Original Article Epidemiology Increasing trend in the prevalence of Type 2 diabetes and pre diabetes in the Chinese rural and urban population in Qingdao, China英文文献.pdfVIP

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Original Article Epidemiology Increasing trend in the prevalence of Type 2 diabetes and pre diabetes in the Chinese rural and urban population in Qingdao, China英文文献.pdf

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DIABETICMedicine DOI:10.1111/j.1464-5491.2009.02832.x Original Article: Epidemiology Increasing trend in the prevalence of Type 2 diabetes and pre-diabetes in the Chinese rural and urban population in Qingdao, China W. G. Gao*†, Y. H. Dong†, Z. C. Pang‡, H. R. Nan§, L. Zhang*†, S. J. Wang‡, J. Ren‡, F. Ning* and Q. Qiao* for the Qingdao 2006 Diabetes Survey Group *Department of Public Health, University of Helsinki, Finland, †Qingdao Endocrinology and Diabetes Hospital, Qingdao, ‡Qingdao Municipal Centre for Disease Prevention and Control, Qingdao and §Hong Kong Institute of Diabetes and Obesity, Hong Kong, China Accepted 8 August 2009 Abstract Aims To determine the secular trend of prevalence of Type 2 diabetes and pre-diabetes in a Chinese population from 2001 to 2006. Methods Two consecutive population-based surveys for diabetes were conducted in a randomly selected population aged 35– 74 years and living in Qingdao, China in 2001–2002 (n = 10854) and 2006 (n = 4416). All participants underwent standardized 2-h 75-g oral glucose tolerance tests (OGTTs), along with fasting capillary plasma glucose (FCG) tests in 2006. One urban community underwent OGTTs directly in 2002 (n = 1815), while a two-step screening strategy using FCG as a ﬁrst- linescreening test followed byOGTTswas used in 9039 individuals in 2001. Diabetes and pre-diabetes was deﬁned accordingto the 2006 World Health Organization⁄ International Diabetes Federation criteria. Results Based on the results of direct OGTTs, the age-standardized prevalence of diabetes and pre-diabetes in urban areas was 12.2 and 15.4% in 2002, whereas the prevalences were 18.8 and 28.7% in urban areas and 14.1 and 20.2% in rural areas in 2006 (P 0.001, in urban areas). Using the two-step screening strategy, the prevalence of diabetes in 2001 was 10.1% in urban and 7.7% in rural