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Int. J. Environ. Res. Public Health 2015, 12(11), 14764-14779; doi:10.3390/ijerph121114764

Prevalence of Diabetes and Impaired Fasting Glucose in Hypertensive Adults in Rural China: Far from Leveling-Off

1
Department of Cardiology, The First Hospital of China Medical University, 155 Nanjing North Street, Heping District, Shenyang 110001, China
2
Department of Cardiology, Shenjing Hospital of China Medical University, Shenyang 110001, China
3
Department of Clinical Epidemiology, Shenjing Hospital of China Medical University, Shenyang 110001, China
*
Author to whom correspondence should be addressed.
Academic Editor: Omorogieva Ojo
Received: 22 July 2015 / Revised: 11 November 2015 / Accepted: 11 November 2015 / Published: 19 November 2015
(This article belongs to the Collection Health Care and Diabetes)
View Full-Text   |   Download PDF [3767 KB, uploaded 19 November 2015]   |  

Abstract

In recent years data from many investigations has shown a leveling–off trend in diabetes incidence. In order to explain the diabetes epidemic in rural China during the past ten years, we conducted a survey from July 2012 to August 2013. Data from comprehensive questionnaires, physical examinations, and blood tests were obtained from 5919 residents with hypertension, aged ≥ 35 years. Diabetes and impaired fasting glucose (IFG) were defined according to the American Diabetes Association (ADA) criteria. The overall prevalence of diabetes and IFG were 15.3% (13.6% in men, 16.8% in women) and 40.7% (44.1% in men, 34.7% in women) in the hypertensive rural Chinese population. The prevalence of previously diagnosed diabetes was 6.5% (4.6% in men, 8.4% in women). The prevalence of undiagnosed diabetes was 8.7% (9.0% in men, 8.5% in women). Multivariate logistic regression revealed that increasing age, drinking, overweight or obesity, systolic blood pressure, low HDL-C, high total cholesterol and triglycerides increased the risk of diabetes (p < 0.05). Diabetes is thus still prevalent in rural areas of China and is manifesting an accelerating trend. It remains an important public health problem in China, especially in rural areas and routine assessment for the early detection and treatment of diabetes should be emphasized. View Full-Text
Keywords: diabetes; impaired fasting glucose; prevalence; related factor; hypertension diabetes; impaired fasting glucose; prevalence; related factor; hypertension
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Yu, S.; Sun, Z.; Zheng, L.; Guo, X.; Yang, H.; Sun, Y. Prevalence of Diabetes and Impaired Fasting Glucose in Hypertensive Adults in Rural China: Far from Leveling-Off. Int. J. Environ. Res. Public Health 2015, 12, 14764-14779.

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