Review of prevalence of and risk factors for type 2 diabetes in China

スポンサーリンク

概要

• 論文の詳細を見る

• Objective: The general objective was to conduct a literature review of the prevalence of and the risk factors for type 2 diabetes in China and make some recommendations to prevent and control it. The specific objectives were as follows: a) to determine the prevalence of type 2 diabetes among adults in China and b) to identify the risk factors for type 2 diabetes in China, focusing on diet and physical activity.Study Design and Methods: The literature review design was a search of the database PubMed for the newest publications. Studies selected for this review were limited to a) full texts, b) English reports, c) all adults (19 years of age and older) and d) published dates from 2001/01/01 to 2011/07/31. Regarding the prevalence, the keywords were 'prevalence', 'epidemiology', 'diabetes' and 'China'. After screening titles and abstracts to exclude studies of type 1 diabetes, gestational diabetes mellitus, animal experiments, and diabetes complications, 11 cross-sectional studies among Chinese of Han ethnicity were selected for this study. Regarding the risk factors, the keywords were 'diet', 'exercise', 'diabetes', 'China', and 'Japan'. Results: The prevalence of diabetes ranged from 2.6% to 9.7% in national surveys, and they ranged from 5.5% to 9.5% in surveys conducted in local areas. Regarding nutrients, intakes of vegetable fats, polyunsaturated/saturated fatty acids, dietary fiber,magnesium, and calcium significantly inversely correlated and intakes of trans fatty acids, heme/non-heme iron, glycemic index, and glycemic load significantly positively correlated with the incidence of type 2 diabetes in several reports. Regarding food and food groups, several reports indicated that a decreased risk of type 2 diabetes was associated with higher consumption of vegetables, legumes, coffee and diary foods, and a significantly increased risk was associated with high consumption of highly refined rice and eggs. Regarding dietary pattern, a diet with highest intake of milk was associated with a lower risk of type 2 diabetes, whereas individuals with high consumption of all types of food showed a high risk of glucose intolerance. Regarding physical activity, it was shown to decline among Chinese. All the reports showed that physical activity,regardless of its type, decreased the risk of diabetes whereas television viewing showed negative effects.Conclusions: This study suggests that the prevalence of diabetes is high among Chinese adults and some dietary factors and physical activity showed the protective effects against diabetes. Therefore, strategies should be developed to detect diabetes early and to conduct a large-scale screening program. On the other hand, related health promotion programmes should be carried out promptly to encourage individuals to have a healthy diet and do more exercise.

• 2012-10-00

著者

• Meiqin Hu

  Postgraduate Public Health in International Health

• Meiqin Hu

  Postgraduate Public Health in International Health, National Institute of Public Health

関連論文

• Review of prevalence of and risk factors for type 2 diabetes in China
• Tobacco use survey among public health students in the university of the philippines, Manila

スポンサーリンク