almost 1.55-fold higher in subjects with waist/height ratio (WHtR) ≥0.50. The odds ratio for diabetes was 0.32 (95% confidence interval 0.10-0.98) in subjects with an annual family income ≥30,000 yuan compared with those with lower incomes.
CONCLUSIONS: These results indicate that rural populations in North China have a higher prevalence of type 2 diabetes and IGT compared with national averages. Women aged ≥40 years warrant more attention to avoid glucose tolerance abnormalities. BMI and WHtR are predictive of the prevalence of glucose tolerance abnormalities. High annual family income appears to be a protective factor for type 2 diabetes.
Authors:
W Wei; S-Y Liu; F-F Zeng; S-P Yao; H-T Zhang; G Wan; M Zhong; Z Yang; B-Y Wang
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-09-16
Journal Detail:
Title:  Public health     Volume:  124     ISSN:  1476-5616     ISO Abbreviation:  Public Health     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-04     Completed Date:  2011-01-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376507     Medline TA:  Public Health     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  593-601     Citation Subset:  IM    
Copyright Information:
Crown Copyright © 2010. Published by Elsevier Ltd. All rights reserved.
Affiliation:
Department of Epidemiology, School of Public Health, Harbin Medical University, No.157 Street Baojian, Harbin, 150081, China.
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Body Mass Index
Body Weights and Measures
China / epidemiology
Cross-Sectional Studies
Diabetes Mellitus, Type 2 / epidemiology*
Female
Glucose Intolerance / epidemiology*
Glucose Tolerance Test
Health Behavior
Humans
Male
Middle Aged
Prevalence
Risk Factors
Rural Population / statistics & numerical data*
Sex Factors
Socioeconomic Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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