103
views
0
recommends
+1 Recommend
0 collections
    13
    shares
      • Record: found
      • Abstract: found
      • Article: not found

      Prevalence of diabetes mellitus and impaired glucose regulation in Spain: the Di@bet.es Study

      brief-report

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Aims/hypothesis

          The Di@bet.es Study is the first national study in Spain to examine the prevalence of diabetes and impaired glucose regulation.

          Methods

          A population-based, cross-sectional, cluster sampling study was carried out, with target population being the entire Spanish population. Five thousand and seventy-two participants in 100 clusters (health centres or the equivalent in each region) were randomly selected with a probability proportional to population size. Participation rate was 55.8%. Study variables were a clinical and demographic structured survey, lifestyle survey, physical examination (weight, height, BMI, waist and hip circumference, blood pressure) and OGTT (75 g).

          Results

          Almost 30% of the study population had some carbohydrate disturbance. The overall prevalence of diabetes mellitus adjusted for age and sex was 13.8% (95% CI 12.8, 14.7%), of which about half had unknown diabetes: 6.0% (95% CI 5.4, 6.7%). The age- and sex-adjusted prevalence rates of isolated impaired fasting glucose (IFG), isolated impaired glucose tolerance (IGT) and combined IFG–IGT were 3.4% (95% CI 2.9, 4.0%), 9.2% (95% CI 8.2, 10.2%) and 2.2% (95% CI 1.7, 2.7%), respectively. The prevalence of diabetes and impaired glucose regulation increased significantly with age ( p < 0.0001), and was higher in men than in women ( p < 0.001).

          Conclusions/interpretation

          The Di@bet.es Study shows, for the first time, the prevalence rates of diabetes and impaired glucose regulation in a representative sample of the Spanish population.

          Related collections

          Most cited references6

          • Record: found
          • Abstract: found
          • Article: not found

          Distribution and determinants of sedentary lifestyles in the European Union.

          Many studies have shown the health burden of a sedentary lifestyle. The main goal of this study was to determine the prevalence of sedentary lifestyles in the 15 Member States of the European Union (EU) and to identify the main correlates of a sedentary lifestyle. Nationally representative samples (n approximately 1000 subjects in each country; >15 years) completed a questionnaire concerning attitudes to physical activity, body weight, and health; in total 15 239 subjects. Sedentary people were defined in two ways: (1) those expending less than 10% of their leisure time expenditure in activities involving >/=4 metabolic equivalents (MET). (2) Those who did not practice any leisure-time physical activity and who also were above the median in the number of hours spent sitting down during leisure time. Logistic regression models were fitted to analyse the association between sedentary lifestyles and gender, age, body mass index (BMI), educational level, weight change in the last 6 months, and marital and smoking status. Percentages of sedentary lifestyles across European countries ranged between 43.3% (Sweden) and 87.8% (Portugal) according to the first definition. According to both definitions, a lower prevalence of sedentary lifestyle was found in Northern countries (especially Scandinavian countries) as compared with Mediterranean countries, whereas the prevalence was higher among older, obese, less educated, widowed/divorced individuals, and current smokers. Similar relative differences between countries and socio-demographic groups were found independently of the method used to define a sedentary lifestyle. Prevalence of sedentary lifestyle in the EU is high, especially among inhabitants of some Mediterranean countries, obese subjects, less-educated people, and current smokers. This high prevalence involves important public health burdens and preventive strategies are urgently needed.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Age- and sex-specific prevalences of diabetes and impaired glucose regulation in 13 European cohorts.

            (2002)
            To report the age- and sex-specific prevalences of diabetes and impaired glucose regulation (IGR) according to the revised 1999 World Health Organization criteria for diabetes in Europe. A total of 13 studies from nine European countries with 7,680 men and 9,251 women aged 30-89 years were included in the data analysis. In most of the study populations, the age-specific prevalences of diabetes were 70 years of age). More than half of the diabetes was undiagnosed in subjects younger than 50 years of age. Most European populations have a moderate to low prevalence of diabetes and IGR. Diabetes and IGR will be underestimated in Europe, particularly in women and in elderly men, if diagnoses are based on fasting glucose determination alone.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              First diabetes prevalence study in Portugal: PREVADIAB study.

              Diabetes is a growing worldwide problem. Ascertaining its prevalence is vital as a starting point to establish and measure the success of health interventions. This study aimed to determine the prevalence of Type 2 diabetes and 'pre-diabetes', defined as impaired fasting glucose and impaired glucose tolerance, in the Portuguese population aged between 20 and 79 years. Considering the number of inhabitants between 20 and 79 years old, statistical units were selected that were representative regionally and nationally. The total sample comprised 5167 subjects. National prevalence was calculated. Analyses were performed on all those without previously known diabetes using World Health Organization reference diagnostic criteria. We found a diabetes prevalence of 11.7% (95% confidence interval 10.8-12.6%), with a significant difference between men (14.2%; 95% confidence interval 12.5-15.5%) and women (9.5%; 95% confidence interval 8.5-10.6%). While 6.6% of the subjects had previously been diagnosed with diabetes, 5.1% were undiagnosed. By age groups, 2.4% of the population between 20 and 39 years, 12.6% of people from 40 to 59 years old and 26.3% of those aged between 60 and 79 years had diabetes. Prevalence of 'pre-diabetes' (impaired fasting glucose, impaired glucose tolerance or both) in the population was 23.3%. Diabetes has a high prevalence in Portugal. If 'pre-diabetes' is also considered, about one-third (34.9%) of the population aged 20-79 years is affected. A greater number of males were found to have diabetes. We detected a high percentage of people with undiagnosed diabetes (43.6%).
                Bookmark

                Author and article information

                Contributors
                federico.soriguer.sspa@juntadeandalucia.es
                Journal
                Diabetologia
                Diabetologia
                Springer-Verlag (Berlin/Heidelberg )
                0012-186X
                1432-0428
                11 October 2011
                11 October 2011
                January 2012
                : 55
                : 1
                : 88-93
                Affiliations
                [1 ]Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Spain, www.ciberdem.org
                [2 ]Department of Endocrinology and Nutrition, Hospital Universitario Carlos Haya, Plaza del Hospital Civil, 29009 Malaga, Spain
                [3 ]Department of Endocrinology and Nutrition, Hospital del Mar, Barcelona, Spain
                [4 ]Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain
                [5 ]Laboratorio de Endocrinología, Hospital Universitario S. Carlos de Madrid, Madrid, Spain
                [6 ]Department of Endocrinology and Nutrition, Hospital Universitario S. Carlos de Madrid, Madrid, Spain
                [7 ]Department of Medicine and Endocrinology, Hospital Clínico Universitario de Valencia, Valencia, Spain
                [8 ]Biomedic Diagnostic Centre University Hospital Clínic de Barcelona, Barcelona, Spain
                [9 ]Diabetes Research Group, Hospital Universitario de Cruces, UPV-EHU, Baracaldo, Spain
                [10 ]Public Health Division, Department of Health, Autonomous Government of Catalonia, Barcelona, Spain
                [11 ]Department of Endocrinology and Nutrition, Hospital Central de Asturias, Oviedo, Spain
                [12 ]EAP Raval Sud, Institut Català de la Salut, Red GEDAPS, Primary Care, Unitat de Suport a la Recerca (IDIAP–Fundació Jordi Gol), Barcelona, Spain
                [13 ]Diabetes Unit, Hospital Arnau de Vilanova, Valencia, Spain
                [14 ]Endocrinology and Diabetes Unit, Hospital Clínic de Barcelona, Universitat de Barcelona (UB), Barcelona, Spain
                [15 ]Spanish Diabetes Society, Madrid, Spain
                [16 ]Lipids and Diabetes Laboratory, Hospital Universitario S. Carlos de Madrid, Madrid, Spain
                [17 ]Emergency Service, Hospital Nuestra Señora de los Reyes, Valverde, Tenerife Spain
                [18 ]Diabetes National Plan, Ministry of Health, Madrid, Spain
                [19 ]Department of Endocrinology and Nutrition, Hospital Universitario Joan XXIII, Institut d’Investigacions Sanitaries Pere Virgili, Tarragona, Spain
                Article
                2336
                10.1007/s00125-011-2336-9
                3228950
                21987347
                ed3ecea9-f01c-4658-b128-12417bbfc8aa
                © The Author(s) 2011
                History
                : 21 July 2011
                : 19 September 2011
                Categories
                Short Communication
                Custom metadata
                © Springer-Verlag 2012

                Endocrinology & Diabetes
                epidemiology,prevalence,type 2 diabetes mellitus,spain
                Endocrinology & Diabetes
                epidemiology, prevalence, type 2 diabetes mellitus, spain

                Comments

                Comment on this article