Increasing incidence of diagnosed type 2 diabetes in Taiwan: analysis of data from a national cohort

Tseng, Chin‐Hsiao; Tseng, Ching‐Ping; Chong, Choon-Khim; Huang, Tsun‐Sheng; Song, Yiqing; Chou, Che‐Yi; Lai, S.-M.; Tai, Tong-Yuan; Cheng, Ju‐Chien

doi:10.1007/s00125-006-0314-4

Cited by 107 publications

(85 citation statements)

References 15 publications

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“…Our findings suggest that cessation of betel chewing could lead to a meaningful reduction in the risk of developing obesity and type 2 diabetes, in men if not in women. It is likely that a similar association would be found in the population studied by Tseng et al [1], since the incidence of type 2 diabetes was higher among men than women and, according to our data [3], among men, betel chewers are younger than non-chewers. If associations are found, cessation of betel chewing would be an additional target for intervention for reduction in the problems of obesity and type 2 diabetes, as well as in cancer prevention [5].…”

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confidence: 88%

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Comment on: Tseng C-H, Tseng C-P, Chong C-K et al (2006) Increasing incidence of diagnosed type 2 diabetes in Taiwan: analysis of data from a national cohort. Diabetologia 49:1755–1760

Chen

Boucher

2006

Diabetologia

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confidence: 88%

“…To the Editor: The increasing trend in the incidence of diagnosed type 2 diabetes reported in Diabetologia by Tseng and colleagues [1] parallels increases in obesity. Both are matters for concern and, no doubt, associated with other markers of increasing affluence.…”

mentioning

confidence: 97%

Comment on: Tseng C-H, Tseng C-P, Chong C-K et al (2006) Increasing incidence of diagnosed type 2 diabetes in Taiwan: analysis of data from a national cohort. Diabetologia 49:1755–1760

Chen

Boucher

2006

Diabetologia

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“…TRL remnant can pass through the endothelial cell and be taken up by macrophages, forming foam cells and leading to fatty streak formation. Furthermore, postprandial TRL has been shown to stimulate several proinflammatory genes, such as interleukin-6, intercellular adhesion molecule-1, 3 Ln(TG) shown as mean (SD). 4 95% confidence interval.…”

Section: Pathophysiology Of Triglyceride In Cardiovascular Diseasementioning

confidence: 99%

The Role of Triglyceride in Cardiovascular Disease in Asian Patients with Type 2 Diabetes - A Systematic Review

Chen

Tseng

2013

Rev Diabet Stud

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“…While prevalence and incidence of type 2 diabetes are highest among adults, youth are increasingly affected (3,4). Whether the rising prevalence of type 2 diabetes is due to increasing incidence, declining mortality, or both is unclear (5)(6)(7).…”

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confidence: 99%

Changing Patterns of Type 2 Diabetes Incidence Among Pima Indians

et al. 2007

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OBJECTIVE -The rising prevalence of obesity and high prevalence of diabetes among Pima Indians suggest that the incidence of diabetes has risen over time. We examined trends in the incidence rate of type 2 diabetes among Pima Indians between 1965 and 2003.RESEARCH DESIGN AND METHODS -Incidence rates were computed independently in three 13-year time periods in Pima Indians aged Ն5 years. Diabetes was defined by the presence of at least one of two criteria: 1) 2-h plasma glucose concentration Ն200 mg/dl (11.1 mmol/l) or 2) hypoglycemic treatment.RESULTS -Among 8,236 subjects without diabetes at baseline, 1,005 incident cases occurred during follow-up. Age-and sex-adjusted incidence rates of diabetes were 25.3 cases/ 1,000 patient-years (95% CI 22. 5-28.0) in 1965-1977, 22.9 cases/1,000 patient years (20.0 -25.8) in 1978 -1990, and 23.5 cases/1,000 patient years (20.5-26.5) in 1991-2003 (P ϭ 0.3). The incidence rate in subjects aged 5-14 years was 5.7 (1.9 -17.4) times as high in the last as in the first period, but the rate declined in those aged 25-34 years (incidence rate ratio 0.6 [0.4 -0.8]). Sex-adjusted prevalence increased significantly over time only in those aged 5-24 years (P trend Ͻ 0.0001).CONCLUSIONS -The overall incidence of diabetes among Pima Indians remained stable over the past four decades, with a significant rise occurring only in the youth. Diabetes Care 30:1758-1763, 2007D iabetes prevalence is increasing worldwide, especially in populations transitioning from traditional to modern lifestyles (1,2). While prevalence and incidence of type 2 diabetes are highest among adults, youth are increasingly affected (3,4). Whether the rising prevalence of type 2 diabetes is due to increasing incidence, declining mortality, or both is unclear (5-7). Projections based on increasing life expectancy, population growth, and progressive urbanization predict substantial increases in the prevalence of diabetes for decades to come (5). These estimates may be too low, however, since they do not account for the increasing frequency and magnitude of obesity and other major risk factors for diabetes.We examined secular trends in the incidence rate of type 2 diabetes over the past 40 years in Pima Indians, a population with a very high prevalence and incidence of diabetes (8). Previous observations (9,10) suggest that diabetes was either rare or largely unrecognized among Pimas around the 1900s. At that time, increasing settlement of the area by people of European derivation led to diversion of the Pimas' water supply and disruption of their agriculture (10). The loss of water resulted in curtailment of subsistence farming and led to fundamental changes in their way of life (11). In the late 1930s, a review of medical records from the hospitals serving the population identified 21 Pima Indians with diabetes. The author concluded that the prevalence of diabetes was similar to that in the U.S. population (12). By the 1950s, many more Pimas were known to have diabetes, (13) and since then, a rising prevalence of obesity...

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Increasing incidence of diagnosed type 2 diabetes in Taiwan: analysis of data from a national cohort

Abstract: An increasing incidence of diagnosed type 2 diabetes was observed for each sex in most age groups in Taiwan, but was most marked in the youngest age group. A parallel increase in obesity was observed with the increasing incidence of diabetes.

Cited by 107 publications

References 15 publications

Comment on: Tseng C-H, Tseng C-P, Chong C-K et al (2006) Increasing incidence of diagnosed type 2 diabetes in Taiwan: analysis of data from a national cohort. Diabetologia 49:1755–1760

Comment on: Tseng C-H, Tseng C-P, Chong C-K et al (2006) Increasing incidence of diagnosed type 2 diabetes in Taiwan: analysis of data from a national cohort. Diabetologia 49:1755–1760

The Role of Triglyceride in Cardiovascular Disease in Asian Patients with Type 2 Diabetes - A Systematic Review

Changing Patterns of Type 2 Diabetes Incidence Among Pima Indians

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