中国医科大学滕卫平研究组近日取得一项新进展。他们采用2018美国糖尿病协会诊断标准，对中国糖尿病患病率进行了分析。该研究于2020年4月28日发表于《英国医学杂志》。
为了评估糖尿病的患病率及其危险因素，研究组设计了一项基于人群的横断面研究。选择2015-2017年中国大陆31个省市区具有全国代表性的横断面数据，参与者为75880名年龄在18岁及以上的成年人。
根据2018美国糖尿病协会（ADA）和世界卫生组织的诊断标准，研究组估算了生活在中国的成年人中糖尿病患病率以及按性别、地区和民族来划分的患病率。参与者问卷调查中包括人口统计学特征、生活方式和疾病史。
在中国居住的成年人中，根据ADA标准诊断，总糖尿病有9772例，其中自我报告的糖尿病4464例，新诊断的糖尿病 5308例，糖尿病前期27230例，加权患病率分别为12.8%、6.0%、6.8%和35.2%。
在50岁以上的成年男性中，总糖尿病的加权患病率较高。31个省市区的总糖尿病患病率从贵州的6.2%到内蒙古的19.9%不等。使用WHO标准，总糖尿病的加权患病率（共8385例）为11.2%。
总之，2007-2017年，中国成年人口的糖尿病患病率略有上升。研究结果表明，糖尿病是中国重要的公共卫生问题。
附：英文原文
Title: Prevalence of diabetes recorded in mainland China using 2018 diagnostic criteria from the American Diabetes Association: national cross sectional study
Author: Yongze Li, Di Teng, Xiaoguang Shi, Guijun Qin, Yingfen Qin, Huibiao Quan, Bingyin Shi, Hui Sun, Jianming Ba, Bing Chen, Jianling Du, Lanjie He, Xiaoyang Lai, Yanbo Li, Haiyi Chi, Eryuan Liao, Chao Liu, Libin Liu, Xulei Tang, Nanwei Tong, Guixia Wang, Jin-an Zhang, Youmin Wang, Yuanming Xue, Li Yan, Jing Yang, Lihui Yang, Yongli Yao, Zhen Ye, Qiao Zhang, Lihui Zhang, Jun Zhu, Mei Zhu, Guang Ning, Yiming Mu, Jiajun Zhao, Weiping Teng, Zhongyan Shan
Issue&Volume: 2020/04/28
Abstract: Abstract
Objective To assess the prevalence of diabetes and its risk factors.
Design Population based, cross sectional study.
Setting 31 provinces in mainland China with nationally representative cross sectional data from 2015 to 2017.
Participants 75880 participants aged 18 and older—a nationally representative sample of the mainland Chinese population.
Main outcome measures Prevalence of diabetes among adults living in China, and the prevalence by sex, regions, and ethnic groups, estimated by the 2018 American Diabetes Association (ADA) and the World Health Organization diagnostic criteria. Demographic characteristics, lifestyle, and history of disease were recorded by participants on a questionnaire. Anthropometric and clinical assessments were made of serum concentrations of fasting plasma glucose (one measurement), two hour plasma glucose, and glycated haemoglobin (HbA1c).
Results The weighted prevalence of total diabetes (n=9772), self-reported diabetes (n=4464), newly diagnosed diabetes (n=5308), and prediabetes (n=27230) diagnosed by the ADA criteria were 12.8% (95% confidence interval 12.0% to 13.6%), 6.0% (5.4% to 6.7%), 6.8% (6.1% to 7.4%), and 35.2% (33.5% to 37.0%), respectively, among adults living in China. The weighted prevalence of total diabetes was higher among adults aged 50 and older and among men. The prevalence of total diabetes in 31 provinces ranged from 6.2% in Guizhou to 19.9% in Inner Mongolia. Han ethnicity had the highest prevalence of diabetes (12.8%) and Hui ethnicity had the lowest (6.3%) among five investigated ethnicities. The weighted prevalence of total diabetes (n=8385) using the WHO criteria was 11.2% (95% confidence interval 10.5% to 11.9%).
Conclusion The prevalence of diabetes has increased slightly from 2007 to 2017 among adults living in China. The findings indicate that diabetes is an important public health problem in China.
DOI: 10.1136/bmj.m997
Source: https://www.bmj.com/content/369/bmj.m997
BMJ-British Medical Journal:《英国医学杂志》，创刊于1840年。隶属于BMJ出版集团，最新IF：93.333
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本期文章：《英国医学杂志》：Online/在线发表
