Center for Health Policy Research and Development, Institute of Population Health, National Health Research Institutes, Zhunan Town, Maoli County, Taiwan.
Diabetes Res Clin Pract. 2010 Dec;90(3):358-64. doi: 10.1016/j.diabres.2010.09.032.
We examined time trends in the prevalence of diabetes using nationally representative samples, with a focus on gender differences. Data were from the Nutrition and Health Survey in Taiwan (NAHSIT), 1993-1996 (n = 2700), and NAHSIT 2004-2008 (n = 2258). Participants aged 19 years or older with adequate fasting glucose data were included. When needed, rates were standardized to the year 2000 WHO 5-year interval population for comparisons. The prevalence increased significantly in men, whose standardized rate increased from 4.6% to 9.3%. In women, the age standardized prevalence decreased slightly from 7.9% to 6.4%. High triglycerides (≥ 150 mg/dL) was associated with diabetes with odds ratios (OR) of 2.14, and 2.69 (all with p<0.05) in the two surveys. High waist circumference (men ≥ 90 cm; women ≥ 80 cm) was also associated with diabetes with ORs of 2.52, and 1.93 (all with p < 0.05). We recommend the development of innovative health promotion programs targeting not only the general population, but also high risk groups such as men, to further reduce diabetes.
我们使用具有全国代表性的样本，重点关注性别差异，来研究糖尿病流行率的时间趋势。数据来自于台湾营养与健康调查（NAHSIT），包括 1993-1996 年（n=2700）和 2004-2008 年（n=2258）的调查。研究纳入了年龄在 19 岁及以上、空腹血糖数据充足的参与者。在需要时，根据世界卫生组织（WHO）5 年间隔的标准人口对率进行了标准化，以进行比较。男性的标准化患病率显著增加，从 4.6%增加到 9.3%。而女性的年龄标准化患病率略有下降，从 7.9%降至 6.4%。高甘油三酯（≥150mg/dL）与糖尿病相关，在两次调查中的比值比（OR）分别为 2.14 和 2.69（均 p<0.05）。高腰围（男性≥90cm；女性≥80cm）也与糖尿病相关，OR 分别为 2.52 和 1.93（均 p<0.05）。我们建议制定创新的健康促进计划，不仅针对普通人群，还针对男性等高危人群，以进一步降低糖尿病的发病率。
