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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Umeå universitet, Yrkes- och miljömedicin
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ftumeauniv:oai:DiVA.org:umu-38457 2023-10-09T21:54:39+02:00 Increasing glucose concentrations and prevalence of diabetes mellitus in northern Sweden, 1990-2007 Lindahl, Bernt Stenlund, Hans Norberg, Margareta 2010 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-38457 https://doi.org/10.3402/gha.v3i0.5222 eng eng Umeå universitet, Yrkes- och miljömedicin Umeå universitet, Epidemiologi och global hälsa Global Health Action, 1654-9716, 2010, 3, s. Article nr 5222- orcid:0000-0003-2475-7131 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-38457 doi:10.3402/gha.v3i0.5222 PMID 21042431 ISI:000208160600030 info:eu-repo/semantics/openAccess diabetes time trends epidemiology prevalence cumulative incidence education Occupational Health and Environmental Health Arbetsmedicin och miljömedicin Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Article in journal info:eu-repo/semantics/article text 2010 ftumeauniv https://doi.org/10.3402/gha.v3i0.5222 2023-09-22T13:49:37Z 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 Vasterbotten 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 2004-2007. This study was supported by the Västerbotten County Council. Article in Journal/Newspaper Northern Sweden Umeå University: Publications (DiVA) Global Health Action 3 1 5222 |
institution |
Open Polar |
collection |
Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
English |
topic |
diabetes time trends epidemiology prevalence cumulative incidence education Occupational Health and Environmental Health Arbetsmedicin och miljömedicin Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi |
spellingShingle |
diabetes time trends epidemiology prevalence cumulative incidence education Occupational Health and Environmental Health Arbetsmedicin och miljömedicin Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Lindahl, Bernt Stenlund, Hans Norberg, Margareta Increasing glucose concentrations and prevalence of diabetes mellitus in northern Sweden, 1990-2007 |
topic_facet |
diabetes time trends epidemiology prevalence cumulative incidence education Occupational Health and Environmental Health Arbetsmedicin och miljömedicin Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi |
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 Vasterbotten 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 2004-2007. This study was supported by the Västerbotten County Council. |
format |
Article in Journal/Newspaper |
author |
Lindahl, Bernt Stenlund, Hans Norberg, Margareta |
author_facet |
Lindahl, Bernt Stenlund, Hans Norberg, Margareta |
author_sort |
Lindahl, Bernt |
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 |
Umeå universitet, Yrkes- och miljömedicin |
publishDate |
2010 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-38457 https://doi.org/10.3402/gha.v3i0.5222 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
Global Health Action, 1654-9716, 2010, 3, s. Article nr 5222- orcid:0000-0003-2475-7131 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-38457 doi:10.3402/gha.v3i0.5222 PMID 21042431 ISI:000208160600030 |
op_rights |
info:eu-repo/semantics/openAccess |
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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1779318315397677056 |