Department of Epidemiology and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC 3004, Australia.
Diabetes Res Clin Pract. 2012 Nov;98(2):226-35. doi: 10.1016/j.diabres.2012.05.010. Epub 2012 Jun 1.
To systematically review trends in diabetes mellitus (DM) prevalence in adults in China over the last 10 years and to identify the determinants of these trends.
A systematic search was conducted for studies published between 2000 and 2010. Studies reporting DM prevalence were included if they met the pre-determined criteria. The prevalence estimates and reported determinants of these studies were compared.
Twenty-five manuscripts, reporting on 22 studies, were selected for inclusion in the review. There has been an increase in DM prevalence from 2.6% to 9.7% in China over the past decade. DM prevalence is strongly associated with age and is higher in urban residents compared with rural populations. Some studies found a difference in DM prevalence between males and females, but this finding was not consistent. Other commonly reported associations with DM included family history, obesity and hypertension.
Over the period of 2000-2010, we identify a significant increase in DM prevalence at the national level. It is important for all levels of government to develop more effective strategies to prevent and manage this rising diabetes epidemic. There is also an important need for more large-scale studies of diabetes in the western and central regions of China.
系统地回顾过去 10 年来中国成年人糖尿病（DM）患病率的趋势，并确定这些趋势的决定因素。
对 2000 年至 2010 年期间发表的研究进行了系统检索。如果研究符合预先确定的标准，就会包括报告 DM 患病率的研究。比较了这些研究的患病率估计值和报告的决定因素。
选择了 25 篇报告了 22 项研究的手稿，纳入综述。在过去的十年中，中国的 DM 患病率从 2.6%上升到 9.7%。DM 患病率与年龄密切相关，城市居民高于农村居民。一些研究发现 DM 患病率在男性和女性之间存在差异，但这一发现并不一致。其他常见的与 DM 相关的因素包括家族史、肥胖和高血压。
在 2000-2010 年期间，我们发现全国范围内 DM 患病率显著上升。各级政府都应制定更有效的策略来预防和管理这一不断上升的糖尿病流行。在中国西部和中部地区也非常需要对糖尿病进行更多的大规模研究。
