Girin N, Brostrom R, Ram S, McKenzie J, Kumar A M V, Roseveare C
Secretariat of the Pacific Community, Noumea, New Caledonia.
Centers for Disease Control and Prevention, Atlanta, Georgia, USA ; Hawaii Department of Health, TB Control Program, Honolulu, Hawaii, USA.
Public Health Action. 2014 Jun 21;4(Suppl 1):S39-43. doi: 10.5588/pha.13.0082.
The South Pacific Territory of Wallis and Futuna has a high burden of non-communicable diseases (NCD): 18% of adults have diabetes mellitus (DM) and 87% are classified as overweight or obese.
To characterise the burden of additional World Health Organization (WHO) recognised NCD risk factors, such as smoking, obesity, high blood pressure, eating less than five fruit or vegetable servings per day and a sedentary lifestyle, among adults with DM.
Re-analysis of cross-sectional data from a 2009 national survey. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated.
Of 487 adults sampled, 87 (18%) had DM. Nearly 99% of individuals with DM had at least one additional NCD risk factor, and 62% had three or more concurrent NCD risk factors. Individuals with DM were more likely to be obese (OR 1.66, 95%CI 1.01-2.74) and had a much higher prevalence of high blood pressure (OR 3.02, 95%CI 1.87-4.86).
DM is rarely identified in the absence of other NCD risk factors. We recommend an integrated approach to the management of DM and other NCD risk factors in routine care rather than a disease-specific approach.
瓦利斯和富图纳南太平洋领地面临着较高的非传染性疾病负担：18%的成年人患有糖尿病，87%的成年人被归类为超重或肥胖。
描述世界卫生组织（WHO）认可的其他非传染性疾病风险因素的负担情况，如吸烟、肥胖、高血压、每天食用水果或蔬菜少于五份以及久坐不动的生活方式，这些因素存在于患有糖尿病的成年人中。
对2009年全国调查的横断面数据进行重新分析。计算优势比（OR）和95%置信区间（CI）。
在抽取的487名成年人中，87人（18%）患有糖尿病。近99%的糖尿病患者至少还有一种其他非传染性疾病风险因素，62%的患者同时存在三种或更多非传染性疾病风险因素。糖尿病患者更有可能肥胖（OR 1.66，95%CI 1.01 - 2.74），高血压患病率也高得多（OR 3.02，95%CI 1.87 - 4.86）。
在没有其他非传染性疾病风险因素的情况下，很少能发现糖尿病。我们建议在常规护理中采用综合方法来管理糖尿病和其他非传染性疾病风险因素，而不是采用针对特定疾病的方法。
