title: Prevalence of diabetes and impaired fasting glucose in Chinese adults, China National Nutrition and Health Survey, 2002.
abstract: BACKGROUND
  As a result of rapid economic development in China, the lifestyles and dietary habits of its people have been changing, and the rates of obesity, diabetes, and other chronic conditions have increased substantially. We report the prevalence of type 2 diabetes and impaired fasting glucose (IFG) and the association between diabetes and overweight and obesity in Chinese adults. We also compare the results with those from the US National Health and Nutrition Examination Survey, 1999-2002.
  
  
  METHODS
  Data were from adults aged 20 years or older who participated in the China National Nutrition and Health Survey, 2002 (n = 47,729). Diabetes and IFG were defined by the American Diabetes Association 2009 criteria. We assessed the prevalence of diabetes, IFG, and overweight and obesity by sex, age, region of residence, and ethnicity.
  
  
  RESULTS
  The prevalence of diabetes and IFG in Chinese adults was 2.7% and 4.9%, respectively. The prevalence of diabetes increased with age and body mass index. Men and women had a similar prevalence of diabetes, but men had a significantly higher prevalence of IFG. The prevalence of diabetes among Chinese who lived in urban areas was 2 to 3 times higher than the prevalence among those who lived in rural areas (3.9% for urban areas and 6.1% for large cities vs 1.9% for rural areas), and the prevalence of IFG was 1.5 to 2 times higher (6.1% and 8.1% vs 4.2%, respectively). The prevalence of diabetes among Chinese women and young (20-39 y) and middle-aged (40-59 y) adults who lived in large cities was similar to the prevalence of diabetes in the US population.
  
  
  CONCLUSIONS
  The prevalence of diabetes and IFG was much higher in urban than rural areas, particularly in the large cities of China. Prevention must be emphasized among adults to reduce the future social and economic burden of diabetes in China.
authors.affiliation: College of Public Health, University of Oklahoma, Oklahoma City, Oklahoma, USA.
authors.forename: Shuqian
authors.initials: S
authors.lastname: Liu
authors.forename: Wenyu
authors.initials: W
authors.lastname: Wang
authors.forename: Jian
authors.initials: J
authors.lastname: Zhang
authors.forename: Yuna
authors.initials: Y
authors.lastname: He
authors.forename: Chonghua
authors.initials: C
authors.lastname: Yao
authors.forename: Zhechun
authors.initials: Z
authors.lastname: Zeng
authors.forename: Jianhua
authors.initials: J
authors.lastname: Piao
authors.forename: Barbara V
authors.initials: BV
authors.lastname: Howard
authors.forename: Richard R
authors.initials: RR
authors.lastname: Fabsitz
authors.forename: Lyle
authors.initials: L
authors.lastname: Best
authors.forename: Xiaoguang
authors.initials: X
authors.lastname: Yang
authors.forename: Elisa T
authors.initials: ET
authors.lastname: Lee
mesh_terms: D000328:Adult; D017677:Age Distribution; D001786:Blood Glucose; D002681:China / Q000453:epidemiology; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology*; D005215:Fasting; D005260:Female; D006306:Health Surveys / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D015995:Prevalence; D012727:Sex Characteristics; D012959:Socioeconomic Factors; D055815:Young Adult
chemical_list: D001786:Blood Glucose