Department of Preventive Medicine, School of Medicine, Kyungpook National University, Daegu, Korea.
Epidemiol Health. 2019;41:e2019029. doi: 10.4178/epih.e2019029. Epub 2019 Jul 4.
This study analyzed Korea National Health and Nutrition Examination Survey data from 2007 to 2017 to assess trends in the prevalence, treatment, and control of diabetes in Korean adults ≥30 years of age.
Prevalent diabetes was defined as a fasting plasma glucose level ≥126 mg/dL, self-reported use of anti-diabetic treatment (insulin or oral anti-diabetic drugs), or diabetes diagnosis by a physician. Target levels were defined as glycosylated hemoglobin <6.5% or <7.0%, blood pressure <130/80 mmHg, and total cholesterol <200 mg/dL. All survey waves were age-standardized to the 2005 Korean census population.
Diabetes prevalence increased from 9.6% in 2007-2009 to 10.8% in 2016-2017 (p<0.001). Impaired fasting glucose prevalence significantly increased in both genders and almost every age group. Diabetes awareness and glycemic control did not show an increasing trend; however, the treatment rate and proportion of people diagnosed with diabetes achieving target blood pressure and total cholesterol levels improved from 57.2% to 63.5% (p=0.008), from 41.1% to 53.2% (p<0.001), and from 65.0% to 78.0% (p<0.001), respectively.
From 2007 to 2017, the prevalence of diabetes increased moderately in Korea, whereas the diabetes treatment rate and the proportion of people diagnosed with diabetes achieving target blood pressure and total cholesterol levels improved. However, awareness of diabetes and glycemic control require significant improvements. A national-level action plan is required to raise awareness about diabetes and prediabetes, with the goal of improving glycemic control and minimizing the occurrence of adverse health outcomes.
本研究分析了 2007 年至 2017 年韩国国家健康和营养检查调查的数据，以评估韩国≥30 岁成年人糖尿病的患病率、治疗和控制趋势。
糖尿病的现患率定义为空腹血糖水平≥126mg/dL、自我报告使用抗糖尿病药物（胰岛素或口服抗糖尿病药物）或医生诊断为糖尿病。目标水平定义为糖化血红蛋白<6.5%或<7.0%、血压<130/80mmHg 和总胆固醇<200mg/dL。所有调查波均按 2005 年韩国人口普查人口进行年龄标准化。
糖尿病的患病率从 2007-2009 年的 9.6%增加到 2016-2017 年的 10.8%（p<0.001）。在两性和几乎每个年龄组中，空腹血糖受损的患病率均显著增加。糖尿病知晓率和血糖控制率没有呈现上升趋势；然而，治疗率和诊断为糖尿病的患者达到目标血压和总胆固醇水平的比例从 57.2%提高到 63.5%（p=0.008），从 41.1%提高到 53.2%（p<0.001），从 65.0%提高到 78.0%（p<0.001）。
从 2007 年到 2017 年，韩国的糖尿病患病率适度增加，而糖尿病治疗率和诊断为糖尿病的患者达到目标血压和总胆固醇水平的比例有所提高。然而，糖尿病的知晓率和血糖控制率仍需要显著改善。需要制定国家级行动计划，提高对糖尿病和糖尿病前期的认识，以改善血糖控制，最大限度地减少不良健康结果的发生。
