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Obesity needs to be addressed to tackle the increased prevalence of diabetes in China – Temporal changes from 2003 to 2009

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posted on 2023-07-26, 15:34 authored by Shahina Pardhan, Dingchang Zheng, Zhiqing Chen, Guillermo F. López-Sánchez
This study aimed to analyse the temporal change of diabetes and any associated risk and protective factors for diabetes in Chinese adults between Wave 0 (2003) and Wave 1 (2009) of the World Health Organization (WHO) Study on global AGEing and adult health (SAGE). Data from China of the SAGE were analysed. Diabetes (outcome variable) was assessed by the yes/no question: “Have you ever been diagnosed with diabetes (high blood sugar)?”. Exposure variables examined in bivariate and multivariate multiple regression included sex, age, marital status, education, smoking, alcohol, fruit and vegetables consumption, physical activity and body mass index (BMI). Significant exposure variables in bivariate analyses were included in multivariate analyses (2003: age and tobacco; 2009: age, BMI, education and alcohol). In Wave 0 (2003), there were 3993 Chinese adults, of which 67 (1.7%) self-reported to have diabetes. In Wave 1 (2009), there were a total of 9524 Chinese adults, of which 770 (8.1%) had diabetes. The overall prevalence of diabetes in Chinese adults increased by 4.76 times between the two timeframes (1.7%, age range 27–84 years, average age 58.51 ± 12.70 years, 59.70% females in 2003 to 8.1%, age range 20–95 years, average age 65.31 ± 10.19 years, 53.64% females in 2009). Multivariate regression retained older age ≥ 60 years (OR 4.34, 95% CI 2.67–7.07) as the main risk factor in 2003 data, while in 2009 the odds ratio for older age ≥ 60 years decreased (OR 2.45, 95% CI 2.06–2.92), but included a significant association of obesity (OR 2.11, 95% CI 1.60–2.78) and excess weight (OR 1.42, 95% CI 1.19–1.69). The significant association with excess weight and obesity associated with the increased prevalence of diabetes in 2009 is a cause of concern and should be addressed by public health strategies in China.

History

Refereed

  • Yes

Volume

24

Page range

101625

Publication title

Preventive Medicine Reports

ISSN

2211-3355

Publisher

Elsevier

File version

  • Published version

Language

  • eng

Legacy posted date

2021-10-27

Legacy creation date

2021-10-27

Legacy Faculty/School/Department

Faculty of Health, Education, Medicine & Social Care

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