Subject    :    [2019 Feb;43(1)] Projection of Diabetes Prevalence in Korean Adults for the Year 2030 Using Risk Factors Identified from National Data
Writer KDA
Date 2019-03-06 10:23:16 Hit 114
Diabetes Metab J. 2019 Feb;43(1):90-96. English.
Published online Oct 31, 2018.  https://doi.org/10.4093/dmj.2018.0043 
Copyright © 2018 Korean Diabetes Association
   
Projection of Diabetes Prevalence in Korean Adults for the Year 2030 Using Risk Factors Identified from National Data
Inkyung Baik
Department of Foods and Nutrition, College of Science and Technology, Kookmin University, Seoul, Korea.

Corresponding author: Inkyung Baik. Department of Foods and Nutrition, College of Science and Technology, Kookmin University, 77 Jeongnung-ro, Seongbuk-gu, Seoul 02707, Korea. Email: ibaik@kookmin.ac.kr 
 
Received March 08, 2018; Accepted June 22, 2018.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

 
Abstract

Background

A number of studies have reported future prevalence estimates for diabetes mellitus (DM), but these studies have been limited for the Korean population. The present study aimed to construct a forecasting model that includes risk factors for type 2 DM using individual- and national-level data for Korean adults to produce prevalence estimates for the year 2030.

Methods

Time series data from the Korea National Health and Nutrition Examination Survey and national statistics from 2005 to 2013 were used. The study subjects were 13,908 male and 18,697 female adults aged 30 years or older who were free of liver cirrhosis. Stepwise logistic regression analysis was used to select significant factors associated with DM prevalence.

Results

The results showed that survey year, age, sex, marital, educational, or occupational status, the presence of obesity or hypertension, smoking status, alcohol consumption, sleep duration, psychological distress or depression, and fertility rate significantly contributed to the 8-year trend in DM prevalence (P<0.05). Based on sex-specific forecasting models that included the above factors, DM prevalence for the year 2030 was predicted to be 29.2% (95% confidence interval [CI], 27.6% to 30.8%) in men and 19.7% (95% CI, 18.2% to 21.2%) in women.

Conclusion

The present study projected a two-fold increase in the prevalence of DM in 2030 compared with that for the years 2013 and 2014 in Korean adults. Modifiable factors contributing to this increase in DM prevalence, such as obesity, smoking, and psychological factors, may require attention in order to reduce national and individual costs associated with DM.

   
Keywords:
Diabetes mellitusForecastingPrevalenceRisk factors
 

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