Prevalence of Diabetes Mellitus and Prediabetes in Dalseong-gun, Daegu City, Korea
- Prevalence of Diabetes Mellitus and Prediabetes in Dalseong-gun, Daegu City, Korea
- 이경수; 이정은[이정은]; 정성창[정성창]; 정귀화[정귀화]; 하승우[하승우]; 김보완[김보완]; 채성철[채성철]; 박의현[박의현]; 임지선[임지선]; 양진훈[양진훈]; 감신[감신]; 천병렬[천병렬]; 김종연[김종연]; 이중정[이중정]; 안문영[안문영]; 김영애[김영애]; 김정국[김정국]
- Diabetes mellitus; Epidemiology; Prediabetic state
- Issue Date
- Diabetes and Metabolism Journal, v.35, no.3, pp.255 - 263
- Background: The aim of the present study was to determine the population-based prevalence of diabetes mellitus (DM) and prediabetes in a rural district of Daegu City, Korea.
Methods: Between August and November 2003, a community-based health survey of adults aged 20 years and older was performed in the rural district of Dalseong-gun in Daegu City. A total of 1,806 of all eligible individuals agreed to participate. Fasting plasma glucose was measured in all participants. Two hour oral glucose tolerance was measured in the 1,773 participants for whom there was neither an established diagnosis of DM nor evidence of DM according to fasting glucose levels. The prevalence of DM and prediabetes was determined according to the 2003 criteria of the American Diabetes Association. Subjects with prediabetes were classified into one of three categories of glucose intolerance: isolated impaired fasting glucose (IFG); isolated impaired glucose tolerance (IGT); or combined IFG and IGT.
Results: The prevalence of DM was 12.2%. The highest prevalence rates were observed in subjects in their seventies. A total of 34.7% of all subjects who were assigned a diagnosis of DM in the present study had not been diagnosed previously. The prevalence of prediabetes was 22.7%. The highest prevalence rates were observed in subjects in their fifties.
Conclusion: The present study identified prevalence rates of 12.2% for DM (age-standardized prevalence rate [ASR], 6.8%), and 22.7% for prediabetes (ASR 18.5%). These results emphasize the need for community health promotion strategies to prevent or delay the onset of DM in individuals with prediabetes.
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