Department of Pediatrics, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea.
Department of Pediatrics, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
Diabetes Metab J. 2022 Mar;46(2):297-306. doi: 10.4093/dmj.2021.0038. Epub 2021 Oct 26.
Despite the importance of and social concern regarding prevention of diabetes at younger ages, limited data are available. This study sought to analyze changes in the prevalence of type 2 diabetes mellitus (T2DM) in Koreans younger than 30 years according to sex, age, and level of income.
The dataset analyzed in this study was derived from health insurance claims recorded in the National Health Insurance Service (NHIS) database. Participants' level of income was categorized as low (quintile 1, <20% of insurance premium) or others (quintile 2-5).
In males and females, the prevalence of T2DM per 10,000 people steadily increased from 2.57 in 2002 to 11.41 in 2016, and from 1.96 in 2002 to 8.63 in 2016. The prevalence of T2DM in girls was higher in the age group of 5 to 14 years. Even though the prevalence was higher among those older than 20 years, the increase had started earlier, in the early 2000s, in younger age group. Adolescents aged 10 to 19 years in low-income families showed a remarkable increase in prevalence of T2DM, especially in boys.
The prevalence of T2DM in young Koreans increased more than 4.4-fold from 2002 to 2016, and the increase started in the early 2000s in younger age groups and in low-income families. This is the first study to examine the trend in prevalence of T2DM in children, adolescents, and young adults in Korea. Future studies and collaborations with social support systems to prevent T2DM at an early age group should be performed.
尽管年轻人糖尿病预防的重要性和社会关注度很高，但相关数据有限。本研究旨在分析按性别、年龄和收入水平划分的韩国 30 岁以下人群 2 型糖尿病（T2DM）的患病率变化。
本研究分析的数据来自国民健康保险服务（NHIS）数据库中的健康保险索赔记录。参与者的收入水平分为低（五分位 1，<20%的保险费）或其他（五分位 2-5）。
男性和女性的 T2DM 患病率从 2002 年的每 10000 人 2.57 例稳步上升到 2016 年的 11.41 例，从 2002 年的每 10000 人 1.96 例上升到 2016 年的 8.63 例。女孩的 T2DM 患病率在 5 至 14 岁年龄组较高。尽管年龄较大者的患病率较高，但这种增长在较年轻年龄组中，在 21 世纪初就已经开始。低收入家庭的 10 至 19 岁青少年 T2DM 患病率显著增加，尤其是男孩。
从 2002 年到 2016 年，韩国年轻人群 T2DM 的患病率增加了 4.4 倍以上，这种增长在较年轻年龄组和低收入家庭中在 21 世纪初就已经开始。这是首次在韩国研究儿童、青少年和年轻成年人 T2DM 患病率趋势的研究。未来应开展研究并与社会支持系统合作，以在早期年龄组预防 T2DM。
