title: Sex-Specific Prevalence of Diabetes and Cardiovascular Risk Factors in the Middle-Aged Population of China: A Subgroup Analysis of the 2007-2008 China National Diabetes and Metabolic Disorders Study.
abstract: The sex difference in the prevalence rates of diabetes and cardiovascular diseases (CVDs) among the middle-aged population in China remain largely unknown. Therefore, we analyzed differences in the prevalence of diabetes, self-reported CVDs, and some CVD risk factors among men and women in the middle-aged population (30-49 years) and in individuals aged 50 years and older using data from the China National Diabetes and Metabolic Disorders Study of 2007-2008. Middle-aged men appeared to have significantly a higher prevalence of diabetes and self-reported CVDs than middle-aged women (8.07% vs 5.06% for diabetes, P < 0.001; 0.64% vs 0.22% for CVDs, P < 0.001). Men also showed higher rates of central obesity, hypertension, and dyslipidemia than women (all P < 0.01). Compared with women, men were more likely to drink alcohol and smoke cigarettes but less likely to be under diet control. The sex-specific differences in prediabetes, CVD, and CVD risk factors between men and women were diminished or even reversed in the population aged 50 years and older. No sex-specific differences were found in the prevalences of a family history of diabetes, coronary heart disease, and hypertension (P > 0.05) in middle-aged population. Specific strategies to reduce modifiable risk factors for the prevention and control of diabetes and CVD may be warranted in this population.
authors.affiliation: Department of Endocrinology, China-Japan Friendship Hospital, Beijing 100029, PR China.
authors.forename: Shi
authors.initials: S
authors.lastname: Bu
authors.affiliation: Department of Endocrinology, the 1st Hospital of Huairou District, Beijing 101400, PR China.
authors.forename: Danjie
authors.initials: D
authors.lastname: Ruan
authors.affiliation: Department of Endocrinology, China-Japan Friendship Hospital, Beijing 100029, PR China.
authors.forename: Zhaojun
authors.initials: Z
authors.lastname: Yang
authors.affiliation: Department of Endocrinology, China-Japan Friendship Hospital, Beijing 100029, PR China.
authors.forename: Xiaoyan
authors.initials: X
authors.lastname: Xing
authors.affiliation: Department of Endocrinology, China-Japan Friendship Hospital, Beijing 100029, PR China.
authors.forename: Wenhui
authors.initials: W
authors.lastname: Zhao
authors.affiliation: Department of Endocrinology, China-Japan Friendship Hospital, Beijing 100029, PR China.
authors.forename: Na
authors.initials: N
authors.lastname: Wang
authors.affiliation: Department of Endocrinology, China-Japan Friendship Hospital, Beijing 100029, PR China.
authors.forename: Lingding
authors.initials: L
authors.lastname: Xie
authors.affiliation: Department of Endocrinology, China-Japan Friendship Hospital, Beijing 100029, PR China.
authors.forename: Wenying
authors.initials: W
authors.lastname: Yang
mesh_terms: D000328:Adult; D000367:Age Factors; D000428:Alcohol Drinking / Q000453:epidemiology; D002318:Cardiovascular Diseases / Q000453:epidemiology* / Q000209:etiology; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000453:epidemiology* / Q000209:etiology; D004038:Diet, Reducing / Q000706:statistics & numerical data; D050171:Dyslipidemias / Q000453:epidemiology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D056128:Obesity, Abdominal / Q000453:epidemiology; D011236:Prediabetic State / Q000453:epidemiology; D015995:Prevalence; D012307:Risk Factors; D012737:Sex Factors; D012907:Smoking / Q000453:epidemiology