title: Awareness, treatment and control of cardiometabolic disorders in Chinese adults with diabetes: a national representative population study.
abstract: BACKGROUND
  The diagnosis of diabetes has important clinic implications for the prevention and management of cardiometabolic disorders. We aimed to investigate the awareness, treatment and control of hypertension and dyslipidemia in previously-diagnosed and newly-diagnosed diabetes in Chinese adult population.
  
  
  METHODS
  We conducted a cross-sectional survey in a nationally representative sample of 98658 Chinese adults aged 18 years or older in 2010, using a complex, multistage, probability sampling design. Glycemic status were defined according to the 2010 American Diabetes Association criteria. Hypertension was diagnosed by the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Dyslipidemia was diagnosed by the 2004 National Cholesterol Education Program Adult Treatment Panel III.
  
  
  RESULTS
  The weighted prevalence of hypertension and dyslipidemia gradually increased in adults with normal glucose regulation, prediabetes, newly-diagnosed diabetes and previously-diagnosed diabetes. Compared to newly-diagnosed diabetes patients, previously-diagnosed diabetes patients were more likely to be aware of hypertension (weighted percentage [95% confidence interval]: 55.2% [52.9%-57.5%] vs 37.6% [35.9%-39.3%]) and dyslipidemia (33.9% [31.8%-36.1%] vs 12.8% [11.7%-13.9%]), to receive blood pressure-lowing (43.7% [41.5%-46.0%] vs 27.5% [26.0%-29.0%]) and lipid-lowering (18.9% [17.2%-20.7%] vs 5.4% [4.6%-6.2%]) therapies, and to have controlled blood pressure (4.7% [3.5%-6.2%] vs 3.5% [2.6%-4.8%]) and lipid (15.9% [12.3%-20.3%] vs 9.5% [6.4%-13.8%]) levels.
  
  
  CONCLUSIONS
  Detection and control of hypertension and dyslipidemia is far from optimal in Chinese adults, especially in newly-diagnosed diabetes. Improved screening for diabetes is required to promote a better prevention, treatment and control of hypertension and dyslipidemia in China.
authors.forename: Tiange
authors.initials: T
authors.lastname: Wang
authors.forename: Yu
authors.initials: Y
authors.lastname: Xu
authors.forename: Min
authors.initials: M
authors.lastname: Xu
authors.forename: Weiqing
authors.initials: W
authors.lastname: Wang
authors.forename: Yufang
authors.initials: Y
authors.lastname: Bi
authors.forename: Jieli
authors.initials: J
authors.lastname: Lu
authors.forename: Meng
authors.initials: M
authors.lastname: Dai
authors.forename: Di
authors.initials: D
authors.lastname: Zhang
authors.forename: Lin
authors.initials: L
authors.lastname: Ding
authors.forename: Baihui
authors.initials: B
authors.lastname: Xu
authors.forename: Jichao
authors.initials: J
authors.lastname: Sun
authors.forename: Wenhua
authors.initials: W
authors.lastname: Zhao
authors.forename: Yong
authors.initials: Y
authors.lastname: Jiang
authors.forename: Limin
authors.initials: L
authors.lastname: Wang
authors.forename: Yichong
authors.initials: Y
authors.lastname: Li
authors.forename: Mei
authors.initials: M
authors.lastname: Zhang
authors.forename: Shenghan
authors.initials: S
authors.lastname: Lai
authors.forename: Linhong
authors.initials: L
authors.lastname: Wang
authors.forename: Guang
authors.initials: G
authors.lastname: Ning
mesh_terms: D000328:Adult; D044466:Asian People; D001364:Awareness; D002318:Cardiovascular Diseases / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance / Q000379:methods; D016896:Treatment Outcome
references.citation: Int J Epidemiol. 2003 Aug;32(4):563-72
references.pmid: 12913030
references.citation: Obesity (Silver Spring). 2014 Aug;22(8):1888-95
references.pmid: 24733690
references.citation: Circulation. 2014 Mar 4;129(9):999-1008
references.pmid: 24352521
references.citation: Am Heart J. 2013 Jun;165(6):918-925.e2
references.pmid: 23708162
references.citation: Int J Epidemiol. 2005 Feb;34(1):181-92
references.pmid: 15333620
references.citation: Hypertension. 2001 Apr;37(4):1053-9
references.pmid: 11304502
references.citation: JAMA. 2013 Sep 4;310(9):959-68
references.pmid: 24002282
references.citation: N Engl J Med. 2008 Feb 7;358(6):580-91
references.pmid: 18256393
references.citation: Circulation. 2002 Dec 17;106(25):3143-421
references.pmid: 12485966
references.citation: Lancet. 2007 Dec 1;370(9602):1829-39
references.pmid: 18061058
references.citation: Circulation. 1998 May 12;97(18):1837-47
references.pmid: 9603539
references.citation: Circulation. 2005 Oct 18;112(16):2397-402
references.pmid: 16230496
references.citation: J Gen Intern Med. 2012 Aug;27(8):893-900
references.pmid: 22415867
references.citation: Lancet. 2011 Feb 12;377(9765):578-86
references.pmid: 21295847
references.citation: Cardiovasc Diabetol. 2013;12:47
references.pmid: 23510200
references.citation: Diabetes Care. 2010 Jan;33 Suppl 1:S62-9
references.pmid: 20042775
references.citation: JAMA. 2013 Sep 4;310(9):948-59
references.pmid: 24002281
references.citation: Hosp Pract (1995). 2014 Feb;42(1):92-100
references.pmid: 24566601
references.citation: JAMA. 2009 Jul 22;302(4):412-23
references.pmid: 19622820
references.citation: Am Heart J. 2003 Feb;145(2):285-91
references.pmid: 12595846
references.citation: Circulation. 2006 Feb 7;113(5):647-56
references.pmid: 16461837
references.citation: J Phys Act Health. 2009 Nov;6(6):790-804
references.pmid: 20101923
references.citation: Lancet. 2008 May 3;371(9623):1513-8
references.pmid: 18456100
references.citation: Cardiovasc Diabetol. 2013;12:88
references.pmid: 23773268
references.citation: Diabetes Care. 2011 Jan;34(1):34-8
references.pmid: 21059830
references.citation: Circulation. 2004 Jul 13;110(2):227-39
references.pmid: 15249516
references.citation: Diabetes Care. 2013 Sep;36(9):2734-40
references.pmid: 23637349
references.citation: BMJ Open. 2013 Aug 30;3(8):e003423
references.pmid: 23996822
references.citation: Circulation. 2007 Feb 6;115(5):e69-171
references.pmid: 17194875
references.citation: Diabetes Care. 2003 Mar;26(3):917-32
references.pmid: 12610059
references.citation: Circulation. 1990 Sep;82(3):848-55
references.pmid: 2394006
references.citation: JAMA. 2003 May 21;289(19):2560-72
references.pmid: 12748199
references.citation: J Clin Lipidol. 2012 Sep-Oct;6(5):434-42
references.pmid: 23009779
references.citation: Popul Health Metr. 2005 Mar 16;3(1):3
references.pmid: 15769298
references.citation: Cardiovasc Diabetol. 2013;12:26
references.pmid: 23360385