Increasing glucose concentrations and prevalence of diabetes mellitus in northern Sweden, 1990–2007
Background: The prevalence of diabetes in the world is projected to rise from 2.8% in the year 2000 to 4.4% in 2030, an increase suggesting an ongoing global epidemic of diabetes. Objective: To examine time trends in fasting and 2-h glucose concentrations, prevalence and 10-year cumulative incidence...
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ftdoajarticles:oai:doaj.org/article:e224f2d660b9413c866ab49945cde833 2023-05-15T17:45:05+02:00 Increasing glucose concentrations and prevalence of diabetes mellitus in northern Sweden, 1990–2007 Bernt Lindahl Hans Stenlund Margareta Norberg 2010-10-01T00:00:00Z https://doi.org/10.3402/gha.v3i0.5222 https://doaj.org/article/e224f2d660b9413c866ab49945cde833 EN eng Taylor & Francis Group http://www.globalhealthaction.net/index.php/gha/article/view/5222/6212 https://doaj.org/toc/1654-9880 doi:10.3402/gha.v3i0.5222 1654-9880 https://doaj.org/article/e224f2d660b9413c866ab49945cde833 Global Health Action, Vol 3, Iss 0, Pp 1-9 (2010) diabetes time trends epidemiology prevalence cumulative incidence education Public aspects of medicine RA1-1270 article 2010 ftdoajarticles https://doi.org/10.3402/gha.v3i0.5222 2022-12-31T02:37:27Z Background: The prevalence of diabetes in the world is projected to rise from 2.8% in the year 2000 to 4.4% in 2030, an increase suggesting an ongoing global epidemic of diabetes. Objective: To examine time trends in fasting and 2-h glucose concentrations, prevalence and 10-year cumulative incidence of diabetes, and the role of education in these trends. Design: Each year the Västerbotten Intervention Programme invites all 40, 50, and 60-year-old individuals to a health survey, which includes a cardiovascular risk factor screening and oral glucose tolerance test. The cross-sectional part of the study is based on health examinations conducted between 1990 and 2007 (n=102,822). The prospective subset (panel dataset) of the study is based on individuals who have had two health examinations 10 years apart and were not defined as having diabetes at their first health examination (n=23,546). Results: Between 1990 and 2007, the mean population fasting glucose concentration increased 0.5 mmol/L. Comparing the prevalence in 1990–1995 with 2002–2007 demonstrated a significant 44% increase in men (p < 0.001) and a significant 17% increase in women (p<0.001). Socioeconomic status, here represented by education, clearly influenced both prevalence and incidence of diabetes and glucose concentration. In all time periods and in all age groups, individuals with low education were more likely to have or get diabetes. The 10-year risk of developing diabetes was four to five times higher in the oldest age group (50–60 years) compared with the youngest (30–40 years). A 30% reduction in the 10-year risk of developing diabetes was found in women (p<0.001) between 2000–2003 and 2004–2007.Conclusions: Despite a clear increase in glucose concentrations and diabetes prevalence between 1990 and 2007, especially in men, there was a decline in the 10-year risk of developing diabetes in women between 2000–2003 and ... Article in Journal/Newspaper Northern Sweden Directory of Open Access Journals: DOAJ Articles Global Health Action 3 1 5222 |
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language |
English |
topic |
diabetes time trends epidemiology prevalence cumulative incidence education Public aspects of medicine RA1-1270 |
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diabetes time trends epidemiology prevalence cumulative incidence education Public aspects of medicine RA1-1270 Bernt Lindahl Hans Stenlund Margareta Norberg Increasing glucose concentrations and prevalence of diabetes mellitus in northern Sweden, 1990–2007 |
topic_facet |
diabetes time trends epidemiology prevalence cumulative incidence education Public aspects of medicine RA1-1270 |
description |
Background: The prevalence of diabetes in the world is projected to rise from 2.8% in the year 2000 to 4.4% in 2030, an increase suggesting an ongoing global epidemic of diabetes. Objective: To examine time trends in fasting and 2-h glucose concentrations, prevalence and 10-year cumulative incidence of diabetes, and the role of education in these trends. Design: Each year the Västerbotten Intervention Programme invites all 40, 50, and 60-year-old individuals to a health survey, which includes a cardiovascular risk factor screening and oral glucose tolerance test. The cross-sectional part of the study is based on health examinations conducted between 1990 and 2007 (n=102,822). The prospective subset (panel dataset) of the study is based on individuals who have had two health examinations 10 years apart and were not defined as having diabetes at their first health examination (n=23,546). Results: Between 1990 and 2007, the mean population fasting glucose concentration increased 0.5 mmol/L. Comparing the prevalence in 1990–1995 with 2002–2007 demonstrated a significant 44% increase in men (p < 0.001) and a significant 17% increase in women (p<0.001). Socioeconomic status, here represented by education, clearly influenced both prevalence and incidence of diabetes and glucose concentration. In all time periods and in all age groups, individuals with low education were more likely to have or get diabetes. The 10-year risk of developing diabetes was four to five times higher in the oldest age group (50–60 years) compared with the youngest (30–40 years). A 30% reduction in the 10-year risk of developing diabetes was found in women (p<0.001) between 2000–2003 and 2004–2007.Conclusions: Despite a clear increase in glucose concentrations and diabetes prevalence between 1990 and 2007, especially in men, there was a decline in the 10-year risk of developing diabetes in women between 2000–2003 and ... |
format |
Article in Journal/Newspaper |
author |
Bernt Lindahl Hans Stenlund Margareta Norberg |
author_facet |
Bernt Lindahl Hans Stenlund Margareta Norberg |
author_sort |
Bernt Lindahl |
title |
Increasing glucose concentrations and prevalence of diabetes mellitus in northern Sweden, 1990–2007 |
title_short |
Increasing glucose concentrations and prevalence of diabetes mellitus in northern Sweden, 1990–2007 |
title_full |
Increasing glucose concentrations and prevalence of diabetes mellitus in northern Sweden, 1990–2007 |
title_fullStr |
Increasing glucose concentrations and prevalence of diabetes mellitus in northern Sweden, 1990–2007 |
title_full_unstemmed |
Increasing glucose concentrations and prevalence of diabetes mellitus in northern Sweden, 1990–2007 |
title_sort |
increasing glucose concentrations and prevalence of diabetes mellitus in northern sweden, 1990–2007 |
publisher |
Taylor & Francis Group |
publishDate |
2010 |
url |
https://doi.org/10.3402/gha.v3i0.5222 https://doaj.org/article/e224f2d660b9413c866ab49945cde833 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
Global Health Action, Vol 3, Iss 0, Pp 1-9 (2010) |
op_relation |
http://www.globalhealthaction.net/index.php/gha/article/view/5222/6212 https://doaj.org/toc/1654-9880 doi:10.3402/gha.v3i0.5222 1654-9880 https://doaj.org/article/e224f2d660b9413c866ab49945cde833 |
op_doi |
https://doi.org/10.3402/gha.v3i0.5222 |
container_title |
Global Health Action |
container_volume |
3 |
container_issue |
1 |
container_start_page |
5222 |
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1766147838588223488 |