Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
권호 표지
DOI QR코드

DOI QR Code

Factors related to undiagnosed diabetes in Korean adults: a secondary data analysis

한국 성인의 당뇨병 미진단 비율 영향요인: 2차 자료 분석 연구

  • Bohyun Kim (Department of Nursing, Chungwoon University)
  • Received : 2023.09.19
  • Accepted : 2023.11.14
  • Published : 2023.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study compared health behaviors and health-related clinical characteristics between individuals with normal glucose levels without diabetes and those with undiagnosed diabetes. Factors that were associated with undiagnosed diabetes were identified by sex. Methods: This was an observational study with a cross-sectional design based on data from the eighth Korea National Health and Nutrition Examination Survey, which used a stratified, multi-stage, cluster-sampling design to obtain a nationally representative sample. Multiple logistic regression analysis was employed to compute the odds ratios of health behaviors and clinical characteristics to identify risk factors for undiagnosed diabetes. Results: The overall prevalence of undiagnosed diabetes was 5.2% (weighted %, n = 700, p < .001). Among individuals with undiagnosed diabetes, 58.3% were men. Univariate logistic regression for undiagnosed diabetes identified sex, age, house income, educational level, and triglycerides as influencing factors. In multiple logistic regression by sex, the factors associated with undiagnosed diabetes in men were age, perceived health status, a diagnosis of angina, and triglycerides. Conclusion: Strategies should be targeted to improve health behaviors and clinical characteristics for specific age groups, men in bad perceived health status, women with high systolic blood pressure, and high triglycerides. Moreover, healthcare providers should understand the barriers to health behaviors and health-related quality of life to effectively deliver healthcare services.

Keywords

Acknowledgement

This research was supported by the "Research Base Construction Fund Support Program" funded by Chungwoon University in 2023.

References

  1. Korean Diabetes Association. Diabetes fact sheet in Korea 2022 [Internet]. Seoul: Korean Diabetes Association; 2022 [cited 2023 Feb 1]. Available from: https://www.diabetes.or.kr/bbs/?code = fact_sheet&mode = view&number = 2499&page= 1&code= fact_sheet
  2. Korea Disease Control and Prevention. 2022 Chronic disease and issues [Internet]. Seoul: Korea Centers for Disease Control and Prevention; 2022 [cited 2023 Apr 1]. Available from: https://www.kdca.go.kr/gallery.es?mid=a20503020000&bid=0003&act=view&list_no=145880
  3. Gedebjerg A, Almdal TP, Berencsi K, Rungby J, Nielsen JS, Witte DR, et al. Prevalence of micro-and macrovascular diabetes complications at time of type 2 diabetes diagnosis and associated clinical characteristics: a cross-sectional baseline study of 6958 patients in the Danish DD2 cohort. Journal of Diabetes and its Complications. 2018;32(1):34-40. https://doi.org/10.1016/j.jdiacomp.2017.09.010
  4. Whicher CA, O'Neill S, Holt RG. Diabetes in the UK: 2019. Diabetic Medicine. 2020;37(2):242-247. https://doi.org/10.1111/dme.14225
  5. Ogurtsova K, Guariguata L, Barengo NC, Ruiz PL, Sacre JW, Karuranga S, et al. IDF diabetes Atlas: global estimates of undiagnosed diabetes in adults for 2021. Diabetes Research and Clinical Practice. 2022;183:109118. https://doi.org/10.1016/j.diabres.2021.109118
  6. Centers of Disease Control and Prevention. National diabetes statistics report [Internet]. Atlanta: Centers of Disease Control and Prevention; 2022 [Cited 2023 Jun 1]. Available from: https://www.cdc.gov/diabetes/data/statistics-report/diagnosed-undiagnosed-diabetes.html
  7. Dall TM, Yang W, Gillespie K, Mocarski M, Byrne E, Cintina I, et al. The economic burden of elevated blood glucose levels in 2017: diagnosed and undiagnosed diabetes, gestational diabetes mellitus, and prediabetes. Diabetes Care. 2019;42(9): 1661-1668. https://doi.org/10.2337/dc18-1226
  8. Fang M, Wang D, Coresh J, Selvin E. Undiagnosed diabetes in US adults: prevalence and trends. Diabetes Care. 2022;45(9):1994-2002. https://doi.org/10.2337/dc22-0242
  9. Kim SE, Yoo BS. Anti-diabetic drugs in cardiovascular disease. The Korean Journal of Medicine. 2021;96(2):85-91. https://doi.org/10.3904/kjm.2021.96.2.85
  10. Kim YK, Choi HN, Lim JE. Analysis of difference in body fluid composition and dietary intake between Korean adults with and without type 2 diabetes mellitus. Journal of Nutrition and Health. 2023;56(4):377-390. https://doi.org/10.4163/jnh.2023.56.4.377
  11. Lee HJ, Lee MS, Park KE, Kang AR. Prevalence of chronic diabetic complications in patients with type 2 diabetes mellitus: a retrospective study based on the National Health Insurance Service-National Health Screening Chohort in Korea, 2022-2015. Korean Journal of Adult Nursing. 2022;34(1):39-50. https://doi.org/10.7475/kjan.2022.34.1.39
  12. Oh JY. Treatment guideline for diabetes. The Korean Journal of Medicine. 2008;75(3):249-256.
  13. Heikes KE, Eddy DM, Arondekar B, Schlessinger L. Diabetes Risk Calculator: a simple tool for detecting undiagnosed diabetes and pre-diabetes. Diabetes Care. 2008;31(5):1040-1045. https://doi.org/10.2337/dc07-1150
  14. Park DH, Cho W, Lee YH, Jee SH, Jeon JY. The predictive value of resting heart rate in identifying undiagnosed diabetes in Korean adults: Korea National Health and Nutrition Examination Survey. Epidemiology and Health. 2022;44: e2022009. http://doi.org/10.4178/epih.e2022009
  15. Choi SG, Oh M, Park DH, Lee B, Lee YH, Jee SH, et al. The prediction of undiagnosed diabetes using lifestyle and anthropometric measures: machine learning vs. traditional statistical methods. Research Square [Preprint]. 2023 [cited 2023 Jul 20]. Available from: https://doi.org/10.21203/rs.3.rs2581580/v1
  16. Korea Disease Control and Prevention. The Guideline for Korea National Health and Nutrition Examination Survey [Internet]. Seoul: Korea Disease Control and Prevention; 2022 [cited 2023 May 25]. Available from: https://knhanes.kdca.go.kr/knhanes/sub03/sub03_02_05.do
  17. The Korean Society of Hypertension. Focused update of the 2018 KSH Guideline [Internet]. Seoul: The Korean Society of Hypertension; 2022 [Cited 2023 Jun 1]. Available from: https://www.koreanhypertension.org/reference/guide?-mode= read&idno= 10081
  18. Kim SA, Park WS, Yu SJ, Chai YR, Choi D. The influencing factors associated with glycemiccontrol among adult diabetes patients. Journal of the Korea Academia-Industrial Cooperation Society. 2015;16(5):3284-3292. https://doi.org/10.5762/KAIS.2015.16.5.3284
  19. Jang EH. Factors influencing glycemic control by gender in workers with diabetes mellitus. Korean Academic Society of Rehabilitation Nursing. 2018;21(2):121-131. https://doi.org/10.7587/kjrehn.2018.121
  20. Kim HS, Jeong SH. Identification of subgroups with poor lipid control among patients with hyslipidemia using decision tree analysis: the Korean National Health and Nutrition Examination Survey from 2019 to 2021. Journal of Korean Biological Nursing Science. 2023;25(2):131-142. https://doi.org/10.7586/jkbns.23.0007
  21. Lee CK. Factors influencing glycemic control among type 2 diabetes mellitus patients: the seventh Korea National Health and Nutrition Examination Survey (2016-2018). Health & Nursing. 2021;33(2):15-26. https://doi.org/10.29402/HN33.2.2
  22. Korean Society for Laboratory Medicine. Diabetes test [Internet]. Seoul: Korean Society for Laboratory Medicine [cited 2023 Aug 23] Available from: https://www.kslm.org/sub01/sub03.html
  23. American Diabetes Association. Cardiovascular disease and risk management: standards of medical care in diabetes-2021. Diabetes Care. 2021;44(Suppl 1):S125-S150. http://doi.org/10.2337/dc21-S010
  24. Aviles-Santa ML, Monrign-Rivera A, Sto-Soto A, Lindberg NM. Current state of diabetes mellitus prevalence, awareness, treatment, and control in Latin America: challenges and innovative solutions to improve health outcomes across the continent. Current Diabetes Reports. 2020;20:62. http://doi.org/10.1007/s11892-020-01341-9
  25. Lee YS. Factors associated with impaired fasting glucose in middle-aged men. The Journal of the Convergence on Culture Technology. 2022;8(4):107-114. https://doi.org/10.17703/JCCT.2022.8.4.107
  26. Schectman JM, Nadkarni MM, Voss JD. The association between diabetes metabolic control and drug adherence in an indigent population. Diabetes Care. 2022;25(6):1015-1021. https://doi.org/10.2337/diacare.25.6.1015
  27. Korean Diabetes Association. Clinical practice guidelines for diabetes [Internet]. Seoul: Korean Diabetes Association; 2021 [cited 2023 Jun 1]. Available from: http://kdaguideline.com
  28. Ko SH. 2021 Clinical Practice Guidelines for Diabetes Mellitus in Korea. Journal of Korean Diabetes. 2021;22:244-249. http://doi.org/10.4093/jkd.2021.22.4.244
  29. Wang L, Li X, Wang Z, Bancks M, Carnethon MR, Greenland P, et al. Trends in prevalence of diabetes and control of risk factors in diabetes among US adults, 1999-2018. JAMA. 2021;326(8):704-716. https://doi.org/10.1001/jama.2021.9883
  30. Oh H, Gil E. Prevalence and risk factors of inmet healthcare needs among Korean adults with hypdertension. Korean Journal of Adult Nursing. 2017;29(1):22-31. https://doi.org/10.7475/kjan.2017.29.1.22