Background: To estimate secular trends and disease burden of diabetes and prediabetes among Chinese adults. Methods: Three population-based surveys were performed among Chinese adults in Shanghai in 2002-2003 (n = 12 302), 2009 (n = 7414), and 2017 ( n = 18 960). Diabetes and prediabetes were defined using the 1999 World Health Organization ( WHO) criteria. Cochran-Armitage trend test was used to examine the trends in prevalence, awareness, and glycemic control status. Disability adjusted life years (DALYs) were estimated to evaluate the disease burden of diabetes- related complications using the population attribution fraction approach based on published data. Results: The age-adjusted prevalence of diabetes increased during the 15-year period (p for trend <.001) and reached 23.0% (95% CI: 22.1 similar to 24.0%) in men and 15.7% ( 95% CI: 15.1 similar to 16.4%) among women in 2017. The prevalence of impaired glucose tolerance peaked in 2009, whereas that of impaired fasting glucose increased continuously (p for trend <.001). The awareness of diabetes was found to increase and the glycemic control rates decreased over the three surveys. The estimated DALYs of diabetes complications were found to have increased rapidly due to the increasing prevalence of diabetes and the decreasing glycemic control rates. Conclusions: Prediabetes and diabetes affect a considerable proportion of Chinese adults in Shanghai. Our results highlight the necessary to strengthen the community healthcare system in China to guarantee extensive management of diabetes and prediabetes.
[1]Fudan Univ, Sch Publ Hlth, Dept Epidemiol, Shanghai, Peoples R China.
[2]Shanghai Municipal Ctr Dis Control & Prevent, Dept Noncommunicable Dis Prevent & Control, Shanghai, Peoples R China.
[3]Fudan Univ, Huashan Hosp, Natl Clin Res Ctr Aging & Med, Shanghai, Peoples R China.
[4]Fudan Univ, Epidemiol, Sch Publ Hlth, 138 Yi Xue Yuan Rd, Shanghai 200032, Peoples R China.
[5]Shanghai Municipal Ctr Dis Control & Prevent, Inst NCD Prevent & Control, 1380 Zhong Shan Xi Rd, Shanghai 200336, Peoples R China.
(8.0+极速模式)