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Trends in diabetes prevalence among Korean adults based on Korean National Health and Nutrition Examination Surveys III-VI

Authors
 Jae-Woo Lee  ;  Hee-Taik Kang  ;  Hyoung-Ji Lim  ;  Byoungjin Park 
Citation
 Diabetes Research and Clinical Practice, Vol.138 : 57-65, 2018 
Journal Title
 Diabetes Research and Clinical Practice 
ISSN
 0168-8227 
Issue Date
2018
MeSH
Adult ; Aged ; Diabetes Mellitus/*epidemiology ; Female ; Humans ; Male ; Middle Aged ; Nutrition Surveys ; Prevalence ; Republic of Korea/epidemiology ; Surveys and Questionnaires
Keywords
DM trend ; Prevalence of diabetes ; Undiagnosed diabetes
Abstract
AIMS: The purpose of this study was to investigate trends in diabetic prevalence over the past 11years using Korea National Health and Nutrition Examination Survey (KNHANES) data. In addition, we aimed to examine trends in diagnosed and undiagnosed diabetes after stratification. METHODS: We used data from the KNHANES III (2005), IV (2007-2009), V (2010-2012), and VI (2013-2015). 46,157 participants were included in this study. Diabetes was defined as follows: (1) an answer of 'yes' to whether the participants had ever been diagnosed with diabetes by a physician, (2) fasting plasma glucose (FPG) >/=126mg/dL, or (3) taking oral hypoglycemic agents or insulin. All sampling and weight variables were stratified, and analysis to account for the complex sampling design. The prevalence of diabetes was standardized by the 2005 Korean Housing Census. RESULTS: In men, the crude prevalence of total and undiagnosed diabetes were significantly increased with KNHANES phase (P for trend=0.002 and 0.004, respectively). The age-standardized prevalence of total, diagnosed and undiagnosed diabetes of both sexes increased with the KNHANES phase (all P for trend<0.001). Compared with the KNHANES III, the age-adjusted odds ratios (ORs) for the crude-prevalence of undiagnosed diabetes in KNHANES IV, V, and VI were 1.00 (0.72-1.41), 1.08 (0.78-1.51), and 1.42 (1.04-1.96) for men. CONCLUSIONS: The prevalence of total, diagnosed and undiagnosed diabetes steadily increased and public efforts should focus on screening for the detection of diabetes, especially in men.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/162538
Full Text
https://www.sciencedirect.com/science/article/pii/S0168822717314304
DOI
10.1016/j.diabres.2018.01.013
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Family Medicine (가정의학교실)
Yonsei Authors
박병진(Park, Byoung Jin) ORCID logo https://orcid.org/0000-0003-1733-5301
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