Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
MetadataShow full item record
AbstractChina has the largest number of people with diabetes in the world. Over the last 30 years China has experienced rapid economic growth and a growing income gap between rich and poor. The population is ageing, however diabetes in older people has not been well studied to date. In this study we determined incidence and predictors of diabetes in older Chinese people. During 2001, using a standard interview method, we examined 1,317 adults aged ≥65 years who did not have diabetes in the city of Hefei, and characterized baseline risk factors. Over 7.5 years of follow up, we documented incident diabetes using self-reported doctor diagnosis and the cause of death in the whole cohort, and HbA(1C) ≥48 mmol/mol in a nested case-control sample. A multivariate Cox regression model was employed to investigate risk of diabetes in relation to baseline risk factors. During follow up, 119 persons had newly diagnosed diabetes. World age-standardised incidence of diabetes was 24.5 (95% CI 19.5-29.5) per 1,000 person-years. Risk of diabetes was significantly and positively associated with income, waist circumference and body mass index, smoking and uncontrolled hypertension, but negatively associated with having a hobby of walking and frequency of visiting children/other relatives and contacting neighbours/friends. Higher income was significantly associated with increased diabetes risk regardless of cardiovascular and psychosocial risk factors. Compared to those with middle income and no psychosocial risk factors, the hazard ratio for incident diabetes among participants with high income and psychosocial risk was 2.13 (95% CI 1.02-4.45). Increasing incidence of diabetes in relation to high income has become an important public health issue in China. Maintaining social networks and gentle physical activities and reducing psychosocial factors may be integrated into current multi-faceted preventive strategies for curbing the epidemic of diabetes in the older population.
PublisherPublic Library of Science
The following licence applies to the copyright and re-use of this item:
- Creative Commons
Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by-nc-nd/4.0/
- Incident dementia in a defined older Chinese population.
- Authors: Chen R, Hu Z, Wei L, Ma Y, Liu Z, Copeland JR
- Issue date: 2011
- Income, wealth and risk of diabetes among older adults: cohort study using the English longitudinal study of ageing.
- Authors: Tanaka T, Gjonça E, Gulliford MC
- Issue date: 2012 Jun
- Hypertriglyceridemic-waist phenotype predicts diabetes: a cohort study in Chinese urban adults.
- Authors: Zhang M, Gao Y, Chang H, Wang X, Liu D, Zhu Z, Huang G
- Issue date: 2012 Dec 15
- Physical activity level and incident type 2 diabetes among Chinese adults.
- Authors: Fan S, Chen J, Huang J, Li Y, Zhao L, Liu X, Li J, Cao J, Yu L, Deng Y, Chen N, Guo D, Gu D
- Issue date: 2015 Apr
- All-cause mortality and risk factors in a cohort of retired military male veterans, Xi'an, China: an 18-year follow up study.
- Authors: Sai XY, He Y, Men K, Wang B, Huang JY, Shi QL, Zhang L, Li LS, Choi BC, Yan YP
- Issue date: 2007 Oct 12