Duc Son L N T, Kusama K, Hung N T K, Loan T T H, Chuyen N V, Kunii D, Sakai T, Yamamoto S
Department of Nutrition, School of Medicine, The University of Tokushima, Japan.
Diabet Med. 2004 Apr;21(4):371-6. doi: 10.1111/j.1464-5491.2004.01159.x.
To determine the prevalence of diabetes and associated risk factors in Ho Chi Minh City, Vietnam.
A total of 2932 participants aged 15 and above in Ho Chi Minh City were screened for diabetes in a cross-sectional study. The study was conducted from March-May 2001. Demographic, occupation, anthropometry and blood pressure were recorded. Blood glucose was calculated on fasting capillary and venous blood. The classification of diabetes and impaired fasting glucose (IFG) was carried out according to WHO and American Diabetes Association criteria.
The crude prevalence of diabetes and IFG were 6.6 and 3.2%, respectively. After age, sex-adjustment to the Vietnam population census, the prevalence was 3.8 and 2.5%, respectively; approximately 40% of cases were found to be newly diagnosed diabetes. The crude prevalence of diabetes in the urban area was approximately 2.8 times higher than that recorded in the 1993 study (6.9 vs. 2.5%, respectively). In this study, there was a positive association between diabetes and sex, age, overweight, waist hip ratio (WHR), and having a history of delivering large for gestational age child; there was a negative association between diabetes and physical activity and occupation.
This study found that the age, sex-adjusted prevalence of diabetes and IFG in Ho Chi Minh City were 3.8 and 2.5%, respectively, a rapid increase in the recent decade. Our study also indicates that ageing, a high WHR level, overweight and a sedentary lifestyle may be important determinants of the increased prevalence of diabetes during this transition period in Vietnam.
确定越南胡志明市糖尿病的患病率及相关危险因素。
在一项横断面研究中，对胡志明市2932名15岁及以上的参与者进行糖尿病筛查。该研究于2001年3月至5月进行。记录人口统计学、职业、人体测量学和血压数据。通过空腹毛细血管血和静脉血计算血糖。根据世界卫生组织和美国糖尿病协会的标准对糖尿病和空腹血糖受损（IFG）进行分类。
糖尿病和IFG的粗患病率分别为6.6%和3.2%。根据越南人口普查数据进行年龄和性别调整后，患病率分别为3.8%和2.5%；约40%的病例被发现为新诊断的糖尿病。城市地区糖尿病的粗患病率比1993年的研究记录高约2.8倍（分别为6.9%和2.5%）。在本研究中，糖尿病与性别、年龄、超重、腰臀比（WHR）以及有巨大儿分娩史呈正相关；糖尿病与体力活动和职业呈负相关。
本研究发现，胡志明市经年龄和性别调整后的糖尿病和IFG患病率分别为3.8%和2.5%，近十年来迅速上升。我们的研究还表明，老龄化、高WHR水平、超重和久坐不动的生活方式可能是越南这一转型期糖尿病患病率上升的重要决定因素。
