Variations in Diabetes Prevalence in Low-, Middle-, and High-Income Countries: Results From the Prospective Urban and Rural Epidemiological Study
| العنوان: | Variations in Diabetes Prevalence in Low-, Middle-, and High-Income Countries: Results From the Prospective Urban and Rural Epidemiological Study |
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| المؤلفون: | Liu Jiankang, V. Raman Kutty, Katarzyna Zatońska, Gilles R. Dagenais, Jephat Chifamba, Sumathy Rangarajan, Deng Wenqing, Alvaro Avezum, Yue Gejie, Annamarie Kruger, Viswanathan Mohan, Hertzel C. Gerstein, Noor Hassim Ismail, Matthew J. McQueen, Scott A. Lear, Xiaohe Zhang, Patricio Lopez-Jaramillo, Salim Yusuf, Aytekin Oguz, Roya Kelishadi, Khalid Yusoff, Afzalhussein Yusufali, Romaina Iqbal, Rajeev Gupta, Bai Xiulin, Prem Mony, Omar Rahman, Koon K. Teo, Rafael Diaz, Annika Rosengren, Nasheeta Peer, Fernando Lanas, Rajesh Kumar |
| المصدر: | Diabetes Care. 39:780-787 |
| بيانات النشر: | American Diabetes Association, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Adult, Male, Rural Population, Gerontology, medicine.medical_specialty, Diabetes risk, Urban Population, Endocrinology, Diabetes and Metabolism, Population, 030209 endocrinology & metabolism, 03 medical and health sciences, 0302 clinical medicine, Risk Factors, Diabetes mellitus, Epidemiology, Diabetes Mellitus, Prevalence, Internal Medicine, Humans, Medicine, Prospective Studies, 030212 general & internal medicine, Family history, Prospective cohort study, education, Exercise, Poverty, Aged, Advanced and Specialized Nursing, education.field_of_study, business.industry, Developed Countries, 1. No poverty, Odds ratio, Middle Aged, medicine.disease, 3. Good health, Quartile, Income, Female, business, Demography |
| الوصف: | OBJECTIVE The goal of this study was to assess whether diabetes prevalence varies by countries at different economic levels and whether this can be explained by known risk factors. RESEARCH DESIGN AND METHODS The prevalence of diabetes, defined as self-reported or fasting glycemia ≥7 mmol/L, was documented in 119,666 adults from three high-income (HIC), seven upper-middle-income (UMIC), four lower-middle-income (LMIC), and four low-income (LIC) countries. Relationships between diabetes and its risk factors within these country groupings were assessed using multivariable analyses. RESULTS Age- and sex-adjusted diabetes prevalences were highest in the poorer countries and lowest in the wealthiest countries (LIC 12.3%, UMIC 11.1%, LMIC 8.7%, and HIC 6.6%; P < 0.0001). In the overall population, diabetes risk was higher with a 5-year increase in age (odds ratio 1.29 [95% CI 1.28–1.31]), male sex (1.19 [1.13–1.25]), urban residency (1.24 [1.11–1.38]), low versus high education level (1.10 [1.02–1.19]), low versus high physical activity (1.28 [1.20–1.38]), family history of diabetes (3.15 [3.00–3.31]), higher waist-to-hip ratio (highest vs. lowest quartile; 3.63 [3.33–3.96]), and BMI (≥35 vs. CONCLUSIONS Conventional risk factors do not fully account for the higher prevalence of diabetes in LIC countries. These findings suggest that other factors are responsible for the higher prevalence of diabetes in LIC countries. |
| تدمد: | 1935-5548 0149-5992 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e912008c89fc47a550c26477b7dddb74Test https://doi.org/10.2337/dc15-2338Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....e912008c89fc47a550c26477b7dddb74 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19355548 01495992 |
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