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
  • [11] Mooy J.M., Grootenhuis P.A., De Vries H., Et al., Prevalence and determinants of glucose intolerance in a Dutch Caucasian population: The Hoorn Study, Diabetes Care, 18, pp. 1270-1273, (1995)
  • [12] Pagano G., Bargero G., Vuolo A., Bruno G., Prevalence and clinical features of known type 2 diabetes in the elderly: A population-based study, Diabetic Med, 11, pp. 475-479, (1994)
  • [13] Hiltunen L., Luukinen H., Koski K., Kivela S.L., Prevalence of diabetes mellitus in an elderly Finnish population, Diabetic Med, 11, pp. 241-249, (1994)
  • [14] Black S.A., Ray L.A., Markides K.S., The prevalence and health burden of self-reported diabetes in older Mexican Americans: Findings from the Hispanic established populations for epidemiologic studies of the elderly, Am J Public Health, 89, pp. 546-552, (1999)
  • [15] Mykkanen L., Laakso M., Uusitupa M., Pyorala K., Prevalence of diabetes and impaired glucose tolerance in elderly subjects and their association with obesity and family history of diabetes, Diabetes Care, 13, pp. 1099-1105, (1990)
  • [16] Tuomilehto J., Nissinen A., Kivela S.L., Et al., Prevalence of diabetes mellitus in elderly men aged 65 to 84 years in eastern and western Finland, Diabetologia, 29, pp. 611-615, (1986)
  • [17] Wingard D., Sinsheimer P., Barrett-Connor E., McPhillips M., Community-based study of prevalence of NIDDM in older adults, Diabetes Care, 13, SUPPL. 2, (1990)
  • [18] Leibson C.L., O'Brien P.C., Atkinson E., Palumbo P.J., Melton L.J., Relative contributions of incidence and survival to increasing prevalence of adult-onset diabetes mellitus: A population-based study, Am J Epidemiol, 146, pp. 12-22, (1997)
  • [19] Muggeo M., Verlato G., Bonora E., Et al., The Verona diabetes study: A population-based survey on known diabetes mellitus prevalence and 5-year all-cause mortality, Diabetologia, 38, pp. 318-325, (1995)
  • [20] Mens en Maatschappij. Bevolking. (Population and Society. Population)
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