Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
Salud Publica Mex. 2010;52 Suppl 1:S72-9. doi: 10.1590/s0036-36342010000700011.
To describe the trends in the prevalence of type 2 diabetes (T2D), and other cardiovascular risk factors in three national health surveys (1993, 2000 and 2006).
The databases of three surveys: ENEC 1993, ENSA 2000 and ENSANUT 2006 were gathered. Calculations of published data were reprocessed to do appropriate adjustments to assure comparability among surveys.
From 1993 to 2006 the prevalence of type 2 diabetes (6.7-14.4%), metabolic syndrome (26.6-36.8%), hypertension (23.8-30.7%), hypercholesterolemia (27-43.6%), and high LDL-cholesterol (31.6-46%) increased rapidly. The prevalence of low HDL cholesterol was very high (60.5-63%) in all surveys and remained remarkably unchanged among surveys.
This increasing trends for the prevalence of T2D and cardiovascular risk factors predicts larger increments in the near future for T2D and cardiovascular morbidity and mortality. Intensification of the preventive and remedy strategies is mandatory in order curve the foreseen dramatic increment in the disease burden.
描述三种国家健康调查(1993 年、2000 年和 2006 年)中 2 型糖尿病(T2D)及其他心血管危险因素的流行趋势。
汇集了三项调查(1993 年的 ENEC、2000 年的 ENSA 和 2006 年的 ENSANUT)的数据库。对已发表数据的计算进行了重新处理,以进行适当调整,确保调查之间具有可比性。
从 1993 年到 2006 年,2 型糖尿病(6.7-14.4%)、代谢综合征(26.6-36.8%)、高血压(23.8-30.7%)、高胆固醇血症(27-43.6%)和高 LDL 胆固醇(31.6-46%)的患病率迅速上升。所有调查中低 HDL 胆固醇的患病率都非常高(60.5-63%),且在调查中保持着显著不变。
T2D 和心血管危险因素患病率的这种上升趋势预示着 T2D 和心血管发病率和死亡率在不久的将来会有更大的增长。为了遏制疾病负担的预期大幅增长,必须加强预防和治疗策略。