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      Prevalence, awareness and control of type 2 diabetes mellitus and risk factors in Chinese elderly population

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          Abstract

          Background

          Type 2 diabetes mellitus is an expanding global public health issue, especially in developing countries. This study aimed to investigate the prevalence, awareness and control rate of type 2 diabetes mellitus, and assess its risk factors in elderly Chinese individuals.

          Methods

          The health screening data of 376,702 individuals aged ≥ 65 years in Wuhan, China, were collected to analyse the prevalence, awareness, and control rates of diabetes. Indices, including fasting plasma glucose and other biochemical indicators, were measured for all participants using standard methods at the central laboratory. Multilevel logistic regression analysis was performed to assess the key determinants of the prevalence, awareness, and control rates of diabetes.

          Results

          The prevalence, awareness, and control rates of diabetes in the Chinese individuals aged ≥ 65 years were 18.80%, 77.14%, and 41.33%, respectively. There were statistically significant differences in the prevalence, awareness, and control rates by gender. Factors associated with diabetes prevalence were age, body mass index (BMI), and central obesity; while those associated with awareness and control were gender, education level, marital status, physical activity, alcohol consumption, BMI, and central obesity.

          Conclusions

          Diabetes is an important public health problem in the elderly in China. The awareness and control rates have improved, but overall remained poor. Therefore, effective measures to raise awareness and control the rates of diabetes should be undertaken to circumvent the growing disease burden in elderly Chinese people.

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s12889-022-13759-9.

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          Most cited references42

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          IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045

          Hong Sun, Pouya Saeedi, Suvi Karuranga … (2022)
          To provide global, regional, and country-level estimates of diabetes prevalence and health expenditures for 2021 and projections for 2045.
          Article 0 comments Cited 1578 times – based on 0 reviews     Review now
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            Heart Disease and Stroke Statistics—2016 Update

            Dariush Mozaffarian, Emelia Benjamin, Alan S Go … (2016)
            Circulation, 133(4)
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              Prevalence and control of diabetes in Chinese adults.

              Yu Xu, Limin Wang, Jiang Ping He … (2013)
              Noncommunicable chronic diseases have become the leading causes of mortality and disease burden worldwide. To investigate the prevalence of diabetes and glycemic control in the Chinese adult population. Using a complex, multistage, probability sampling design, we conducted a cross-sectional survey in a nationally representative sample of 98,658 Chinese adults in 2010. Plasma glucose and hemoglobin A1c levels were measured after at least a 10-hour overnight fast among all study participants, and a 2-hour oral glucose tolerance test was conducted among participants without a self-reported history of diagnosed diabetes. Diabetes and prediabetes were defined according to the 2010 American Diabetes Association criteria; whereas, a hemoglobin A1c level of <7.0% was considered adequate glycemic control. The overall prevalence of diabetes was estimated to be 11.6% (95% CI, 11.3%-11.8%) in the Chinese adult population. The prevalence among men was 12.1% (95% CI, 11.7%-12.5%) and among women was 11.0% (95% CI, 10.7%-11.4%). The prevalence of previously diagnosed diabetes was estimated to be 3.5% (95% CI, 3.4%-3.6%) in the Chinese population: 3.6% (95% CI, 3.4%-3.8%) in men and 3.4% (95% CI, 3.2%-3.5%) in women. The prevalence of undiagnosed diabetes was 8.1% (95% CI, 7.9%-8.3%) in the Chinese population: 8.5% (95% CI, 8.2%-8.8%) in men and 7.7% (95% CI, 7.4%-8.0%) in women. In addition, the prevalence of prediabetes was estimated to be 50.1% (95% CI, 49.7%-50.6%) in Chinese adults: 52.1% (95% CI, 51.5%-52.7%) in men and 48.1% (95% CI, 47.6%-48.7%) in women. The prevalence of diabetes was higher in older age groups, in urban residents, and in persons living in economically developed regions. Among patients with diabetes, only 25.8% (95% CI, 24.9%-26.8%) received treatment for diabetes, and only 39.7% (95% CI, 37.6%-41.8%) of those treated had adequate glycemic control. The estimated prevalence of diabetes among a representative sample of Chinese adults was 11.6% and the prevalence of prediabetes was 50.1%. Projections based on sample weighting suggest this may represent up to 113.9 million Chinese adults with diabetes and 493.4 million with prediabetes. These findings indicate the importance of diabetes as a public health problem in China.
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                Author and article information

                Contributors
                Qing Liu: liuqing@whu.edu.cn
                Fang Li: 23117651@qq.com
                Journal
                Journal ID (nlm-ta): BMC Public Health
                Journal ID (iso-abbrev): BMC Public Health
                Title: BMC Public Health
                Publisher: BioMed Central (London )
                ISSN (Electronic): 1471-2458
                Publication date (Electronic): 19 July 2022
                Publication date PMC-release: 19 July 2022
                Publication date Collection: 2022
                Volume: 22
                Electronic Location Identifier: 1382
                Affiliations
                [1 ]Wuhan Centers for Disease Control & Prevention, 288# Machang Road, Wuhan, China
                [2 ]GRID grid.49470.3e, ISNI 0000 0001 2331 6153, Department of Epidemiology and Health Statistics, School of Public Health, , Wuhan University, ; 115# Donghu Road, Wuhan, 430071 Hubei China
                Article
                Publisher ID: 13759
                DOI: 10.1186/s12889-022-13759-9
                PMC ID: 9295461
                PubMed ID: 35854279
                SO-VID: 59ba9fbe-4e04-48de-b21e-018e8ae0e2cf
                Copyright © © The Author(s) 2022
                License:

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                Date received : 17 March 2022
                Date accepted : 29 June 2022
                Funding
                Funded by: Wuhan Centers for Disease Control & Prevention
                Award ID: WJ2018H242
                Award ID: WJ2018H242
                Award ID: WJ2018H242
                Award ID: WJ2018H242
                Award ID: WJ2018H242
                Award ID: WJ2018H242
                Award Recipient :
                Categories
                Subject: Research
                Custom metadata
                issue-copyright-statement © The Author(s) 2022

                ScienceOpen disciplines: Public health
                Keywords: type 2 diabetes,prevalence,awareness,control,chinese elderly
                Data availability:
                ScienceOpen disciplines: Public health
                Keywords: type 2 diabetes, prevalence, awareness, control, chinese elderly

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