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Trend analysis of diabetic prevalence and incidence in a rural area of South Korea between 2003–2008

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Author(s)
Ji Yun JeongJung-Guk KimBo-Wan KimSeong Su MoonHye-Soon KimKeun-Gyu ParkKyu Chang WonHyoung Woo LeeJi Sung YoonHo-Sang ShonJi Hyun LeeEui-Dal JungMi Young ParkByung-Yeol ChunKeon-Yeop KimTae-Yoon HwangMi-Young LeeIn-Kyu Lee
Publication Year
2010
Keyword
Diabetes mellitusPrevalenceSouth Korea
Abstract
Aims/Introduction: This study determined the change in prevalence of diabetes and prediabetes over a period of 5 years in
South Korea. The incidence of diabetes and prediabetes and risk factors associated with the development of diabetes were also
investigated.
Materials and Methods: The Dalseong population-based cohort survey recruited 1806 subjects who were over 20-years-old in
2003. Five years later, 1287 of the original subjects were re-evaluated and 187 new subjects were added to the study. All participants
completed a questionnaire, were given a physical examination, and provided blood samples for analysis including 2 h oral glucose
tolerances.
Results: Age-adjusted prevalence of diabetes rose from 6.7% in 2003 to 9.1% in 2008. The prevalence of prediabetes also increased
from 18.5% in 2003 to 28.4% in 2008. The incidence rates of diabetes and prediabetes were 18.3 per 1000 person-years and 55.4 per
1000 person-years, respectively. The development of diabetes was associated with impaired fasting glucose (IFG) (odds ratio [OR]
5.661), impaired glucose tolerance (IGT) (OR: 6.013), age (OR 1.013), and waist-to-hip ratio (OR 1.513). After excluding the IFG and IGT,
systolic blood pressure (OR 1.023), high-sensitivity C-reactive protein (hsCRP; OR 1.097), triglyceride (OR 1.002) and waist-to-hip ratio
(OR 1.696) were statistically significant risk factors in a multivariate logistic regression analysis.
Conclusions: A significant rise in the prevalence of diabetes and prediabetes was observed between 2003 and 2008. In addition,
this study newly demonstrated that waist-to-hip ratio and hsCRP were associated with the development of diabetes after adjusting
for several confounding factors.
Department
Dept. of Internal Medicine (내과학)
Dept. of Preventive Medicine (예방의학)
Publisher
School of Medicine
Citation
Journal of Diabetes Investigation, Vol.1(5) : 184-190, 2010
Type
Article
ISSN
2040-1116
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/33919
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