Wild Sarah, Roglic Gojka, Green Anders, Sicree Richard, King Hilary
Public Health Sciences, University of Edinburgh, Edinburgh, Scotland.
Diabetes Care. 2004 May;27(5):1047-53. doi: 10.2337/diacare.27.5.1047.
The goal of this study was to estimate the prevalence of diabetes and the number of people of all ages with diabetes for years 2000 and 2030.
Data on diabetes prevalence by age and sex from a limited number of countries were extrapolated to all 191 World Health Organization member states and applied to United Nations' population estimates for 2000 and 2030. Urban and rural populations were considered separately for developing countries.
The prevalence of diabetes for all age-groups worldwide was estimated to be 2.8% in 2000 and 4.4% in 2030. The total number of people with diabetes is projected to rise from 171 million in 2000 to 366 million in 2030. The prevalence of diabetes is higher in men than women, but there are more women with diabetes than men. The urban population in developing countries is projected to double between 2000 and 2030. The most important demographic change to diabetes prevalence across the world appears to be the increase in the proportion of people >65 years of age.
These findings indicate that the "diabetes epidemic" will continue even if levels of obesity remain constant. Given the increasing prevalence of obesity, it is likely that these figures provide an underestimate of future diabetes prevalence.
本研究的目的是估计2000年和2030年糖尿病的患病率以及各年龄段糖尿病患者的数量。
将来自少数国家的按年龄和性别划分的糖尿病患病率数据外推至世界卫生组织的所有191个成员国,并应用于联合国对2000年和2030年的人口估计。发展中国家分别考虑城市和农村人口。
据估计,2000年全球所有年龄组的糖尿病患病率为2.8%,2030年为4.4%。糖尿病患者总数预计将从2000年的1.71亿增至2030年的3.66亿。糖尿病患病率男性高于女性,但糖尿病女性患者多于男性。预计2000年至2030年发展中国家的城市人口将翻番。全球糖尿病患病率最重要的人口结构变化似乎是65岁以上人口比例的增加。
这些发现表明,即使肥胖水平保持不变,“糖尿病流行”仍将继续。鉴于肥胖患病率不断上升,这些数字很可能低估了未来的糖尿病患病率。