Prevalence of Diabetes Mellitus and Population Attributable Fractions for Coronary Heart Disease and Stroke Mortality in the WHO South-East Asia and Western Pacific Regions

世衛組織東南亞及西太平洋地區的糖尿病盛行率及其冠狀心臟病及中風死亡率的可歸因危險

Asia Pacific Cohort Studies Collaboration

《Asia Pacific Journal of Clinical Nutrition》 16卷1期 (2007/03) Pp. 187-192

https://doi.org/10.6133/apjcn.2007.16.1.24

摘要

本研究的目的為收集世界衛生組織東南亞及西太平洋地區最近之代表性資料已獲取成人族群糖尿病盛行率，並量化在這些地區糖尿病對心血管疾病死亡率負擔的貢獻。之前的報告指出在亞太地區有830萬人罹患糖尿病，但由於很多國家別的估計並非來自國家代表性的研究，這些圖像可能無法精確的反應目前糖尿病的負擔。糖尿病盛行率的資料來源是搜尋Medline以及政府衛生網站。其中有12個有資料的國家，代表78%亞太地區的總人口。十個有完整資料的國家中，有六個其報告的糖尿病盛行率較世界衛生組織目前引述的數據高；其中有三個國家已經超過世界衛生組織推估2030年的盛行率。在有全國代表性樣本的12個國家中，糖尿病的盛行率範圍從2.6%至15.1%。亞太地區世代研究合作小組，計算這個地區的糖尿病對於致死性的心血管疾病之可歸因危險性以危害比表示。人群可歸因危險分率的範圍：冠狀動脈疾病由2%至12%，出血性中風1%至6%，缺血性中風2%至11%。為了定期監測亞太地區及其他地區，準確的評計糖尿病的盛行率是非常重要的，我們需要標準的方法。

關鍵字

糖尿病 ； 亞洲 ； 太平洋群島 ； 盛行率 ； 心血管疾病 ； 中風

並列摘要

The aims of this study were to obtain the most recent representative data for the prevalence of diabetes in adult populations in the World Health Organisation's South-East Asia and Western Pacific regions and to quantify the contribution of diabetes to the burden of mortality from cardiovascular diseases in these regions. Previous reports indicate that there are 83 million individuals with diabetes in the Asia-Pacific region, but since many of the country-specific estimates were not from nationally representative studies, this figure may not accurately reflect the current burden of diabetes. Information on the prevalence of diabetes was obtained by searching Medline and government health websites. Data were available from 12 countries representing 78% of the total population of the Asia-Pacific region. Six of 10 countries with complete data reported a prevalence of diabetes exceeding those estimates currently cited by the World Health Organization; three of which have also already exceeded the World Health Organization projections for 2030. In the 12 countries in the region with nationally representative data, the prevalence of diabetes ranged from 2.6% to 15.1%. Hazard ratios from the Asia Pacific Cohort Studies Collaboration were used to calculate population attributable fractions for diabetes for fatal cardiovascular diseases in the region. Population attributable fractions ranged from 2% to 12% for coronary heart disease, 1% to 6% for haemorrhagic stroke, and 2% to 11% for ischaemic stroke. Accurate estimates of the prevalence of diabetes are of great importance and standard methods are needed for periodic surveillance across the Asia-Pacific region and elsewhere.

並列關鍵字

diabetes mellitus ； Asia ； Pacific Islands ； prevalence ； cardiovascular disease ； stroke