Yu Shasha, Sun Zhaoqing, Zheng Liqiang, Guo Xiaofan, Yang Hongmei, Sun Yingxian
Department of Cardiology, The First Hospital of China Medical University, 155 Nanjing North Street, Heping District, Shenyang 110001, China.
Department of Cardiology, Shenjing Hospital of China Medical University, Shenyang 110001, China.
Int J Environ Res Public Health. 2015 Nov 19;12(11):14764-79. doi: 10.3390/ijerph121114764.
In recent years data from many investigations has shown a leveling-off trend in diabetes incidence. In order to explain the diabetes epidemic in rural China during the past ten years, we conducted a survey from July 2012 to August 2013. Data from comprehensive questionnaires, physical examinations, and blood tests were obtained from 5919 residents with hypertension, aged ≥ 35 years. Diabetes and impaired fasting glucose (IFG) were defined according to the American Diabetes Association (ADA) criteria. The overall prevalence of diabetes and IFG were 15.3% (13.6% in men, 16.8% in women) and 40.7% (44.1% in men, 34.7% in women) in the hypertensive rural Chinese population. The prevalence of previously diagnosed diabetes was 6.5% (4.6% in men, 8.4% in women). The prevalence of undiagnosed diabetes was 8.7% (9.0% in men, 8.5% in women). Multivariate logistic regression revealed that increasing age, drinking, overweight or obesity, systolic blood pressure, low HDL-C, high total cholesterol and triglycerides increased the risk of diabetes (p < 0.05). Diabetes is thus still prevalent in rural areas of China and is manifesting an accelerating trend. It remains an important public health problem in China, especially in rural areas and routine assessment for the early detection and treatment of diabetes should be emphasized.
近年来，许多调查数据显示糖尿病发病率呈平稳趋势。为了解释中国农村地区过去十年糖尿病流行情况，我们在2012年7月至2013年8月进行了一项调查。从5919名年龄≥35岁的高血压患者中获取了综合问卷、体格检查和血液检测数据。糖尿病和空腹血糖受损（IFG）根据美国糖尿病协会（ADA）标准定义。在中国农村高血压人群中，糖尿病和IFG的总体患病率分别为15.3%（男性为13.6%，女性为16.8%）和40.7%（男性为44.1%，女性为34.7%）。既往诊断糖尿病的患病率为6.5%（男性为4.6%，女性为8.4%）。未诊断糖尿病的患病率为8.7%（男性为9.0%，女性为8.5%）。多因素logistic回归显示，年龄增加、饮酒、超重或肥胖、收缩压、低高密度脂蛋白胆固醇（HDL-C）、高总胆固醇和甘油三酯会增加糖尿病风险（p<0.05）。因此，糖尿病在中国农村地区仍然普遍，且呈加速趋势。它仍然是中国尤其是农村地区的一个重要公共卫生问题，应强调对糖尿病进行早期检测和治疗的常规评估。
