Zhang Jian, Wang Chun-Rong, Fu Ping, Li Yan-Ping, Li Wei-Dong, Xiang Hong-Ding, Yang Xiao-Guang
Institute of Nutrition and Food Safety, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2007 Jan;41(1):4-7.
To describe the status of diabetic mellitus (DM) prevalence and fast blood glucose level among urban population in China.
All 16 511 subjects, from households participating in dietary survey, aged over 20 years, were randomly sampled from 44 urban sites in 31 provinces, autonomous regions and municipalities. The diagnosis of DM was based mainly on fast plasma glucose concentration, combining with oral glucose tolerance test and the survey of previous diabetic mellitus diagnosis in local hospitals.
The DM prevalence in big cities was 6.13%, 6.08% for male and 6.30% for female. The DM prevalence was 1.07%, 2.72%, 6.50%, 11.62%, 17.36%, 18.32% and 10.06% for 20, 30, 40, 50, 60, 70 and 80 years age groups and the fast plasma glucose levels were (4.74 +/- 0.90) mmol/L, (4.93 +/- 1.03) mmol/L, (5.12 +/- 1.47) mmol/L, (5.42 +/- 1.76) mmol/L, (5.63 +/- 1.88) mmol/L, (5.70 +/- 2. 07) mmol/L, and (5.24 +/- 1.10) mmol/L respectively. The DM prevalence in medium small cities was 3.78%, 3.98% for male and 3.63% for female. The DM prevalence was 0.41%, 1.38%, 3.41%, 9. 4%, 12.56%, 11.23% and 5.56% for 20, 30, 40, 50, 60, 70 and 80 years age groups, and the fast plasma glucose level was (4. 68 +/- 0.58) mmol/L, (4.82 +/- 0.74) mmol/L, (4.99 +/- 1.04) mmol/L, (5.31 +/- 1.55) mmol/L, (5.49 +/- 1.73) mmol/L, (5.39 +/- 1.62) mmol/L, (5.22 +/- 1.30) mmol/L respectively in small and medium cities.
For DM and fast plasma glucose level, the effects of increasing with the age should be very obvious either in big cities or medium and small cities. The DM prevalence rate in middle aged and elderly groups should be significantly higher than that in young population. The DM prevalence of each group in big cities is higher than that in medium and small cities.
描述中国城市人群糖尿病（DM）患病率及空腹血糖水平状况。
从31个省、自治区、直辖市的44个城市地区参与膳食调查的家庭中，随机抽取16511名年龄在20岁以上的受试者。DM诊断主要依据空腹血糖浓度，结合口服葡萄糖耐量试验及当地医院既往糖尿病诊断情况。
大城市DM患病率为6.13%，男性为6.08%，女性为6.30%。20、30、40、50、60、70和80岁年龄组的DM患病率分别为1.07%、2.72%、6.50%、11.62%、17.36%、18.32%和10.06%，空腹血糖水平分别为（4.74±0.90）mmol/L、（4.93±1.03）mmol/L、（5.12±1.47）mmol/L、（5.42±1.76）mmol/L、（5.63±1.88）mmol/L、（5.70±2.07）mmol/L和（5.24±1.10）mmol/L。中小城市DM患病率为3.78%，男性为3.98%，女性为3.63%。20、30、40、50、60、70和80岁年龄组的DM患病率分别为0.41%、1.38%、3.41%、9.4%、12.56%、11.23%和5.56%，中小城市空腹血糖水平分别为（4.68±0.58）mmol/L、（4.82±0.74）mmol/L、（4.99±1.04）mmol/L、（5.31±1.55）mmol/L、（5.49±1.73）mmol/L、（5.39±1.62）mmol/L、（5.22±1.30）mmol/L。
无论是大城市还是中小城市，DM及空腹血糖水平随年龄增长的影响都很明显。中老年组DM患病率应显著高于年轻人群。大城市各年龄组DM患病率均高于中小城市。
