Original scientific paper
Prevalence Rate of Diabetes Mellitus and Impaired Fasting Glycemia in Hungary: Crosssectional Study on Nationally Representative Sample of People Aged 20-69 Years
György Jermendy
; Bajcsy-Zsilinsky Hospital, 3rd Medical Department, Budapest, Hungary
Judit Nádas
; Bajcsy-Zsilinsky Hospital, 3rd Medical Department, Budapest, Hungary
Endre Szigethy
; University of Debracen, Public Health Research Group of the Hungarian Academy of Sciences, Faculty of Public Health, Medical and Health Science Center, Debrecen, Hungary
György Széles
; University of Debrecen, Department of Preventive Medicine, Faculty of Public Health, Medical and Health Science Centre, Debrecen, Hungary
Attila Nagy
; University of Debrecen, Department of Preventive Medicine, Faculty of Public Health, Medical and Health Science Centre, Debrecen, Hungary
Tibor Hídvégi
; Petz Hospital, 4th Medical Department, Gyor, Hungary
György Paragh
; University of Debrecen, 1st Department of Internal Medicine, Debrecen, Hungary
Róza Ádány
; University of Debrecen, Department of Preventive Medicine, Faculty of Public Health, Medical and Health Science Centre, Debrecen, Hungary
Abstract
Aim To obtain correct evaluation of the prevalence rate
of diabetes mellitus and impaired fasting glycemia (IFG) in
Hungary.
Method The study was performed on a nationally representative
sample covered by the Hungarian General Practitioners’
Morbidity Sentinel Stations Program. The source
population consisted of all persons aged 20-69 years who
were registered with the participating centers. The prevalence
rates were adjusted to age and sex distribution of the
total Hungarian population. Fasting blood samples of 1803
participants were evaluated. Response rate was 90.7%.
Results In addition to 130 (7.21%) patients with established
diabetes, 26 participants with newly diagnosed diabetes
were found, resulting in a total crude diabetes prevalence
of 8.65% (men: 11.16%; women: 6.41%; P < 0.001). After
weighting for age and sex, the prevalence rate of diabetes
in participants aged 20-69 years should be set at 7.47%
(95% confidence interval [CI], 6.26-8.69) (men: 9.49%; 95%
CI, 7.52-11.46; women: 5.58%; 95% CI, 4.12-7.04). In addition
to 41 (2.27%) patients with established IFG (fasting blood
glucose: 6.1-6.9 mmol/L), 47 participants with newly diagnosed
IFG were found, resulting in a total crude IFG prevalence
of 4.88% (men: 6.11%; women: 3.78%; P = 0.022). After
making corrections for weighting age and sex, the total IFG
prevalence rate in participants aged 20-69 years should be
set at 4.39% (95% CI, 3.44-5.34) (men: 5.52%; 95% CI, 3.99-
7.06; women: 3.33%; 95% CI, 2.19-4.47).
Conclusion The prevalence rate of diabetes and IFG in
Hungary is higher than previously estimated by experts
and authorities. The present data may serve as a base for
comparative investigations in the future.
Keywords
Diabetes mellitus; Glucose intolerance; Impaired fasting glycaemia; Screening; Epidemiology
Hrčak ID:
53518
URI
Publication date:
15.4.2010.
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