Gender differences in trends in diabetes prevalence from 1993 to 2008 in Taiwan.
We examined time trends in the prevalence of diabetes using nationally representative samples, with a focus on gender differences. Data were from the Nutrition and Health Survey in Taiwan (NAHSIT), 1993-1996 (n = 2700), and NAHSIT 2004-2008 (n = 2258). Participants aged 19 years or older with adequate fasting glucose data were included. When needed, rates were standardized to the year 2000 WHO 5-year interval population for comparisons. The prevalence increased significantly in men, whose standardized rate increased from 4.6% to 9.3%. In women, the age standardized prevalence decreased slightly from 7.9% to 6.4%. High triglycerides (≥ 150 mg/dL) was associated with diabetes with odds ratios (OR) of 2.14, and 2.69 (all with p<0.05) in the two surveys. High waist circumference (men ≥ 90 cm; women ≥ 80 cm) was also associated with diabetes with ORs of 2.52, and 1.93 (all with p < 0.05). We recommend the development of innovative health promotion programs targeting not only the general population, but also high risk groups such as men, to further reduce diabetes.
Chang
Hsing-Yi
HY
Center for Health Policy Research and Development, Institute of Population Health, National Health Research Institutes, Zhunan Town, Maoli County, Taiwan. hsingyi@nhri.org.tw
Hsu
Chih-Cheng
CC
Pan
Wen-Harn
WH
Liu
Wen-Ling
WL
Cheng
Jennifer Ying-Chi
JY
Tseng
Chin-Hsiao
CH
Bai
Chyi-Huey
CH
Yeh
Wen-Ting
WT
Hurng
Baai-Shyun
BS
D000328:Adult; D000368:Aged; D003920:Diabetes Mellitus / Q000453:epidemiology*; D005260:Female; D006306:Health Surveys; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology; D015995:Prevalence; D012737:Sex Factors; D013624:Taiwan; D055105:Waist Circumference