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Article: The prevalence of diabetes, association with cardiovascular risk factors and implications of diagnostic criteria (ADA 1997 and WHO 1998) in a 1996 community-based population study in Hong Kong Chinese

TitleThe prevalence of diabetes, association with cardiovascular risk factors and implications of diagnostic criteria (ADA 1997 and WHO 1998) in a 1996 community-based population study in Hong Kong Chinese
Authors
KeywordsCardiovascular risk
Diabetes
Diagnostic criteria
Oral glucose tolerance test
Issue Date2000
PublisherBlackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/DME
Citation
Diabetic Medicine, 2000, v. 17 n. 10, p. 741-745 How to Cite?
AbstractAims While the American Diabetes Association (ADA) 1997 diagnostic criteria advocate the use of fasting plasma glucose only, the World Health Organization (WHO) criteria retain the use of the standard oral glucose tolerance test (OGTT). The present study evaluated the relative merit of the respective diagnostic criteria in Chinese. Methods Data collected for the Hong Kong Cardiovascular Risk Factor Prevalence Study was analysed. This was a representative population-based study, conducted from 1995 to 1996 among 2900 Chinese subjects aged 25-74 years using a 75-g OGTT. Results The prevalence of diabetes (known plus unknown) was 6.2% (95% confidence interval 5.3-7.1%), 9.2% (8.1-10.3%), and 9.8% (8.7-10.9%) based on ADA 1997, WHO 1985 and WHO 1998 criteria, respectively, with a very high prevalence in older subjects. The 2451 subjects classified as normal under ADA 1997 criteria were heterogenous: 15.3% had impaired glucose tolerance; 2.1% had diabetes under WHO 1998 criteria. These latter two smaller groups had cardiovascular risk profiles comparable to that found among the impaired fasting glucose subjects (under ADA), but worse than that among the concordant normal glucose tolerance subjects. Conclusions The ADA criteria underestimate both diabetes prevalence and cardiovascular risk in this population. Hence fasting glucose alone is an inadequate approach and OGTT should be retained to identify at-risk individuals in both clinical diagnosis and epidemiological studies.
Persistent Identifierhttp://hdl.handle.net/10722/151545
ISSN
2015 Impact Factor: 3.152
2015 SCImago Journal Rankings: 1.654
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorJanus, EDen_HK
dc.contributor.authorWat, NMSen_HK
dc.contributor.authorLam, KSLen_HK
dc.contributor.authorCockram, CSen_HK
dc.contributor.authorSiu, STSen_HK
dc.contributor.authorLiu, LJen_HK
dc.contributor.authorLam, THen_HK
dc.date.accessioned2012-06-26T06:24:26Z-
dc.date.available2012-06-26T06:24:26Z-
dc.date.issued2000en_HK
dc.identifier.citationDiabetic Medicine, 2000, v. 17 n. 10, p. 741-745en_HK
dc.identifier.issn0742-3071en_HK
dc.identifier.urihttp://hdl.handle.net/10722/151545-
dc.description.abstractAims While the American Diabetes Association (ADA) 1997 diagnostic criteria advocate the use of fasting plasma glucose only, the World Health Organization (WHO) criteria retain the use of the standard oral glucose tolerance test (OGTT). The present study evaluated the relative merit of the respective diagnostic criteria in Chinese. Methods Data collected for the Hong Kong Cardiovascular Risk Factor Prevalence Study was analysed. This was a representative population-based study, conducted from 1995 to 1996 among 2900 Chinese subjects aged 25-74 years using a 75-g OGTT. Results The prevalence of diabetes (known plus unknown) was 6.2% (95% confidence interval 5.3-7.1%), 9.2% (8.1-10.3%), and 9.8% (8.7-10.9%) based on ADA 1997, WHO 1985 and WHO 1998 criteria, respectively, with a very high prevalence in older subjects. The 2451 subjects classified as normal under ADA 1997 criteria were heterogenous: 15.3% had impaired glucose tolerance; 2.1% had diabetes under WHO 1998 criteria. These latter two smaller groups had cardiovascular risk profiles comparable to that found among the impaired fasting glucose subjects (under ADA), but worse than that among the concordant normal glucose tolerance subjects. Conclusions The ADA criteria underestimate both diabetes prevalence and cardiovascular risk in this population. Hence fasting glucose alone is an inadequate approach and OGTT should be retained to identify at-risk individuals in both clinical diagnosis and epidemiological studies.en_HK
dc.languageengen_US
dc.publisherBlackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/DMEen_HK
dc.relation.ispartofDiabetic Medicineen_HK
dc.subjectCardiovascular risken_HK
dc.subjectDiabetesen_HK
dc.subjectDiagnostic criteriaen_HK
dc.subjectOral glucose tolerance testen_HK
dc.subject.meshAdulten_US
dc.subject.meshAge Distributionen_US
dc.subject.meshAgeden_US
dc.subject.meshAnalysis Of Varianceen_US
dc.subject.meshAsian Continental Ancestry Groupen_US
dc.subject.meshBlood Pressureen_US
dc.subject.meshBody Mass Indexen_US
dc.subject.meshCardiovascular Diseases - Epidemiologyen_US
dc.subject.meshChina - Ethnologyen_US
dc.subject.meshCholesterol - Blooden_US
dc.subject.meshConfidence Intervalsen_US
dc.subject.meshCross-Sectional Studiesen_US
dc.subject.meshDiabetes Mellitus - Diagnosis - Epidemiologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshGlucose Tolerance Testen_US
dc.subject.meshHong Kong - Epidemiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPrevalenceen_US
dc.subject.meshRisk Factorsen_US
dc.subject.meshSex Factorsen_US
dc.subject.meshTriglycerides - Blooden_US
dc.subject.meshUnited Statesen_US
dc.subject.meshVoluntary Health Agenciesen_US
dc.subject.meshWorld Health Organizationen_US
dc.titleThe prevalence of diabetes, association with cardiovascular risk factors and implications of diagnostic criteria (ADA 1997 and WHO 1998) in a 1996 community-based population study in Hong Kong Chineseen_HK
dc.typeArticleen_HK
dc.identifier.emailLam, KSL:ksllam@hku.hken_HK
dc.identifier.emailLam, TH:hrmrlth@hkucc.hku.hken_HK
dc.identifier.authorityLam, KSL=rp00343en_HK
dc.identifier.authorityLam, TH=rp00326en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1046/j.1464-5491.2000.00376.xen_HK
dc.identifier.pmid11110508-
dc.identifier.scopuseid_2-s2.0-0033748222en_HK
dc.identifier.hkuros57766-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0033748222&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume17en_HK
dc.identifier.issue10en_HK
dc.identifier.spage741en_HK
dc.identifier.epage745en_HK
dc.identifier.isiWOS:000165664800009-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridJanus, ED=7006936536en_HK
dc.identifier.scopusauthoridWat, NMS=6602131754en_HK
dc.identifier.scopusauthoridLam, KSL=8082870600en_HK
dc.identifier.scopusauthoridCockram, CS=7006379262en_HK
dc.identifier.scopusauthoridSiu, STS=25224408300en_HK
dc.identifier.scopusauthoridLiu, LJ=21737444900en_HK
dc.identifier.scopusauthoridLam, TH=7202522876en_HK

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