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Prevalence and management of diabetes in Korean adults: Korea National Health and Nutrition Examination Surveys 1998-2005.

Authors
Choi, YJ; Kim, HC; Kim, HM; Park, SW; Kim, J; Kim, DJ
Citation
Diabetes care, 32(11):2016-2020, 2009
Journal Title
Diabetes care
ISSN
0149-59921935-5548
Abstract
OBJECTIVE: This research investigated recent changes in the prevalence and management status of diabetes among Korean adults. RESEARCH DESIGN AND METHODS: The Korea National Health and Nutrition Examination Survey (KNHANES), a nationwide survey examining the general health and nutrition status of the Korean people, was conducted in 1998, 2001, and 2005. Using the first (1998; n = 5,645), second (2001; n = 4,154), and third (2005; n = 4,628) KNHANES datasets, in the present study, we estimated the prevalence of diabetes among Korean adults (aged >or=30 years), the proportions of known cases of diabetes, and the proportions of well-controlled cases of diabetes, as defined by either the American Diabetes Association (A1C <7%) or the International Diabetes Federation guidelines (A1C <6.5%). RESULTS: In 2005, the prevalence of diabetes was estimated to be 9.1% (approximately 2.58 million people: 10.2% of men and 7.9% of women), including 6.2% with known diabetes and 2.9% with newly diagnosed diabetes. The prevalence of impaired fasting glucose was 17.4% (approximately 4.94 million people). The proportion of known cases of diabetes drastically increased from 23.2% in 1998 to 41.2% in 2001 and 68.0% in 2005 (P < 0.0001). Among known diabetic patients in 2005, 43.5 and 22.9% had A1C levels <7.0 and <6.5%, respectively. CONCLUSIONS: The overall prevalence of diabetes in Korea has not changed significantly between 1998 and 2005. Physician diagnosis and treatment rates of diabetes have significantly improved during this period, but glycemic control was still poorer than that in other developed countries.
MeSH terms
AdultAgedBlood Glucose/metabolismDiabetes Complications/epidemiologyDiabetes Mellitus/epidemiology*Diabetes Mellitus/mortalityDiabetes Mellitus/therapyFemaleGlucose Intolerance/epidemiologyGlycemic IndexHealth SurveysHumansHypercholesterolemia/epidemiologyHypertension/epidemiologyKorea/epidemiologyMaleMiddle AgedNutrition SurveysPrevalenceSex CharacteristicsSurvival RateSurvivors
DOI
10.2337/dc08-2228
PMID
19675201
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Endocrinology & Metabolism
AJOU Authors
김대중
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