Department of Clinical Epidemiology, Predictive Medicine and Public Health, University of Porto Medical School, Alameda Prof Hernani Monteiro, 4200-319 Porto, Portugal; Institute of Public Health of the University of Porto, Rua das Taipas n° 135, 4050-600 Porto, Portugal.
Department of Clinical Epidemiology, Predictive Medicine and Public Health, University of Porto Medical School, Alameda Prof Hernani Monteiro, 4200-319 Porto, Portugal; Institute of Public Health of the University of Porto, Rua das Taipas n° 135, 4050-600 Porto, Portugal.
Public Health. 2014 Mar;128(3):214-21. doi: 10.1016/j.puhe.2013.12.009. Epub 2014 Feb 20.
To assess time trends of the prevalence of diabetes and mean blood glucose in Portuguese adults.
Systematic review.
The search strategy included Pubmed search and screening of bibliographic references of the review articles. Sex-specific linear regression models, with survey year and participants' age as independent variables, were used to predict prevalence estimates of self-reported diabetes and mean fasting glucose.
Twenty-seven eligible studies were identified. Time trends of objectively defined diabetes could not be quantified due to the heterogeneity of the diagnostic criteria. Between 1987 and 2009, the prevalence of self-reported diabetes remained approximately constant in young adults, while it increased in middle-aged and older adults, more than two-fold among women and three-fold among men. In the same period, mean fasting glucose increased 7 mg/dL among women and 8 mg/dL among men.
The prevalence of self-reported diabetes and mean fasting glucose increased in the last two decades, demanding for effective strategies to reverse this tendency and to manage the increasing number of people with diabetes in the Portuguese population.
评估葡萄牙成年人糖尿病患病率和平均血糖的时间趋势。
系统综述。
检索策略包括 PubMed 搜索和综述文章的参考文献筛选。使用性别特异性线性回归模型，以调查年份和参与者年龄为自变量，预测自我报告糖尿病和空腹血糖平均值的患病率估计值。
确定了 27 项符合条件的研究。由于诊断标准的异质性，无法量化客观定义的糖尿病的时间趋势。1987 年至 2009 年间，年轻人中自我报告糖尿病的患病率基本保持不变，而中年和老年人的患病率则有所增加，女性增加了两倍多，男性增加了三倍多。同期，女性空腹血糖平均增加 7mg/dL，男性增加 8mg/dL。
在过去的二十年中，自我报告糖尿病的患病率和平均空腹血糖均有所上升，需要采取有效的策略来扭转这一趋势，并管理葡萄牙人口中不断增加的糖尿病患者人数。
