The epidemiology of diabetes in Korea

Dae Jung Kim, Dae Jung Kim

Abstract

Diabetes is an increasing global health problem worldwide. Diabetes and its complications have become a major cause of morbidity and mortality in Korea. The prevalence of diabetes in Korea has increased six- to seven-fold from 1.5% to 9.9% in the past 40 years. The prevalence of impaired fasting glucose also increased to about 20% in 2009. The International Diabetes Federation has estimated that the prevalence of diabetes will rise to 11.4% in 2030. Possible risk factors for diabetes in Korea are age, male gender, obesity, prediabetes, gestational diabetes, smoking, decreased physical activity, and short sleep duration. With increasing obesity, especially in childhood, and improved longevity, the prevalence of diabetes is expected to dramatically increase more than previously estimated. Therefore, public efforts to introduce healthy lifestyle changes and diabetic prevention programs are necessary to reduce the global epidemic of diabetes.

Keywords: Diabetes mellitus; Epidemiology; Incidence; Prediabetic state; Prevalence.

Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Prevalence of diabetes and IFG among Korean adults in 2007-2009. DM, diabetes mellitus; IFG, impaired fasting glucose.
Fig. 2
Fig. 2
Trend in prevalence of diabetes in Korea. KMIC, Korea Medical Insurance Corporation; KNHANES, Korea National Health and Nutrition Examination Surveys.

References

    1. Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care. 2004;27:1047–1053.
    1. Statistics Korea: 2009 statistical results about cause of death. [updated 2011 Aug 5]. Available from: .
    1. Moon EJ, Jo YE, Park TC, Kim YK, Jung SH, Kim HJ, Kim DJ, Chung YS, Lee KW. Clinical characteristics and direct medical costs of type 2 diabetic patients. Korean Diabetes J. 2008;32:358–365.
    1. Kim KS, Choi CH, Lee DY, Kim EJ. Epidemiological study on diabetes mellitus among rural Korean. J Korean Diabetes Assoc. 1972;1:17–24.
    1. Lee KW, Son HY, Kang SK, Bang BK, Park DH, Song HH, Min BS. Prevalence of diabetes mellitus and associated diseases among Korean subjects as studied with AMHTS. J Korean Diabetes Assoc. 1984;8:5–15.
    1. Jee SH, Appel LJ, Suh I, Whelton PK, Kim IS. Prevalence of cardiovascular risk factors in South Korean adults: results from the Korea Medical Insurance Corporation (KMIC) Study. Ann Epidemiol. 1998;8:14–21.
    1. Park Y, Lee H, Koh CS, Min H, Yoo K, Kim Y, Shin Y. Prevalence of diabetes and IGT in Yonchon County, South Korea. Diabetes Care. 1995;18:545–548.
    1. Kim YI, Choi CS, Kim SW, Lee JS, Kim HH, Lee MS, Lee SI, Park JY, Hong SK, Lee KU. Prevalence of diabetes mellitus and impaired glucose tolerance in Korean adults living in Jungup district, South Korea. J Korean Diabetes Assoc. 1998;22:363–371.
    1. Oh JY, Lee HJ, Hong ES, Hong YS, Sung YA, Lee SH. The prevalence and incidence of diabetes in Mokdong, Seoul. J Korean Diabetes Assoc. 2003;27:73–83.
    1. Cho NH, Chan JC, Jang HC, Lim S, Kim HL, Choi SH. Cigarette smoking is an independent risk factor for type 2 diabetes: a four-year community-based prospective study. Clin Endocrinol (Oxf) 2009;71:679–685.
    1. Cho NH. The epidemiology of diabetes in Korea: from the economics to genetics. Korean Diabetes J. 2010;34:10–15.
    1. Choi YJ, Kim HC, Kim HM, Park SW, Kim J, Kim DJ. Prevalence and management of diabetes in Korean adults: Korea National Health and Nutrition Examination Surveys 1998-2005. Diabetes Care. 2009;32:2016–2020.
    1. Shin CS, Lee HK, Koh CS, Kim YI, Shin YS, Yoo KY, Paik HY, Park YS, Yang BG. Risk factors for the development of NIDDM in Yonchon County, Korea. Diabetes Care. 1997;20:1842–1846.
    1. Song KH, Nam-Goomg IS, Han SM, Kim MS, Lee EJ, Lee YS, Lee MS, Yoon S, Lee KU, Park JY. Change in prevalence and 6-year incidence of diabetes and impaired fasting glucose in Korean subjects living in a rural area. Diabetes Res Clin Pract. 2007;78:378–384.
    1. Task Force Team for Basic Statistical Study of Korean Diabetes Mellitus. Report of Task Force Team for Basic Statistical Study of Korean Diabetes Mellitus: diabetes in Korea 2007. 1st ed. Seoul: Goldfishery; 2007. pp. 18–20.
    1. Jang HC. Gestational diabetes in Korea: incidence and risk factors of diabetes in women with previous gestational diabetes. Diabetes Metab J. 2011;35:1–7.
    1. Um HD, Lee DC, Lee SY, Kim YS. A prospective cohort study of exercise and the incidence of type 2 diabetes in impaired fasting glucose group. J Prev Med Public Health. 2008;41:45–50.
    1. Jee SH, Foong AW, Hur NW, Samet JM. Smoking and risk for diabetes incidence and mortality in Korean men and women. Diabetes Care. 2010;33:2567–2572.
    1. Khang YH, Cho SI, Kim HR. Risks for cardiovascular disease, stroke, ischaemic heart disease, and diabetes mellitus associated with the metabolic syndrome using the new harmonised definition: findings from nationally representative longitudinal data from an Asian population. Atherosclerosis. 2010;213:579–585.
    1. Park SE, Kim HM, Kim DH, Kim J, Cha BS, Kim DJ. The association between sleep duration and general and abdominal obesity in Koreans: data from the Korean National Health and Nutrition Examination Survey, 2001 and 2005. Obesity (Silver Spring) 2009;17:767–771.
    1. International Diabetes Federation: Diabetes atlas. 4th ed. [updated 2011 Aug 5]. Available from: .

Source: PubMed

3
Suscribir