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Prevalence of diabetes mellitus and population attributable fractions for coronary heart disease and stroke mortality in the WHO South-East Asia and Western Pacific regions

journal contribution
posted on 01.03.2007, 00:00 authored by Crystal Man Ying Lee, Rachel HuxleyRachel Huxley, Hing Lam Tai, Alexandra Lynda Conboy Martiniuk, Hirotsugu Ueshema, Wen-Harn Pan, Tim Welborn, Mark Woodward
The aims of this study were to obtain the most recent representative data for the prevalence of diabetes in adult populations in the World Health Organisation's South-East Asia and Western Pacific regions and to quantify the contribution of diabetes to the burden of mortality from cardiovascular diseases in these regions. Previous reports indicate that there are 83 million individuals with diabetes in the Asia-Pacific region, but since many of the country-specific estimates were not from nationally representative studies, this figure may not accurately reflect the current burden of diabetes. Information on the prevalence of diabetes was obtained by searching Medline and government health websites. Data were available from 12 countries representing 78% of the total population of the Asia-Pacific region. Six of 10 countries with complete data reported a prevalence of diabetes exceeding those estimates currently cited by the World Health Organization; three of which have also already exceeded the World Health Organization projections for 2030. In the 12 countries in the region with nationally representative data, the prevalence of diabetes ranged from 2.6% to 15.1%. Hazard ratios from the Asia Pacific Cohort Studies Collaboration were used to calculate population attributable fractions for diabetes for fatal cardiovascular diseases in the region. Population attributable fractions ranged from 2% to 12% for coronary heart disease, 1% to 6% for haemorrhagic stroke, and 2% to 11% for ischaemic stroke. Accurate estimates of the prevalence of diabetes are of great importance and standard methods are needed for periodic surveillance across the Asia-Pacific region and elsewhere.

History

Journal

Asia Pacific Journal of Clinical Nutrition

Volume

16

Issue

1

Pagination

187 - 192

Publisher

H E C Press

Location

Melbourne, Vic.

ISSN

0964-7058

Language

eng

Publication classification

C1.1 Refereed article in a scholarly journal

Copyright notice

2001-2007, Healthy Eating Club