Browse > Article

Prevalence of Diabetes Mellitus in the Elderly of Namwon County, South Korea  

Kim, Sang-Guk (Department of Internal Medicine, College of Medicine Seonam University)
Yang, Seung-Won (Department of Internal Medicine, College of Medicine Seonam University)
Jang, An-Soo (Department of Internal Medicine, College of Medicine Seonam University)
Seo, Jeong-Pyeong (Department of Internal Medicine, College of Medicine Seonam University)
Han, Sang-Woo (Department of Internal Medicine, College of Medicine Seonam University)
Yeom, Chung-Ho (Department of Internal Medicine, College of Medicine Seonam University)
Kim, Yong-Chul (Department of Internal Medicine, College of Medicine Seonam University)
Oh, Sung-Hee (Department of Internal Medicine, College of Medicine Seonam University)
Kim, Jung-Seok (Department of Internal Medicine, College of Medicine Seonam University)
Nam, Hae-Sung (Department of Internal Medicine and Preventive Medicine, College of Medicine Seonam University)
Chung, Dong-Jin (Department of Internal Medicine, Chonnam National University Medical School)
Chung, Min-Young (Department of Internal Medicine, Chonnam National University Medical School)
Publication Information
The Korean journal of internal medicine / v.17, no.3, 2002 , pp. 180-190 More about this Journal
Abstract
Background : Ethnic and geographic differences exist in the prevalence of diabetes mellitus which has increased dramatically in South Korea. A few community-based epidemiologic studies with oral glucose tolerance test were performed in South Korea. The purpose of this study was to determine the prevalence of diabetes mellitus by the World Health Organization (WHO) and the American Diabetic Association (ADA) diagnostic criteria and to investigate their associated risk factors. Also. we compared and analyzed the characteristics of Koreans by WHO and ADA diagnostic criteria. Methods: Between March 22. 1999 and July 14. 1999. a random sampling of 1.445 residents over 40 years of age in five villages (3 mvons and 2 dongs) in Namwon City. Chollsbuk-do Province. South Korea waS carried out. WHO and ADA diagnostic criteria were used for the prevalence of DM. IGT and IFG. The associated factors of subjects were analyzed. Results : After age adjustment for the population projection of Korea (7999). the prevalence of DM and IGT was 13.7% and 13.8%. respectively. by WHO criteria, while the prevalence of DM. IGT and IFG was 15.8%. 12.8% and 5.7%. respectively. by ADA criteria. and the previous diagnosed diabetics were 5.8% in 665 adults over 40 years of age in the Namwon area. The age-adjusted prevalence of orevloustv diagnosed diabetics was 5.8%. When the subjects classified by both criteria were compared. the level of agreement between WHO and ADA diagnostic criteria. except IFG. was very high (K=0.94: p in all the subjects, $23.75\pm3.46$ in NGT group and $23.67\pm3.16$ in DM group, but the differences in the prevalence of DM. IGT and IFG by BMI were not significant, The prevalence of DM rose significantly with the increase in the waist-hip ratio (p<0.05). The prevalence of DM significantly increased in subjects by increases in blood pressure. and triglyceride and the relative risk in the prevalence of DM was. significantly high with dvstioidemie (Odds ratio 2.29. 95% CI: 1.16-3.49J. Conclusion: The prevalence of Diabetes Mellitus in the population over 40 years of age in Namwon City, South Korea remarkably increased CdrnPtJred with the 197013 and 19808 and was similar to that of the West. Ethnic differences in obesity of normal, OM and IGT subjects and in the effect on the prevalence of OM may exist in the Korean population, but they Were not significant. As there is a limit in number, it is considered that a general population-based epidemiologic study on a large scale is required to investigate ethnic and geographic differences for the risk factors of OM in South Korea. The level of agreement, except IFG, by WHO and ADA diagnostic criteria was high, WhiCh indicates that these results may show that not only fasting serum glucose but also postprandial 2-h serum glucose are important for diagnosing diabetes in Korean.
Keywords
Diabetes Mellitus; Prevalence; Risk factor;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
Times Cited By SCOPUS : 6
연도 인용수 순위
1 Stolk RP, Pols HA, Lamberts SW, de Jong PT, Hofman A, Grobbee DE. Diabtes mellitus, impaired glucose tolerance and hyperinsulinemia in an elderly population. The Rotterdam Study. Am J Epidemiol 145:24-32, 1997.   DOI   PUBMED   ScienceOn
2 Harris MI, Eastman RC, Cowie CC, Flegal KM, Eberhardt MS. Comparison of diabetes diagnostic categories in the U.S. population according to the 1997 American Diabetes Association and 1980-1985 World Health Organization diagnostic criteria. Diabetes Care 20:1859-62, 1997.
3 Islam MM, Horibe H, Kobayashi F. Current trend in prevalence of diabetes mellitus in Japan, 1964-1992. J Epidemiol 9:155-62, 1999.
4 Lim SC, Tai ES, Tan BY, Chew SK, Tan CE. Cardiovascular risk profile in individuals with borderline glycemia: the effect of the 1997 American Diabetes Association diagnostic criteria and the 1998 World Health Organization Provisional Report. Diabetes Care 23:278-82, 2000.   DOI   ScienceOn
5 Pan CY, Lu JM, Tian H, Kong XT, Lu XP, Yao C, Jiang CE, Deng XX, Wang SY, Zhang XL, Wang ZS, Cui L. Study of the prevalence of diabetes mellitus in adults in the Shougang Corporation in Beijing. Diabetes Med 13:663-8, 1996.   DOI   ScienceOn
6 Resnick HE, Valsania P, Halter JB, Lin X. Differential effect of BMI on diabetes risk among black and white Americans. Diabetes Care 21:1828-35, 1998.   DOI   ScienceOn
7 Lee TH. Prevalence of obesity in Korean non-insulindependent diabetic patients. Diabetes Res Clin Prac 32:71-80, 1996.   DOI   ScienceOn
8 Park KS, Rhee BD, Lee KU, Kim SY, Lee HK, Koh CS, Min HK. Intra-abdominal fat is associated with decreased insulin sensitivity in healthy young men. Metabolism 40:600-3, 1991.   DOI   ScienceOn
9 Kissebah AH, Vydelingum N, Murray R, Evans DF, Hartz AJ, Kalkhoff RK, Adams PW. Relationship of body fat distribution to metabolic complications of obesity. J Clin Endocrinol Metab 54:254-260, 1982.   DOI   PUBMED
10 Lee CH, Fook-Chong S. Evaluation of Fasting Plasma Glucose as a screening test for diabetes mellitus in Singaporean adults. Diabeteic Med 14:119-122, 1997.   DOI   ScienceOn
11 UK Prospective Diabetes Study Group. UK Prospective Diabetes Study. XII: differences between Asian, Afrocaribbean and white Caucasian type 2 diabetic patients at diagnosis of diabetes. Diabet Med 11:670-7, 1994.   DOI   ScienceOn
12 Tan CE, Emmanuel SC, Tan BY, Jacob E. Prevalence of diabetes and ethnic differences in cardiovascular risk factors. The 1992 Singapore National Health Survey. Diabetes Care 22:241-7, 1999.   DOI   ScienceOn
13 Gimeno SGA, Iunes M, Ferreira SRG, Franco LJ. Comparison of glucose tolerance categories according to World Health Organizaton and American Diabetes Association diagnostic criteria in a population-based study in Brazil. Diabetes Care 21:1889-1892,1998.
14 Park Y-J, Chung I-K, Shin C-S, Park K-S, Kim S-Y, Lee H-K, Kwon S. Evaluation of fasting plasma glucose to diagnose diabetes in Yonchon County. J Korean Diabetes Association 22(3):372-380, 1998.
15 King H, Rewers M. Global estimates for prevalence of diabetes mellitus and impaired glucose tolerance in adults. Diabetes Care 16:157-177, 1993.   DOI   ScienceOn
16 Chou P, Chen HH, Hsiao KJ. Community-based epidemiological study on diabetes in Pu-Li, Taiwan. Diabetes Care 15:81-9, 1992.   DOI   ScienceOn
17 Park Y, Lee H, Hoh C-S, Min H, Yoo K, Kim Y, Shin Y. Prevalence of diabetes and IGT in Yonchon County, South Korea. Diabetes Care 18:545-49, 1995.   DOI   ScienceOn
18 Harris MI, Hadden WC, Knowler WC, Bennett PH. Prevalence of diabetes and impaired glucose tolerance and plasma glucose levels in U.S. population aged 20-74 yr. Diabetes 36:523-34, 1987.
19 Shera AS, Rafique G, Khawaja IA, Baqai S, King H. Pakistan National Diabetes Survey: prevalence of glucose intolerance and associated factors in Baluchistan province. Diabetes Res Clin Pract 44:49-58, 1999.   DOI   ScienceOn
20 Abutt Sayeed M, Banu A, Khan AR, Hussain MZ. Prevalence of diabetes and hypertension in a rural area population of Bangladesh. Diabetes Care 18:555-8, 1995.   DOI   ScienceOn
21 Akazawa Y. Prevalence and incidence of diabetes mellitus by WHO criteria. Diabetes Res Clin Prac 24(Suppl) :S23-S27, 1994.   DOI
22 Moody JM, Grootenhuis PA, de Varies H, Valkenburg HA, Bouter LM, Kostense PJ, Heine RJ. Prevalence and determinants of glucose intolerance in a Dutch caucasian population. The Hoorn Study. Diabetes Care 18:1270-3, 1995.   DOI   ScienceOn
23 Shaw JE, Boyko EJ, Courten M, Zimmet PZ. Impact of new diagnostic criteria for diabetes on different populations. Diabetes Care 22:762-6, 1999.   DOI   PUBMED   ScienceOn
24 National Diabetes Data Group. Classification and diagnosis of diabetes mellitus and other categories of glucose intolerance. Diabetes 28:1039-1057, 1979.   DOI   PUBMED
25 The expert committee on the diagnosing and classification of diabetes mellitus. Report of the expert committee on the diagnosing and classification of diabetes mellitus. Diabetes Care 20:1183-1197, 1997.   DOI   PUBMED
26 Kuzuya T. Prevalence of diabetes mellitus in Japan compiled from literature. Diabetes Res Clin Prac 24(Suppl):S15-S21, 1994.   DOI
27 Chen KT, Chen CJ, Gregg EW, Williamson DF, Narayan KM. High prevalence of impaired fasting glucose and type 2 diabetes mellitus in Penghu Islets, Taiwan: evidence of a rapidly emerging epidemic? Diabtes Res Clin Pract 44:59-69, 1999.
28 Abutt Sayeed M, Ali L, Husain MZ, Rumi MA, Banu A, Azad Khan AK. Effect of socioeconomic risk factors on the difference in prevalence of diabetes between rural and urban populations in Bangladesh. Diabetes Care 20:551-5, 1997.   DOI   ScienceOn
29 Fujimoto WY, Leonetti DL, Kinyoun JL, Newell-Morris L, Shuman WP, Stolov WC, Wahl PW. Prevalence of diabetes mellitus and impaired glucose tolerance among second-generation Japanese-American men. Diabetes 36:721-9 1987.
30 Knowler WC, Pettitt DJ, Savage PJ, Bennett PH. Diabetes incidence in Pima indians: contributions of obesity and parental diabetes. Am J Epidemiol 113:144-56, 1981.   DOI   PUBMED
31 World Health Organization. Diabetes Mellitus: Report of a WHO study group. Geneva, World Health Organization, 1985 (Technical reports series, No. 727)
32 Kim D-J, Chung Y-J, Oh E-Y, Hahm J-R, Kim B-J, Kim S-H, Kim K-A, Chung J-H, Min Y-K, Lee M-S, Lee M-K, Kim K-W. The appropriateness of new ADA diagnostic criteria for diabetes mellitus in Korean population. J Korean Diabetes Association 23(3):336-345, 1999.
33 King H, Rewers M. Diabetes in adults is now a Third World problem. The WHO Ad Hoc Diabetes Reporting Group. Bull World Health Organ 69(6):643-8, 1991.   PUBMED
34 Park JY, Lee KU, Kim CH, Kim HK, Hong SK, Park KS, Lee HK, Min HK. Past and current obesity in Koreans with non-insulin-dependent diabetes mellitus. Diabetes Res Clin Prac 35:49-56, 1997.   DOI   ScienceOn
35 Kim Y-L, Choi C-S, Kim S-W, Lee J-S, Kim H-H, Lee M-S, Lee S-I, Park J-Y, Hong S-K, Lee K-U. Prevalence of diabetes mellitus and impaired glucose tolerance in Korean adults living in the Jungup district, South Korea. J Korean Diabetes Association 22(3):363-371, 1998.
36 Sekikawa A, Tominaga M, Takahashi K, Eguchi H, Igarashi M, Ohnuma H, Sugiyama K, Manaka H, Sasaki H, Fukuyama H. Prevalene of diabetes and impaired glucose tolerance in Funagata area, Japan. Diabetes Care 16:570-4, 1993.   DOI   ScienceOn
37 McCance DR, Hanson RL, Charles MA, Jacobsson LTH, Pettitt DJ, Bennett PH, Knowler WC. Comparison of tests for glycated haemoglobin and fasting and two hour plasma glucose concentrations as diagnostic methods for diabetes. Br Med J 308:1323-1328, 1994.   DOI   ScienceOn
38 Midthjell K, Cladi R, Kruger O, Bjorndal A, Holmen J, Magnus P, Tverdal A. Rapid changes in the prevalence of obesity and known diabetes in an adult Norwegian population. Diabetes Care 22:1813-20, 1999.   DOI   ScienceOn
39 Kim J-S. J Korean Med Association 36:271-284, 1993.
40 Garancini MP, Calori G, Ruotolo G, Manara E, Izzo A, Ebbli E, Bozzetti AM, Boari L, Lazzari P, Gallus G. Prevalence of NIDDM and impaired glucose tolerance in Italy: an OGTT-based population study. Diabetologia 38:306-13, 1995.   DOI   ScienceOn
41 Cho N-H. Diabetes epidemiology in Korea. J Korean Diabetes Association 25(1):1-10, 2001.
42 Raman Kutty V, Joseph A, Soman CR. High prevalence of type 2 diabetes in an urban settlement in Kerala, India. Ethn Health 4:231-9, 1999.   DOI   ScienceOn
43 Boyko EJ, Fujimoto WY, Leonetti DL, Newell-Morris L. Visceral adiposity and risk of type 2 diabetes: a prospective study among Japanese Americans. Diabetes Care 23:465-71, 2000.   DOI   ScienceOn