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Prevalence and correlates of
diabetes mellitus and impaired glucose tolerance among
adults in Luzon, Philippines
|
Recognizing the problem posed by diabetes mellitus, the National Diabetes
Commission was created by Republic Act 8191 in 1996. The Commission
identified the need for a Second National Diabetes Survey to have an updated
estimate of the magnitude of the disease in the country and to have the
needed information for developing a diabetes prevention and control program.
This paper reports the prevalence of diabetes mellitus and impaired glucose
tolerance (IGT) in adults and the factors associated with the prevalence of
these conditions.
A cross-sectional population-based study assessed the occurrence of diabetes
and impaired glucose tolerance among a random sample of 7044 adults, aged
20–65 years who were residents of urban and rural areas in Luzon. Blood
glucose level was measured by OGTT using the current WHO criteria.
The crude diabetes prevalence of 5.1% represented a 54% increase over the
figure (3.3%) for a similar population in Luzon in 1982. An increase was
also noted in the magnitude of IGT which almost doubled from 4.1% in 1982 to
8.1% in the present survey. Only one in three diabetics reported that they
had diabetes. The frequency of diabetes and IGT in urban and rural areas
were about the same, although a substantial increase from the earlier survey
was noted in rural areas. Women registered a higher prevalence for both
conditions than men. Aside from age and gender, the other correlates of
diabetes mellitus were hypertension, family history of diabetes, WHR, BMI,
and physical inactivity. IGT had similar correlates as diabetes except
physical inactivity. The present findings which are consistent with those of
other studies underscore the role of lifestyle behaviors in diabetes and
should be the target of intervention to prevent further increase in disease
frequency.
Reference:
Diabetes Research and Clinical Practice Volume 64, Issue 2 , May 2004, Pages
107-115 |
|