Xu Yu, Lu Jieli, Li Mian, Wang Tiange, Wang Kan, Cao Qiuyu, Ding Yi, Xiang Yu, Wang Siyu, Yang Qianqian, Zhao Xuan, Zhang Xiaoyun, Xu Min, Wang Weiqing, Bi Yufang, Ning Guang
Department of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China; National Clinical Research Center for Metabolic Diseases (Shanghai), Key Laboratory for Endocrine and Metabolic Diseases of the National Health Commission of the PR China, National Research Center for Translational Medicine, Shanghai Key Laboratory for Endocrine Tumor, State Key Laboratory of Medical Genomics, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Department of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China; National Clinical Research Center for Metabolic Diseases (Shanghai), Key Laboratory for Endocrine and Metabolic Diseases of the National Health Commission of the PR China, National Research Center for Translational Medicine, Shanghai Key Laboratory for Endocrine Tumor, State Key Laboratory of Medical Genomics, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Lancet Public Health. 2024 Dec;9(12):e1089-e1097. doi: 10.1016/S2468-2667(24)00250-0. Epub 2024 Nov 20.
The prevalence of diabetes in China is rapidly increasing. China now has the largest number of people living with diabetes worldwide, accounting for approximately one-quarter of the global diabetes population. Since the late 1970s, China has experienced profound changes and rapid economic growth, leading to shifts in lifestyle. Changing dietary patterns, reduced physical activity, and stress have contributed to the growing prevalence of overweight and obesity, which are important determinants potentiating the link between insulin resistance and diabetes. Social and environmental factors, such as education, air pollution, and exposure to endocrine-disrupting chemicals, have also contributed to the growing diabetes epidemic in China. The country has one of the fastest ageing populations in the world, which forecasts continued increases in the prevalence of diabetes and its complications. This Review provides an overview of the ongoing diabetes epidemic and risk factors, providing evidence to support effective implementation of public health interventions to slow and prevent the diabetes epidemic in China.
中国糖尿病的患病率正在迅速上升。目前，中国是全球糖尿病患者人数最多的国家，约占全球糖尿病患者总数的四分之一。自20世纪70年代末以来，中国经历了深刻的变革和快速的经济增长，导致生活方式发生了转变。饮食模式的改变、体力活动的减少以及压力，都促使超重和肥胖的患病率不断上升，而超重和肥胖是加剧胰岛素抵抗与糖尿病之间联系的重要决定因素。社会和环境因素，如教育、空气污染以及接触内分泌干扰化学物质，也推动了中国糖尿病流行情况的加剧。中国是世界上人口老龄化速度最快的国家之一，预计糖尿病及其并发症的患病率将持续上升。本综述概述了当前的糖尿病流行情况及危险因素，为支持在中国有效实施公共卫生干预措施以减缓并预防糖尿病流行提供依据。
