Department of Food Science and Human Nutrition, Agricultural University of Athens, Iera Odos 75, 118 55, Athens, Greece.
Department of Nutrition and Dietetics, School of Health Science and Education Harokopio University, Eleftheriou Venizelou 70, 176 76, Athens, Greece.
Public Health. 2021 Aug;197:75-82. doi: 10.1016/j.puhe.2020.10.002. Epub 2021 Jan 19.
Diabetes mellitus is a disease associated with many complications leading to premature death. The aim of this study was to estimate prevalence of type 2 diabetes (T2D), and the proportion of the population unaware of the condition, in association with modifiable risk factors.
Data from the Hellenic National Nutrition and Health Survey were used (n = 3773 adults, 40.8% men) and were obtained by trained personnel.
Diabetes mellitus disease status was categorized as per the International Classification of Diseases codes (10th version). A subsample from the two main metropolitan areas was used to assess T2D and impaired fasting glucose (IFG) (n = 990; 38.2% men) from plasma analysis.
The prevalence of T2D in the population was 5.2% in total, reaching 13.7% in adults aged >60 years (no sex differences). IFG was observed in 27.3% of adults in the two metropolitan areas, and 40% were unaware of having T2D in this subsample. The likelihood of having T2D significantly increased with age and body weight, whereas it decreased with higher educational level and physical activity (P for all <0.001).
The high T2D prevalence in adults, especially among the older age-groups, suggests a major public health problem in Greece.
糖尿病是一种与多种并发症相关的疾病，这些并发症会导致过早死亡。本研究旨在评估 2 型糖尿病（T2D）的患病率，以及与可改变的危险因素相关的未被发现的人群比例。
本研究使用了希腊国家营养与健康调查的数据（n=3773 名成年人，40.8%为男性），数据由经过培训的人员获得。
根据国际疾病分类（第 10 版）的编码来对糖尿病疾病状况进行分类。从两个主要大都市地区抽取了一个亚样本，用于通过血浆分析评估 T2D 和空腹血糖受损（IFG）（n=990；38.2%为男性）。
总人群中 T2D 的患病率为 5.2%，在年龄>60 岁的成年人中达到 13.7%（无性别差异）。在两个大都市地区，27.3%的成年人存在 IFG，而在该亚样本中，有 40%的人不知道自己患有 T2D。患有 T2D 的可能性随着年龄和体重的增加而显著增加，而随着教育水平和体力活动的增加而降低（所有 P 值均<0.001）。
成年人中 T2D 的高患病率，尤其是在年龄较大的人群中，表明希腊存在重大的公共卫生问题。
