Alinaghian Seyed Ahmadreza, Hamidzadeh Shokoufeh, Badrizadeh Afsaneh, Khazaei Zaher, Souri Amirhossein, Momenabadi Victoria, Goodarzi Elham
Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Student Research Committee, Urmia University of Medical Sciences, Urmia, Iran.
BMC Public Health. 2025 Jan 31;25(1):402. doi: 10.1186/s12889-025-21608-8.
The mounting burden of type 2 diabetes is a major concern in healthcare systems worldwide. The purpose of this study is to investigate Burden of type 2 diabetes and its relationship with human development index in Asian countries.
All accessible data from the 2019 Global Burden of Disease study were used to estimate the diabetes mellitus type 2 prevalence, mortality and disability-adjusted life years and diabetes mellitus type 2 in Asia from 1990 to 2019. We estimated all-cause and cause-specific mortality, years of life lost (YLLs), years lived with disability (YLDs), disability-adjusted life-years (DALYs) and attributable risk.
The results indicated that the human development index (HID) was positively and significantly correlated with the incidence of type 2 diabetes in men (r = 0.481, P < 0.05) and women (r = 0.414, P < 0.05, but the correlation between death and the HDI was not significant in men and women (P > 0.05). The highest share of DALY risk factors in men (12093.2 per 100000) and in women (7122.4 per 100000) was related to behavioral factors. According to the results, air pollution, high fasting plasma glucose, and dietary risks are the main risk factors associated with the burden of type 2 diabetes in women and men, respectively.
Given that the burden of type 2 diabetes is escalating in Asia and the burden of disease can be largely controlled by managing its risk factors, the disease management program in different countries, especially in countries with high prevalence and high burden could be reduced by making policies.
2型糖尿病日益加重的负担是全球医疗系统的一个主要担忧。本研究的目的是调查亚洲国家2型糖尿病的负担及其与人类发展指数的关系。
使用2019年全球疾病负担研究中的所有可获取数据来估计1990年至2019年亚洲2型糖尿病的患病率、死亡率、伤残调整生命年以及2型糖尿病情况。我们估计了全因死亡率和特定病因死亡率、寿命损失年数（YLLs）、带病生存年数（YLDs）、伤残调整生命年（DALYs）以及归因风险。
结果表明，人类发展指数（HID）与男性2型糖尿病发病率呈显著正相关（r = 0.481，P < 0.05），与女性2型糖尿病发病率也呈显著正相关（r = 0.414，P < 0.05），但男性和女性的死亡率与人类发展指数之间的相关性不显著（P > 0.05）。男性（每10万人中12093.2）和女性（每10万人中7122.4）中伤残调整生命年风险因素的最大占比与行为因素有关。根据结果，空气污染、空腹血糖高和饮食风险分别是与男性和女性2型糖尿病负担相关的主要风险因素。
鉴于亚洲2型糖尿病的负担在不断升级，且通过管理其风险因素在很大程度上可以控制疾病负担，不同国家，尤其是患病率高和负担重的国家，可以通过制定政策来减少疾病管理项目。
