Examining prevalence trends of pre-diabetes and diabetes and associated risk factors in Vietnamese adults
Open Access
- 11 May 2020
- journal article
- research article
- Published by Korean Society of Epidemiology in Epidemiology and Health
- Vol. 42, e2020029
- https://doi.org/10.4178/epih.e2020029
Abstract
OBJECTIVES: The prevalence of diabetes mellitus is rapidly increasing in Vietnam, particularly among adults aged over 45 years. This study estimated trends in diabetes and prediabetes prevalence and determined risk factors in Vietnamese adults (over 45 years). METHODS: A cross-sectional study was conducted based on data from an annual diabetes screening program among people aged 45-69 years in an urban city in central Vietnam (Da Nang). Joinpoint regression analyses were performed to calculate the annual percentage change and pt(rend)-values. Multinomial logistic regression analysis was used to determine risk factors. RESULTS: In total, 3,765 men and 9,149 women were included in this analysis. The age-adjusted prevalence of diabetes and prediabetes in 2017 was 11.4% and 52.9%, respectively. The prevalence of diabetes was higher in men (15.1%) than in women (10.3%), but that of prediabetes was similar in both genders (53.4% vs. 52.8%). 'I he prevalence of prediabetes significantly increased during the study period, whereas no upward or downward trend for diabetes was observed. The prevalence of obesity, abdominal obesity, hypertension, arid dyslipidemia showed no obvious trend. Obesity, a high waist-to-hip ratio, hypertension, more severe abdominal obesity, and dyslipidemia were significantly associated with a higher risk of diabetes and prediabetes. CONCLUSIONS: Diabetes and prediabetes were more prevalent among people aged over 45 years than in the general population. Da Nang has experienced a marked increase in the prevalence of prediabetes. These findings have significant implications regarding the need for nationwide public health interventions and management aiming at diabetes prevention and control.Keywords
This publication has 23 references indexed in Scilit:
- Prevalence of and Risk Factors for Type 2 Diabetes Mellitus in VietnamAsia-Pacific journal of public health, 2015
- Diabetes Prevalence and Risk Factors Among Vietnamese Adults: Findings From Community-Based Screening ProgramsDiabetes Care, 2015
- Global estimates of undiagnosed diabetes in adultsDiabetes Research and Clinical Practice, 2014
- Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adultsEuropean Journal of Epidemiology, 2013
- Prevalence and correlates of hyperglycemia in a rural population, Vietnam: implications from a cross–sectional studyBMC Public Health, 2012
- National, regional, and global trends in fasting plasma glucose and diabetes prevalence since 1980: systematic analysis of health examination surveys and epidemiological studies with 370 country-years and 2·7 million participantsThe Lancet, 2011
- Prevalence of Diabetes among Men and Women in ChinaThe New England Journal of Medicine, 2010
- Prevalence and risk factors for diabetes in Ho Chi Minh City, VietnamDiabetic Medicine, 2004
- Designing a Community Study of Moderately to Severely Disabled Older Women: The Women's Health and Aging StudyAnnals of Epidemiology, 1999
- 1999 World Health Organization-International Society of Hypertension Guidelines for the Management of HypertensionClinical and Experimental Hypertension, 1999