2013-2018年中国糖尿病的流行和治疗
Limin Wang1, Wen Peng2,3,4, Zhenping Zhao1
1National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
JAMA
|December 28, 2021
概括
2013年至2018年期间,中国的糖尿病患病率显著增加,但治疗率没有改善. 肥胖和饮食不良等危险因素也增加,
科学领域:
- 内分泌学
- 公共卫生
- 流行病学
背景情况:
- 糖尿病在中国是一个严重的公共卫生问题.
- 最近有关糖尿病患病率,认识,治疗和风险因素的数据对于有效的干预措施至关重要.
研究的目的:
- 通过国家数据估计中国糖尿病患病率,认识,治疗和危险因素的趋势.
- 确定糖尿病和糖尿病前期患病率的变化以及随着时间的推移相关的危险因素.
主要方法:
- 使用了中国大陆成年人 (2013-2014年和2018-2019年) 的横截面,全国代表性调查数据.
- 对未诊断的个体进行了口服葡萄糖耐受性测试.
- 使用美国糖尿病协会标准定义糖尿病和糖尿病前期;评估意识,治疗和血糖控制.
主要成果:
- 糖尿病患病率从2013年的10.9%增加到2018年的12.4% (P<.001).
- 在2013年,糖尿病前期患病率为35.7%,在2018年为38.1% (P=0.07).
- 在2018年,只有36.7%的人知道他们患有糖尿病,32.9%的人接受了治疗,而50.1%的治疗患者的血糖水平得到了充分控制;这些比例与2013年没有显著变化. 身体活动低,红肉摄入量高,超重和肥胖率显著增加.
结论:
- 据估计,中国的糖尿病患病率很高,在2013年至2018年间增加.
- 在此期间,没有观察到足够治疗糖尿病的患病率有显著改善.
- 越来越多的风险因素和停滞不前的治疗率表明需要加强公共卫生战略.
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