Kim S M, Lee J S, Lee J, Na J K, Han J H, Yoon D K, Baik S H, Choi D S, Choi K M
Department of Family Medicine, Korea University College of Medicine, Seoul, Korea.
Diabetes Care. 2006 Feb;29(2):226-31. doi: 10.2337/diacare.29.02.06.dc05-0481.
The purpose of this study was to estimate the prevalence of diabetes and impaired fasting glucose (IFG) and their association with risk factors in the Korean population.
The Korean National Health and Nutrition Survey 2001 was a nationally representative survey with a stratified multistage sampling design. Data from a comprehensive questionnaire, a physical examination, and blood tests were obtained from 5,844 Korean adults (2,513 men and 3,331 women) aged >20 years.
The age-adjusted prevalence of diabetes in this Korean population was 7.6%, and the age-adjusted prevalences of previously diagnosed diabetes and newly diagnosed diabetes were 4.4 and 3.3%, respectively (fasting plasma glucose > or = 7.0 mmol/l). Overall, these results indicate that 8.1% or 1.4 million Korean men and 7.5% or 1.3 million Korean women have diabetes. The age-adjusted prevalence of IFG was 23.9%, using the new American Diabetes Association criteria (fasting plasma glucose 5.6-6.9 mmol/l). Diabetes prevalence increased with age and peaked in the oldest age-group; however, IFG prevalence did not show the same trend. Diabetes was found to be associated with age, BMI, blood pressure, triglyceride, HDL cholesterol, education levels, alcohol consumption, exercise, and a family history of diabetes.
This study shows that diabetes and IFG are common in Korea, and about one-half of diabetes cases remain undiagnosed. These results emphasize the need to develop an urgent public program to improve the detection, prevention, and treatment of diabetes.
本研究旨在评估韩国人群中糖尿病和空腹血糖受损（IFG）的患病率及其与危险因素的关联。
2001年韩国国民健康与营养调查是一项具有全国代表性的调查，采用分层多阶段抽样设计。对5844名年龄大于20岁的韩国成年人（2513名男性和3331名女性）进行了综合问卷调查、体格检查和血液检测，获取相关数据。
该韩国人群中年龄调整后的糖尿病患病率为7.6%，既往诊断糖尿病和新诊断糖尿病的年龄调整患病率分别为4.4%和3.3%（空腹血糖≥7.0 mmol/L）。总体而言，这些结果表明，8.1%（即140万）的韩国男性和7.5%（即130万）的韩国女性患有糖尿病。采用美国糖尿病协会新的诊断标准（空腹血糖5.6 - 6.9 mmol/L），IFG的年龄调整患病率为23.9%。糖尿病患病率随年龄增加而上升，并在最高年龄组达到峰值；然而，IFG患病率并未呈现相同趋势。研究发现，糖尿病与年龄、体重指数、血压、甘油三酯、高密度脂蛋白胆固醇、教育程度、饮酒、运动以及糖尿病家族史有关。
本研究表明，糖尿病和IFG在韩国较为常见，约一半的糖尿病病例仍未被诊断。这些结果强调迫切需要制定一项公共项目，以改善糖尿病的检测、预防和治疗。
