Prevalence, incidence and mortality of type 2 diabetes mellitus revisited: A prospective population-based study in The Netherlands (ZODIAC-1)

被引：96
作者：
L.J. Ubink-Veltmaat
H.J.G. Bilo
K.H. Groenier
S.T. Houweling
R.O. Rischen
B. Meyboom-de Jong
机构：
[1] Department of Family Practice, University of Groningen, Groningen
[2] Isala Clinics, Weezenlanden Location, Zwolle
[3] Family Practice 't Veen, Hattem
[4] 7721 AG Dalfsen
来源：
European Journal of Epidemiology | 2003年 / 18卷 / 8期
关键词：
Age groups; Diabetes mellitus; Incidence; Mortality; Prevalence; Prospective study; Type; 2;
D O I：
10.1023/A:1025369623365
中图分类号：
学科分类号：
摘要：
Background: To present actual data to estimate prevalence, incidence and mortality of known type 2 diabetes mellitus in all age categories in The Netherlands. Methods: Prospective population-based study between 1998 and 2000 in The Netherlands. Baseline population of 155,774 patients, registered with 61 general practitioners participating in the Zwolle Outpatient Diabetes project Integrating Available Care (ZODIAC)-study. Results: Age- and sex-adjusted prevalence of type 2 diabetes was 2.2% at baseline and 2.9% after 2 years of follow-up; for women and men it was 3.1 and 2.7% at follow-up, respectively. Patients aged > 70 years account for almost 50% of all type 2 diabetes patients. Age- and sex-adjusted mean annual incidence per 10,000 over 3 years was 22.7 overall; for women 23.1 and for men 22.2. Incidence - even though high - decreases after the age of 70 years. The mortality rate was 47.9/1000 and standardised mortality ratio 1.40. Based on these results, the estimated total number of subjects known with type 2 diabetes was 466,000 for The Netherlands in 2000; the number of patients with newly diagnosed diabetes 36,000. Conclusions: Prevalence and incidence rates exceed all estimates regarding known type 2 diabetes for The Netherlands. Elderly patients, aged 70 years and over, account for 50% of the type 2 diabetic population. These results are important for health-care planning.
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页码：793 / 800
页数：7
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共 46 条
  • [1] Amos A.F., McCarty D.J., Zimmet P., The rising global burden of diabetes and its complications: Estimates and projections to the year 2010, Diabetic Med, 14, SUPPL. 5, (1997)
  • [2] Kannel W.B., McGee D.L., Diabetes and cardiovascular disease. The Framingham study, JAMA, 241, pp. 2035-2038, (1979)
  • [3] Zimmet P., Alberti K.G., Shaw J., Global and societal implications of the diabetes epidemic, Nature, 414, pp. 782-787, (2001)
  • [4] Barendregt J.J., Baan C.A., Bonneux L., An indirect estimate of the incidence of non-insulin-dependent diabetes mellitus, Epidemiology, 11, pp. 274-279, (2000)
  • [5] Baan C.A., Nusselder W.J., Barendregt J.J., Ruwaard D., Bonneux L., Feskens E.J., The burden of mortality of diabetes mellitus in The Netherlands, Epidemiology, 10, pp. 184-187, (1999)
  • [6] Baan C.A., Feskens E.J., De ziektelast van diabetes mellitus type 2 in Nederland: Incidentie, prevalentie en sterfte, Ned Tijdschr Geneeskd, 145, pp. 1681-1685, (2001)
  • [7] Chronic Diseases in the Year 2005. Vol. 1. Scenarios on Diabetes Mellitus 1990-2005, 1, pp. 1-169, (1990)
  • [8] Baan C.A., Bonneux L., Ruwaard D., Feskens E.J., The prevalence of diabetes mellitus in the Netherlands: A quantative review, Eur J Publ Health, pp. 210-216, (1998)
  • [9] Ruwaard D., Hoogenveen R.T., Verkleij H., Kromhout D., Casparie A.F., Forecasting the number of diabetic patients in The Netherlands in 2005, Am J Public Health, 83, pp. 989-995, (1993)
  • [10] Harris M.I., Undiagnosed NIDDM: Clinical and public health issues, Diabetes Care, 16, pp. 642-652, (1993)
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