Diabetes mellitus prevalence is increasing in South Asians but is stable in Chinese living in Singapore and Mauritius: 居住在新加坡以及毛里求斯的南亚人的糖尿病患病率在不断上升但华裔的糖尿病患病率却很稳定. (1st December 2016)

• Record Type: Journal Article
• Authors: Tan, Kristin H.X.; Barr, Elizabeth L.M.; Koshkina, Vira; Ma, Stefan; Kowlessur, Sudhir; Magliano, Dianna J.; Söderberg, Stefan; Chia, Kee Seng; Zimmet, Paul; Lim, Wei‐Yen
• Is Part Of: Journal of diabetes. Volume 9:Number 9(2017)
• Page Start: 855
• Page End: 864
• Publication Date: 2016-12-01
• Subjects: diabetes mellitus -- obesity -- prevalence; 糖尿病 -- 肥胖 -- 患病率; Diabetes -- Periodicals; 618.3646005
• DOI: 10.1111/1753-0407.12497
• Languages: English
• ISSNs: 1753-0393

Abstract

Abstract: Background: Asia is experiencing a type 2 diabetes epidemic, but prevalence differs by ethnicity and level of socioeconomic development. Singapore and Mauritius have implemented comprehensive campaigns to address this public health problem. We compared diabetes and obesity prevalence trends among Chinese and South Asians living in Singapore and Mauritius to determine the contribution of ethnicity and economic development to diabetes. Methods: Age‐specific data from serial national population‐based surveys in Singapore and Mauritius between 1987 and 2010 were used to estimate age‐standardized diabetes and obesity prevalence. Modified Breslow–Cox proportional hazard models were used to obtain rate ratios for diabetes risk factors. Results: In Singapore, the age‐standardized prevalence of diabetes remained stable for Chinese (men: 14% in 1992, 13% in 2010; women: 12% in 1992, 10% in 2010), but increases were observed for South Asians (men: 20% in 1992, 26% in 2010; women: 18% in 1992, 20% in 2010). There were similar patterns in Mauritius. In both countries, obesity prevalence trends were stable for Chinese women, but increased for Chinese men and South Asians. Associations between obesity and diabetes were stronger in Chinese than South Asians regardless of country. Conclusions: Despite different socioeconomic settings in Singapore and Mauritius, we observed rising diabetes prevalence among South Asians but stable prevalence in Chinese in both countries. This provides further evidence that ethnicity contributes to the development of diabetes, and that there should be an increased emphasis on future prevention strategies targeting South Asian populations in these countries. Abstract : Age‐standardized prevalence of diabetes and obesity (body mass index ≥27.5 kg/m 2 ) of (a) Chinese men, (b) Chinese women, (c) South Asian men, and (d) South Asian women in Singapore and Mauritius from 1987 to 2010. Highlights Singapore and Mauritius are multiethnic island states at different stages of economic development and provide a useful model in which to explore the relative contribution of ethnicity and socioeconomic factors to diabetes. Despite different socioeconomic settings in Singapore and Mauritius, we observed rising diabetes prevalence among South Asians but stable prevalence in Chinese in both countries. These findings provide further evidence that ethnicity may contribute to the development of diabetes.