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Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults

European journal of epidemiology, 2013-02, Vol.28 (2), p.169-180 [Peer Reviewed Journal]

Springer Science+Business Media Dordrecht 2013 ;The Author(s) 2013 ;2014 INIST-CNRS ;ISSN: 0393-2990 ;EISSN: 1573-7284 ;DOI: 10.1007/s10654-013-9771-5 ;PMID: 23407904 ;CODEN: EJEPE8

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Title:
Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults
Author: Satman, Ilhan ; Omer, Beyhan ; Tutuncu, Yildiz ; Kalaca, Sibel ; Gedik, Selda ; Dinccag, Nevin ; Karsidag, Kubilay ; Genc, Sema ; Telci, Aysegul ; Canbaz, Bulent ; Turker, Fulya ; Yilmaz, Temel ; Cakir, Bekir ; Tuomilehto, Jaakko
Subjects: Adult ; Aged ; Biological and medical sciences ; Blood Glucose ; Body Mass Index ; Cardiology ; Cross-Sectional Studies ; Diabetes ; Diabetes Mellitus ; Diabetes Mellitus - epidemiology ; Diabetes. Impaired glucose tolerance ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Epidemiology ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Female ; General aspects ; Glucose Tolerance Test ; Health Surveys ; Humans ; Hypertension ; Hypertension - complications ; Hypertension - epidemiology ; Infectious Diseases ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Men ; Metabolic diseases ; Metabolic syndrome ; Middle Aged ; Miscellaneous ; Obesity ; Obesity - complications ; Obesity - epidemiology ; Oncology ; Population Surveillance ; Prediabetic state ; Prediabetic State - complications ; Prediabetic State - epidemiology ; Prevalence ; Public Health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Risk Factors ; Rural Population ; Sex Distribution ; Socioeconomic Factors ; Turkey - epidemiology ; Type 2 diabetes mellitus ; Urban Population ; Waist ; Young Adult
Is Part Of: European journal of epidemiology, 2013-02, Vol.28 (2), p.169-180
Description: There is concern about an emerging diabetes epidemic in Turkey. We aimed to determine the prevalence of diagnosed and undiagnosed diabetes, prediabetes and their 12-year trends and to identify risk factors for diabetes in the adult Turkish population. A cross-sectional, population-based survey, 'TURDEP-II' included 26,499 randomly sampled adults aged ≥ 20 years (response rate: 87 %). Fasting glucose and biochemical parameters were measured in all; then a OGTT was performed to identify diabetes and prediabetes in eligible participants. The prevalence of diabetes was 16.5 % (new 7.5 %), translating to 6.5 million adults with diabetes in Turkey. It was higher in women than men (p = 0.008). The age-standardized prevalence to the TURDEP-I population (performed in 1997–98) was 13.7 % (if same diagnostic definition was applied diabetes prevalence is calculated 11.4 %). The prevalence of isolated-IFG and impaired glucose tolerance (IGT), and combined prediabetes was 14.7, 7.9, and 8.2 %, respectively; and that of obesity 36 % and hypertension 31.4 %. Compared to TURDEP-I; the rate of increase for diabetes: 90 %, IGT: 106 %, obesity: 40 % and central obesity: 35 %, but hypertension decreased by 11 % during the last 12 years. In women age, waist, body mass index (BMI), hypertension, low education, and living environment; in men age, BMI, and hypertension were independently associated with an increased prevalence of diabetes. In women current smoking, and in men being single were associated with a reduced risk. These results from one of the largest nationally representative surveys carried out so far show that diabetes has rapidly become a major public health challenge in Turkey. The figures are alarming and underscore the urgent need for national programs to prevent diabetes, to manage the illness and thus prevent complications.
Publisher: Dordrecht: Springer
Language: English
Identifier: ISSN: 0393-2990
EISSN: 1573-7284
DOI: 10.1007/s10654-013-9771-5
PMID: 23407904
CODEN: EJEPE8
Source: SpringerOpen
MEDLINE
Alma/SFX Local Collection
ProQuest Central

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Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults

Springer Science+Business Media Dordrecht 2013 ;The Author(s) 2013 ;2014 INIST-CNRS ;ISSN: 0393-2990 ;EISSN: 1573-7284 ;DOI: 10.1007/s10654-013-9771-5 ;PMID: 23407904 ;CODEN: EJEPE8

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