Highlights
- •We identified prevalence and risk factors of diabetes and prediabetes.
- •We projected the prevalence rates of diabetes and prediabetes for 2035.
- •Standardized prevalence rates of diabetes and prediabetes were 6.0% and 13.5%.
- •The projected prevalence of diabetes and prediabetes for 2035 were 7.0% and 15.7%.
- •Advancing age, overweight/obesity, physical inactivity and urban area were major determinants.
Abstract
Aims
We estimated the prevalence of diabetes and prediabetes among Vietnamese adults, and
quantitatively evaluated association with known risk factors.
Methods
Subjects were 5602 men and 10,680 women in North Vietnam aged 30–69 years participating
in community diabetes screening programs during 2011–2013. We calculated standardized
prevalence rates and demographic projections for 2035, and used multinomial regression
analysis to examine the associations of multiple risk factors with diabetes and prediabetes.
Results
The age-, sex- and area of residence-standardized prevalence of diabetes was 6.0%
and of prediabetes was 13.5%, with higher prevalence among men than women. Population
aging is projected to raise the prevalence of diabetes to 7.0% and of prediabetes
to 15.7% by 2035. Older age, obesity, large waist-to-hip ratio and hypertension were
each associated with higher prevalence of diabetes, whereas the opposite direction
of association was observed for underweight and minority ethnicity. In addition, diabetes
was positively associated with family history of diabetes in women, but inversely
related to physically heavy work among men.
Conclusions
One in 17 and one in 7 adults had diabetes and prediabetes, respectively, in Vietnam.
Urbanization, population aging, increased adiposity, hypertension and sedentary work
are associated with the increasing prevalence of diabetes.
Keywords
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Article info
Publication history
Published online: January 08, 2016
Accepted:
December 27,
2015
Received in revised form:
October 26,
2015
Received:
April 19,
2015
Identification
Copyright
© 2016 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.
