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Trends in prediabetes and diabetes prevalence and associated risk factors in Vietnamese adults

Epidemiology and Health 2020년 42권 1호 p.29 ~ 29
Ton That Thanh, Tran Anh Thi Ngoc, Do Ich Thanh, Nguyen Hoa, Nguyen Thi Thanh Binh, Nguyen Minh Tu, Ha Van Anh Bao, Tran Anh Quoc, Hoang Huu Khoi, Tran Binh Thang,
소속 상세정보
 ( Ton That Thanh ) - Da Nang Center for Disease Control and Prevention
 ( Tran Anh Thi Ngoc ) - National Cancer Center Graduate School of Cancer Science and Policy Department of Cancer Control and Population Health
 ( Do Ich Thanh ) - Da Nang Center for Disease Control and Prevention
 ( Nguyen Hoa ) - Da Nang Center for Disease Control and Prevention
 ( Nguyen Thi Thanh Binh ) - Hue University Hue University of Medicine and Pharmacy
 ( Nguyen Minh Tu ) - Hue University Hue University of Medicine and Pharmacy
 ( Ha Van Anh Bao ) - Da Nang University of Medical Technology and Pharmacy
 ( Tran Anh Quoc ) - Da Nang University of Medical Technology and Pharmacy
 ( Hoang Huu Khoi ) - Da Nang University of Medical Technology and Pharmacy
 ( Tran Binh Thang ) - National Cancer Center Graduate School of Cancer Science and Policy Department of Cancer Control and Population Health

Abstract


OBJECTIVES: The prevalence of diabetes mellitus is rapidly increasing in Vietnam, particularly among adults aged over 45 years. This study estimated trends in diabetes and prediabetes prevalence and determined risk factors in Vietnamese adults (over 45 years).

METHODS: A cross-sectional study was conducted based on data from an annual diabetes screening program among people aged 45-69 years in an urban city in central Vietnam (Da Nang). Joinpoint regression analyses were performed to calculate the annual percentage change and ptrend-values. Multinomial logistic regression analysis was used to determine risk factors.

RESULTS: In total, 3,765 men and 9,149 women were included in this analysis. The age-adjusted prevalence of diabetes and prediabetes in 2017 was 11.4% and 52.9%, respectively. The prevalence of diabetes was higher in men (15.1%) than in women (10.3%), but that of prediabetes was similar in both genders (53.4% vs. 52.8%). The prevalence of prediabetes significantly increased during the study period, whereas no upward or downward trend for diabetes was observed. The prevalence of obesity, abdominal obesity, hypertension, and dyslipidemia showed no obvious trend. Obesity, a high waist-to-hip ratio, hypertension, more severe abdominal obesity, and dyslipidemia were significantly associated with a higher risk of diabetes and prediabetes.

CONCLUSIONS: Diabetes and prediabetes were more prevalent among people aged over 45 years than in the general population. Da Nang has experienced a marked increase in the prevalence of prediabetes. These findings have significant implications regarding the need for nationwide public health interventions and management aiming at diabetes prevention and control.

키워드

Diabetes mellitus; Prediabetic state; Trend analysis; Risk factors; Vietnam

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