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カンボジアにおける糖尿病および関連疾患: 2つの疫学調査
Hilary King1, Lim Keuky, Serey Seng
1Centre Européen d'Etude du Diabète, 67200 Strasbourg, France.
Lancet (London, England)
|November 8, 2005
まとめ
糖尿病と高血圧はカンボジアで驚くほど一般的であり,成人の人口の有意な部分に影響しています. 糖尿病の多くの症例は未だに診断されていないため,地域の認知度とスクリーニングの必要性を強調しています.
科学分野:
- エピデミオロジー エピデミオロジー
- 公衆衛生は公衆衛生である.
- メタボリック障害 メタボリック障害
背景:
- アジア太平洋地域は,糖尿病の大きな負担に直面しています.
- アジアの集団におけるグルコース不耐症に関する標準化されたデータは限られている.
- この研究は,2004年にカンボジアで実施された2つのフィールド調査の結果を提示しています.
研究 の 目的:
- カンボジアにおけるグルコース不耐症の流行と特徴を決定する.
- 糖尿病とグルコース耐性障害の割合を評価する.
- 高血圧や肥満などの関連要因を調査する.
主な方法:
- 2つのコミュニティベースの調査は,シエムレップ (農村) とカンポングチャム (半都市) で実施されました.
- 25歳以上の2246人の成人をランダムに選んで検査した.
- 糖尿病とグルコース耐性障害の診断は,2hの血糖値に基づくWHOの基準を使用し,血圧,人体測定,食事も記録しました.
主要な成果:
- 糖尿病の罹患率はシエムレップで5%で,カンポングチャムでは11%でした.
- グルコース耐性障害の罹患率は,シエムレップでは10%,カンポングチャムでは15%でした.
- 高血圧の罹患率は12% (Siemreap) と25% (Kampong Cham) であった.
結論:
- カンボジアでは,糖尿病と高血圧が蔓延しています.
- 半都市地域の成人の4分の1がグルコース不耐症でした.
- これらの発見は,カンボジアの社会経済的な地位と伝統的なライフスタイルを考慮して予想外です.
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