Division of Endocrinology and Metabolism, Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea.
Division of Endocrinology and Metabolism, Department of Internal Medicine, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea.
Diabetes Metab J. 2021 Jan;45(1):1-10. doi: 10.4093/dmj.2020.0254. Epub 2021 Jan 13.
This study aimed to investigate the recent prevalence, management, and comorbidities of diabetes among Korean adults aged ≥30 years by analyzing nationally representative data.
This study used data from the Korea National Health and Nutrition Examination Survey from 2016 to 2018, and the percentage and total number of people ≥30 years of age with diabetes and impaired fasting glucose (IFG) were estimated.
In 2018, 13.8% of Korean adults aged ≥30 years had diabetes, and adults aged ≥65 years showed a prevalence rate of 28%. The prevalence of IFG was 26.9% in adults aged ≥30 years. From 2016 to 2018, 35% of the subjects with diabetes were not aware of their condition. Regarding comorbidities, 53.2% and 61.3% were obese and hypertensive, respectively, and 72% had hypercholesterolemia as defined by low-density lipoprotein cholesterol (LDL-C) ≥100 mg/dL in people with diabetes. Of the subjects with diabetes, 43.7% had both hypertension and hypercholesterolemia. With regard to glycemic control, only 28.3% reached the target level of <6.5%. Moreover, only 11.5% of subjects with diabetes met all three targets of glycosylated hemoglobin, blood pressure, and LDL-C. The percentage of energy intake from carbohydrates was higher in diabetes patients than in those without diabetes, while that from protein and fat was lower in subjects with diabetes.
The high prevalence and low control rate of diabetes and its comorbidities in Korean adults were confirmed. More stringent efforts are needed to improve the comprehensive management of diabetes to reduce diabetes-related morbidity and mortality.
本研究旨在通过分析全国代表性数据，调查韩国≥30 岁成年人中糖尿病的近期流行率、管理和合并症情况。
本研究使用了 2016 年至 2018 年韩国国家健康与营养检查调查的数据，估计了≥30 岁人群中糖尿病和空腹血糖受损（IFG）的人数比例和总数。
2018 年，韩国≥30 岁成年人中有 13.8%患有糖尿病，≥65 岁成年人的患病率为 28%。≥30 岁成年人的 IFG 患病率为 26.9%。从 2016 年到 2018 年，35%的糖尿病患者不知道自己的病情。在合并症方面，分别有 53.2%和 61.3%的人肥胖和高血压，72%的人糖尿病患者的低密度脂蛋白胆固醇（LDL-C）≥100mg/dL 定义为高胆固醇血症。在糖尿病患者中，43.7%同时患有高血压和高胆固醇血症。在血糖控制方面，只有 28.3%的人达到<6.5%的目标水平。此外，只有 11.5%的糖尿病患者同时满足糖化血红蛋白、血压和 LDL-C 的三个目标。糖尿病患者的碳水化合物能量摄入比例高于无糖尿病患者，而蛋白质和脂肪的能量摄入比例则低于糖尿病患者。
韩国成年人糖尿病及其合并症的高患病率和低控制率得到了证实。需要更加严格地努力改善糖尿病的综合管理，以降低糖尿病相关的发病率和死亡率。
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