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Prevalence and risk factors of diabetes among adults aged 45?years or older in China: A national cross-sectional study

机译:45岁年龄段或以上的成人糖尿病患病率和危险因素:国家横断面研究

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Background Although there is preponderance of literature on disease burden of diabetes in developed countries, limited investigations have been conducted in less developed regions including China. This study aimed to explore the current prevalence and risk factors for diabetes, pre-diabetes, awareness, treatment and control of diabetes in China. Methods We included 12,458 adults from the China Health and Retirement Longitudinal Study. We estimated prevalence of diabetes and pre-diabetes in the overall sample and by socio-demographics. Bivariate associations of diabetes, pre-diabetes, awareness, control and treatment of diabetes with health and function measures were evaluated by chi-squared test and multivariate logistic regression analysis. Results We found that the prevalence of diabetes and pre-diabetes was 13.21% and 25.16%. The prevalence of diabetes increased with advanced age (12.37%, 15.98% and 16.52% among persons who were 45 to 55, 55 to 65 and ≥65?years old, respectively), educational background (14.52%, 15.52% and 15.58% among persons who were illiterate, had primary education and had secondary or above education) and weight (8.18%, 17.05% and 22.54% among persons with a body mass index of 18.5 to 24.9, 25.0 to 29.9 and ≥30.0, respectively). The prevalence of diabetes was higher among urban residents than among rural residents (19.04% vs. 12.85%). We also observed that aged between 55 and 65?years, obesity, history of hypertension and coronary heart disease, and inactivity were significant risk factors of awareness of diabetes. Conclusion Our results indicated that diabetes is high prevalent in adults aged 45?years or above in China. The potentially modifiable risk factors should be further studied to develop interventions and strategies aimed at prevention and treatment of diabetes among middle-aged and older Chinese adults.
机译:背景技术虽然发达国家糖尿病患者的疾病负担优势,但在包括中国在内的较少发达地区进行了有限的调查。本研究旨在探讨中国糖尿病,糖尿病前患者,糖尿病患者,意识,治疗和控制的目前的患病率和危险因素。方法采用中国卫生和退休纵向研究中的12,458名成年人。我们估计了整体样本和社会人口统计学中糖尿病和糖尿病前糖尿病的患病率。通过Chi方向测试和多变量逻辑回归分析评估了糖尿病,糖尿病前糖尿病,患者,意识,对照和治疗糖尿病的糖尿病患者的协会。结果我们发现糖尿病和糖尿病前患病率为13.21%和25.16%。糖尿病的患病率随高龄(12.37%,15.98%和16.52%的人,分别为45至55%至65至65至65岁及≥65?岁),教育背景(14.52%,15.52%和15.58%)文盲的人,初级教育,次要或高于教育)和体重增加(8.18%,17.05%和22.54%,体重指数为18.5至24.9,分别为25.0至29.9和≥30.0)。城市居民的糖尿病患病率高于农村居民(19.04%与12.85%)。我们还观察到,年龄在55至65岁之间,肥胖,高血压和冠心病的历史,并且不活动是糖尿病意识的显着危险因素。结论我们的结果表明,糖尿病在45岁以上的成年人中普遍存在中国或以上。应进一步研究潜在可修改的风险因素,以制定旨在预防和治疗中年人和老年人糖尿病患者的干预措施和策略。

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