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波兰糖尿病及空腹血糖受损患病率——2011年波兰全国糖尿病预防研究

Prevalence of diabetes and impaired fasting glucose in Poland--the NATPOL 2011 Study.

作者信息

Rutkowski M, Bandosz P, Czupryniak L, Gaciong Z, Solnica B, Jasiel-Wojculewicz H, Wyrzykowski B, Pencina M J, Zdrojewski T

机构信息

Department of Hypertension and Diabetology, Medical University of Gdansk, Gdansk.

出版信息

Diabet Med. 2014 Dec;31(12):1568-71. doi: 10.1111/dme.12542. Epub 2014 Jul 22.

Abstract

AIMS

The aim of the analysis was to assess the prevalence of diabetes and impaired fasting glucose in Poland.

METHODS

A questionnaire survey on a representative sample of 2411 Polish adults, complemented by blood pressure, anthropometric and fasting plasma glucose measurements. The research was part of the national cross-sectional NATPOL 2011 Study. Diabetes was assessed as self-reported (diagnosed) or screened (fasting plasma glucose level ≥ 7 mmol/l, based on one blood draw).

RESULTS

Total prevalence of diabetes in 2011 was 6.7% (95% CI 5.6-7.9); 6.4% (95% CI 5.0-8.0) in women and 7.0% (95% CI 5.4-8.8) in men and did not change from 2002 (6.8%, 95% CI 95% CI 5.8-7.9). Over one quarter of individuals with diabetes were not aware of having the condition. Obesity, arterial hypertension and male gender were strong predictors of screened diabetes. Total prevalence of impaired fasting glucose in the surveyed population was 15.6% (95% CI 14.0-17.2).

CONCLUSIONS

The prevalence of diabetes in Poland is similar to that observed in other European populations and has not changed over the last decade. The fact that every fourth person with diabetes is unaware of the disease creates important opportunities for screening and detection of the disease.

摘要

目的

本分析旨在评估波兰糖尿病和空腹血糖受损的患病率。

方法

对2411名波兰成年人的代表性样本进行问卷调查,并辅以血压、人体测量和空腹血糖测量。该研究是2011年全国横断面NATPOL研究的一部分。糖尿病通过自我报告(已诊断)或筛查(基于一次采血的空腹血糖水平≥7mmol/l)进行评估。

结果

2011年糖尿病的总患病率为6.7%(95%置信区间5.6 - 7.9);女性为6.4%(95%置信区间5.0 - 8.0),男性为7.0%(95%置信区间5.4 - 8.8),与2002年(6.8%,95%置信区间5.8 - 7.9)相比没有变化。超过四分之一的糖尿病患者不知道自己患有该疾病。肥胖、动脉高血压和男性是筛查糖尿病的强预测因素。被调查人群中空腹血糖受损的总患病率为15.6%(95%置信区间14.0 - 17.2)。

结论

波兰糖尿病的患病率与其他欧洲人群相似,且在过去十年中没有变化。每四个糖尿病患者中有一个不知道自己患病这一事实为疾病的筛查和检测创造了重要机会。

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