title: [Turkish Adult Risk Factor survey 2013: rapid rise in the prevalence of diabetes].
abstract: OBJECTIVE
  To analyze (1) the sex-specific and age-bracket defined all-cause and coronary mortality in the 23-years' follow-up of the Turkish Adult Risk Factor Study, and (2) to determine the nation-wide prevalence of Type-2 diabetes and its recent trend.
  
  
  METHODS
  Information on the mode of death was obtained from first-degree relatives and/or health personnel of local heath office. Information collected in survivors was based on history, physical examination of the cardiovascular system and Minnesota coding of resting electrocardiograms. Diabetes was defined by criteria of the American Diabetes Association without the use of glycated hemoglobin.
  
  
  RESULTS
  Of the 1370 participants to be surveyed, 768 were examined, in 452 subjects information was gathered, and 29 men, 18 women were ascertained to have died. Cumulative assessment of the entire cohort in the age bracket 45-74 years disclosed coronary mortality to be 7.5/1000 person-years in men and 3.74 in women, persisting to be high among the European countries. The recent decline observed in overall mortality seemed to halt as well. Of greatest concern was the finding in the past 12 years that the rate of rise in the age-controlled prevalence of Type-2 diabetes was as high as 5% annually.
  
  
  CONCLUSIONS
  Overall and coronary mortality in Turkish adults continue to be high, while an elicited annual increase of 5% in the age-controlled prevalence of diabetes is virtually alarming and requires new public health policies.
authors.affiliation: İstanbul University, Cerrahpaşa Faculty of Medicine, Retired Member, İstanbul, Turkey. alt_onat@yahoo.com.tr.
authors.forename: Altan
authors.initials: A
authors.lastname: Onat
authors.affiliation: Department of Cardiology, Kartal Koşuyolu Training and Research Hospital, İstanbul, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Cakır
authors.affiliation: Department of Internal Medicine, Haseki Training and Research Hospital, İstanbul, Turkey.
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Karadeniz
authors.affiliation: Department of Cardiology, Abant İzzet Baysal University Faculty of Medicine, Bolu, Turkey.
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Dönmez
authors.affiliation: Department of Cardiology, Giresun University Faculty of Medicine, Giresun, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Karagöz
authors.affiliation: Dicle Üniversitesi Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Diyarbakır.
authors.forename: Murat
authors.initials: M
authors.lastname: Yüksel
authors.affiliation: Department of Public Health, İstanbul University, Cerrahpaşa Faculty of Medicine, İstanbul, Turkey.
authors.forename: Günay
authors.initials: G
authors.lastname: Can
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000453:epidemiology*; D015995:Prevalence; D012307:Risk Factors; D012737:Sex Factors; D014421:Turkey / Q000453:epidemiology