Prevalence of diabetes among men and women in China
Wenying Yang, Juming Lu, Jianping Weng, Weiping Jia, Linong Ji, Jianzhong Xiao, Zhongyan Shan, Jie Liu, Haoming Tian, Qiuhe Ji, Dalong Zhu, Jiapu Ge, Lixiang Lin, Li Chen, Xiaohui Guo, Zhigang Zhao, Qiang Li, Zhiguang Zhou, Guangliang Shan, Jiang He, China National Diabetes and Metabolic Disorders Study Group, Guangliang Shan, Wenying Yang, Jianzhong Xiao, Zhaojun Yang, Jiang He, Chung-Shiuan Chen, Kunsan Xiang, Jialun Chen, Changyu Pan, Zuzhi Fu, Wenying Yang, Jianzhong Xiao, Zhaojun Yang, Danjie Ruan, Yufeng Li, Shi Bu, Hongliang Li, Peng Wang, Xueli Liu, Zhiyun Xiao, Juming Lu, Jingtao Dou, Nan Jin, Jing Li, Shuyu Wang, Baojing Zhang, Liguang Dong, Jianping Weng, Longyi Zeng, Panwei Mu, Yanhua Zhang, Qiuqiong Yu, Keyi Lin, Yan Sun, Xiaodong Xu, Weiping Jia, Xuhong Hou, Xiaojing Ma, Huijuan Lu, Dajing Zou, Renming Hu, Huilin Gu, Youhua Yao, Weizhen Shen, Junbin Huang, Zhijian Pan, Linong Ji, Xianghai Zhou, Xueyao Han, Xiuying Zhang, Yingying Luo, Xiuqing Sun, Dong Zhao, Huifang Xing, Lei Liu, Xinquan Zhang, Zhongyan Shan, Yaxin Lai, Xiaochun Teng, Ling Shan, Jiani Wang, Liangfeng Shi, Sen Wang, Li Lu, Fengwei Jiang, Beibei Wang, Jie Liu, Ling Hu, Yuying Hou, Haoming Tian, Xingwu Ran, Yan Ren, Hongling Yu, Lisheng Cao, Hualin Lu, Xiaohua Xie, Xilian Gao, Zhong Li, Qiuhe Ji, Fei Chen, Yaping Zhang, Dalong Zhu, Yun Hu, Guoyu Tong, Ning Xu, Jinluo Cheng, Junjian Chen, Fei Wang, Jiong Pei, Jiapu Ge, Wan Yi, Rong Wang, Gang Han, Huijie Mu, Maimaiti Aireti, Lixiang Lin, Gang Chen, Jingxin Zhao, Shuyu Yang, Mingzhu Lin, Yadong Zhang, Fengyuan Zhu, Mei Tu, Shanghua Xu, Weihong Lin, Li Chen, Yu Sun, Xiaolin Dong, Yiling Fu, Kehua Zhou, Jinbo Liu, Zhenzuo Li, Yuxin Xu, Peng Lin, Wenjuan Li, Xiaohui Guo, Junqing Zhang, Aimei Dong, Dongming Huang, Changchun Xue, Junqing Liu, Zhigang Zhao, Guijun Qin, Yong Yan, Peiyu Yao, Qinchu Li, Qiang Li, Kaiting Chen, Nannan Wu, Yan Feng, Xiaoying Liu, Guozhong Li, Zhiguang Zhou, Weili Tang, Qiong Feng, Yuju Qin, Xinwen Qiu, Diaoxiang Xiao, Aiping Qin, Bin Liao, Zifang Gao, Liang Xiang, Wenying Yang, Juming Lu, Jianping Weng, Weiping Jia, Linong Ji, Jianzhong Xiao, Zhongyan Shan, Jie Liu, Haoming Tian, Qiuhe Ji, Dalong Zhu, Jiapu Ge, Lixiang Lin, Li Chen, Xiaohui Guo, Zhigang Zhao, Qiang Li, Zhiguang Zhou, Guangliang Shan, Jiang He, China National Diabetes and Metabolic Disorders Study Group, Guangliang Shan, Wenying Yang, Jianzhong Xiao, Zhaojun Yang, Jiang He, Chung-Shiuan Chen, Kunsan Xiang, Jialun Chen, Changyu Pan, Zuzhi Fu, Wenying Yang, Jianzhong Xiao, Zhaojun Yang, Danjie Ruan, Yufeng Li, Shi Bu, Hongliang Li, Peng Wang, Xueli Liu, Zhiyun Xiao, Juming Lu, Jingtao Dou, Nan Jin, Jing Li, Shuyu Wang, Baojing Zhang, Liguang Dong, Jianping Weng, Longyi Zeng, Panwei Mu, Yanhua Zhang, Qiuqiong Yu, Keyi Lin, Yan Sun, Xiaodong Xu, Weiping Jia, Xuhong Hou, Xiaojing Ma, Huijuan Lu, Dajing Zou, Renming Hu, Huilin Gu, Youhua Yao, Weizhen Shen, Junbin Huang, Zhijian Pan, Linong Ji, Xianghai Zhou, Xueyao Han, Xiuying Zhang, Yingying Luo, Xiuqing Sun, Dong Zhao, Huifang Xing, Lei Liu, Xinquan Zhang, Zhongyan Shan, Yaxin Lai, Xiaochun Teng, Ling Shan, Jiani Wang, Liangfeng Shi, Sen Wang, Li Lu, Fengwei Jiang, Beibei Wang, Jie Liu, Ling Hu, Yuying Hou, Haoming Tian, Xingwu Ran, Yan Ren, Hongling Yu, Lisheng Cao, Hualin Lu, Xiaohua Xie, Xilian Gao, Zhong Li, Qiuhe Ji, Fei Chen, Yaping Zhang, Dalong Zhu, Yun Hu, Guoyu Tong, Ning Xu, Jinluo Cheng, Junjian Chen, Fei Wang, Jiong Pei, Jiapu Ge, Wan Yi, Rong Wang, Gang Han, Huijie Mu, Maimaiti Aireti, Lixiang Lin, Gang Chen, Jingxin Zhao, Shuyu Yang, Mingzhu Lin, Yadong Zhang, Fengyuan Zhu, Mei Tu, Shanghua Xu, Weihong Lin, Li Chen, Yu Sun, Xiaolin Dong, Yiling Fu, Kehua Zhou, Jinbo Liu, Zhenzuo Li, Yuxin Xu, Peng Lin, Wenjuan Li, Xiaohui Guo, Junqing Zhang, Aimei Dong, Dongming Huang, Changchun Xue, Junqing Liu, Zhigang Zhao, Guijun Qin, Yong Yan, Peiyu Yao, Qinchu Li, Qiang Li, Kaiting Chen, Nannan Wu, Yan Feng, Xiaoying Liu, Guozhong Li, Zhiguang Zhou, Weili Tang, Qiong Feng, Yuju Qin, Xinwen Qiu, Diaoxiang Xiao, Aiping Qin, Bin Liao, Zifang Gao, Liang Xiang
Abstract
Background: Because of the rapid change in lifestyle in China, there is concern that diabetes may become epidemic. We conducted a national study from June 2007 through May 2008 to estimate the prevalence of diabetes among Chinese adults.
Methods: A nationally representative sample of 46,239 adults, 20 years of age or older, from 14 provinces and municipalities participated in the study. After an overnight fast, participants underwent an oral glucose-tolerance test, and fasting and 2-hour glucose levels were measured to identify undiagnosed diabetes and prediabetes (i.e., impaired fasting glucose or impaired glucose tolerance). Previously diagnosed diabetes was determined on the basis of self-report.
Results: The age-standardized prevalences of total diabetes (which included both previously diagnosed diabetes and previously undiagnosed diabetes) and prediabetes were 9.7% (10.6% among men and 8.8% among women) and 15.5% (16.1% among men and 14.9% among women), respectively, accounting for 92.4 million adults with diabetes (50.2 million men and 42.2 million women) and 148.2 million adults with prediabetes (76.1 million men and 72.1 million women). The prevalence of diabetes increased with increasing age (3.2%, 11.5%, and 20.4% among persons who were 20 to 39, 40 to 59, and > or = 60 years of age, respectively) and with increasing weight (4.5%, 7.6%, 12.8%, and 18.5% among persons with a body-mass index [the weight in kilograms divided by the square of the height in meters] of < 18.5, 18.5 to 24.9, 25.0 to 29.9, and > or = 30.0, respectively). The prevalence of diabetes was higher among urban residents than among rural residents (11.4% vs. 8.2%). The prevalence of isolated impaired glucose tolerance was higher than that of isolated impaired fasting glucose (11.0% vs. 3.2% among men and 10.9% vs. 2.2% among women).
Conclusions: These results indicate that diabetes has become a major public health problem in China and that strategies aimed at the prevention and treatment of diabetes are needed.
2010 Massachusetts Medical Society
Source: PubMed