Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
BMC Public Health
Published in: BMC Public Health 1/2013

Open Access 01-12-2013 | Research article

Time trend analysis of the prevalence and incidence of diagnosed type 2 diabetes among adults in Taiwan from 2000 to 2007: a population-based study

Authors: Cheng-Chieh Lin, Chia-Ing Li, Chih-Yi Hsiao, Chiu-Shong Liu, Sing-Yu Yang, Cheng-Chun Lee, Tsai-Chung Li

Published in: BMC Public Health | Issue 1/2013

Login to get access

Abstract

Background

The prevalence of type 2 diabetes has rapidly increased in the Taiwanese population with the increasing prevalence of a sedentary lifestyle and high-calorie dietary intake. This study aims to determine the annual trends of the prevalence and incidence of diagnosed type 2 diabetes among adults in Taiwan from 2000 to 2007.

Methods

A population-based study of all residents aged 20 years and over (12,191,076 in 2000 and 18,772,180 in 2007) enrolled in the National Health Insurance (NHI) program, the database of which was used to identify patients diagnosed with type 2 diabetes. The annual prevalence and incidence of diagnosed type 2 diabetes were estimated using the International Classification of Diseases, 9th Revision, Clinical Modification diagnostic codes based on age, gender, insurance premium, and urbanization degree. Logistic regression was used to estimate the odds ratios (OR) of risk factors, as well as to examine the trend in the annual prevalence or incidence of diagnosed type 2 diabetes from 2000 to 2007.

Results

The crude annual prevalence of diagnosed type 2 diabetes increased significantly from 5.79% in 2000 to 8.30% in 2007. The increase was highest in 2007, among men, individuals aged ≥ 80 years, and individuals residing in aging society areas [OR (95% CI): 1.416 (1.412–1.420), 1.033 (1.032–1.034), 31.810 (31.690–31.931), and 1.090 (1.085–1.094), respectively]. The crude incidence fluctuated throughout the study period, ranging from 7.72 per 1,000 in 2006 to 8.98 per 1,000 in 2000. The decrease was highest in 2006, among individuals with an insurance premium ≥ median value [0.933 (0.925–0.942) and 0.810 (0.805–0.815), respectively]. The greatest increase was among men, individuals aged 60 to 79 years, and individuals residing in aging society areas [1.150 (1.145–1.155), 15.452 (15.329–15.576), and 1.127 (1.113–1.142), respectively].

Conclusion

This study demonstrated the substantial increase in annual prevalence of diagnosed type 2 diabetes among adults in Taiwan from 2000 to 2007. The incidence fluctuated between 2000 and 2007.
Appendix
Available only for authorised users
Literature
1.
2.
RCWM Ambady Ramachandran: Diabetes in Asia. Lancet. 2010, 375: 408-418. 10.1016/S0140-6736(09)60937-5.CrossRefPubMed
3.
Koopman RJ, Mainous AG, Diaz VA, Geesey ME: Changes in age at diagnosis of type 2 diabetes mellitus in the United States, 1988 to 2000. Ann Fam Med. 2005, 3: 60-63. 10.1370/afm.214.CrossRefPubMedPubMedCentral
4.
Chang C, Lu F, Yang YC, Wu JS, Wu TJ, Chen MS, Chuang LM, Tai TY: Epidemiologic study of type 2 diabetes in Taiwan. Diabetes Res Clin Pract. 2000, 50 (2): S49-S59.CrossRefPubMed
5.
Janus ED, Watt NM, Lam KS, Cockram CS, Siu ST, Liu LJ, Lam TH: The prevalence of diabetes, association with cardiovascular risk factors and implications of diagnostic criteria (ADA 1997 and WHO 1998) in a 1996 community-based population study in Hong Kong Chinese. Hong Kong Cardiovascular Risk Factor Steering Committee. American Diabetes Association. Diabet Med. 2000, 17: 741-745. 10.1046/j.1464-5491.2000.00376.x.CrossRefPubMed
6.
Gu D, Reynolds K, Duan X, Xin X, Chen J, Wu X, Mo J, Whelton PK, He J, InterASIA Collaborative Group: Prevalence of diabetes and impaired fasting glucose in the Chinese adult population: International Collaborative Study of Cardiovascular Disease in Asia (InterASIA). Diabetologia. 2003, 46: 1190-1198. 10.1007/s00125-003-1167-8.CrossRefPubMed
7.
Wong KC, Wang Z: Prevalence of type 2 diabetes mellitus of Chinese populations in Mainland China, Hong Kong, and Taiwan. Diabetes Res Clin Pract. 2006, 73: 126-134. 10.1016/j.diabres.2006.01.007.CrossRefPubMed
8.
Chang HY, Yeh WT, Chang YH, Tsai KS, Pan WH: Prevalence of dyslipidemia and mean blood lipid values in Taiwan: results from the Nutrition and Health Survey in Taiwan (NAHSIT, 1993–1996). Chin J Physiol. 2002, 45: 187-197.PubMed
9.
Pan WH, Wu HJ, Yeh CJ, Chuang SY, Chang HY, Yeh NH, Hsieh YT: Diet and health trends in Taiwan: comparison of two nutrition and health surveys from 1993–1996 and 2005–2008. Asia Pac J Clin Nutr. 2011, 20 (2): 238-250.PubMed
10.
Tseng CH, Tseng CP, Chong CK, Huang TP, Song YM, Chou CW, Lai SM, Tai TY, Cheng JC: Increasing incidence of diagnosed type 2 diabetes in Taiwan: analysis of data from a national cohort. Diabetologia. 2006, 49: 1755-1760. 10.1007/s00125-006-0314-4.CrossRefPubMed
11.
Chang CH, Shau WY, Jiang YD, Li HY, Chang TJ, Sheu WH, Kwok CF, Ho LT, Chuang LM: Type 2 diabetes prevalence and incidence among adults in Taiwan during 1999–2004: a national health insurance data set study. Diabet Med. 2010, 27: 636-643. 10.1111/j.1464-5491.2010.03007.x.CrossRefPubMed
12.
Hsu CC, Lee CH, Wahlqvist ML, Huang HL, Chang HY, Chen L, Shih SF, Shin SJ, Tsai WC, Chen T, Huang CT, Cheng JS: Poverty increases type 2 diabetes incidence and inequality of care despite universal health coverage. Diabetes Care. 2012, 35 (11): 2286-2292. 10.2337/dc11-2052.CrossRefPubMedPubMedCentral
13.
14.
Liu IC, Fu LY: The application of policy dephi method in constructing evaluation indicators of national health insurance policy. Journal of State and Society. 2009, 6: 103-163.
15.
16.
Liu CY, Hung YT, Chuang YL, Chen YJ, Weng WS, Liu JS, Liang KY: Incorporating development stratification of Taiwan townships into sampling design of large scale health interview survey. J Heal Manag. 2006, 4: 1-22.
17.
Lin JD, Shieh WB, Huang MJ, Huang HS: Diabetes mellitus and hypertension based on the family history and 2-h postprandial blood sugar in the Ann-Lo district (northern Taiwan). Diabetes Res Clin Pract. 1993, 20: 75-85. 10.1016/0168-8227(93)90026-2.CrossRefPubMed
18.
Lu FH, Yang YC, Wu JS, Wu CH, Chang CJ: A population-based study of the prevalence and associated factors of diabetes mellitus in southern Taiwan. Diabet Med. 1998, 15: 564-572. 10.1002/(SICI)1096-9136(199807)15:7<564::AID-DIA615>3.0.CO;2-H.CrossRefPubMed
19.
Chou P, Li CL, Kuo HS, Hsiao KJ, Tsai ST: Comparison of the prevalence in two diabetes surveys in Pu-Li, Taiwan, 1987–1988 and 1991–1992. Diabetes Res Clin Pract. 1997, 38: 61-67. 10.1016/S0168-8227(97)00091-0.CrossRefPubMed
20.
Chen KT, Chen CJ, Gregg EW, Williamson DF, Narayan KM: High prevalence of impaired fasting glucose and type 2 diabetes mellitus in Penghu Islets, Taiwan: evidence of a rapidly emerging epidemic?. Diabetes Res Clin Pract. 1999, 44: 59-69. 10.1016/S0168-8227(99)00025-X.CrossRefPubMed
21.
Jansson SP, Andersson DK, Svardsudd K: Prevalence and incidence rate of diabetes mellitus in a Swedish community during 30 years of follow-up. Diabetologia. 2007, 50: 703-710. 10.1007/s00125-007-0593-4.CrossRefPubMed
22.
Mokdad AH, Ford ES, Bowman BA, Nelson DE, Engelgau MM, Vinicor F, Marks JS: Diabetes trends in the U.S.: 1990–1998. Diabetes Care. 2000, 23: 1278-1283. 10.2337/diacare.23.9.1278.CrossRefPubMed
23.
Lusignan S, Sismanidis C, Carey IM, DeWilde S, Richards N, Cook DG: Trends in the prevalence and management of diagnosed type 2 diabetes 1994–2001 in England and Wales. BMC Fam Pract. 2005, 6: 13-10.1186/1471-2296-6-13.CrossRefPubMedPubMedCentral
24.
Lipscombe LL, Hux JE: Trends in diabetes prevalence, incidence, and mortality in Ontario, Canada 1995–2005: a population-based study. Lancet. 2007, 369: 750-756. 10.1016/S0140-6736(07)60361-4.CrossRefPubMed
25.
26.
Wang Y, Mi J, Shan XY, Wang QJ, Ge KY: Is China facing an obesity epidemic and the consequences? The trends in obesity and chronic disease in China. Int J Obes (Lond). 2007, 31: 177-188. 10.1038/sj.ijo.0803354.CrossRef
27.
Chan JC, Malik V, Jia W, Kadowaki T, Yajnik CS, Yoon KH, Hu FB: Diabetes in Asia: epidemiology, risk factors, and pathophysiology. JAMA. 2009, 301: 2129-2140. 10.1001/jama.2009.726.CrossRefPubMed
28.
Bey L, Hamilton MT: Suppression of skeletal muscle lipoprotein lipase activity during physical inactivity: a molecular reason to maintain daily low-intensity activity. J Physiol. 2003, 551: 673-682. 10.1113/jphysiol.2003.045591.CrossRefPubMedPubMedCentral
29.
Hamilton MT, Hamilton DG, Zderic TW: Role of low energy expenditure and sitting in obesity, metabolic syndrome, type 2 diabetes, and cardiovascular disease. Diabetes. 2007, 56: 2655-2667. 10.2337/db07-0882.CrossRefPubMed
30.
Lee MS, Hsu CC, Wahlqvist ML, Tsai HN, Chang YH, Huang YC: Type 2 diabetes increases and metformin reduces total, colorectal, liver and pancreatic cancer incidences in Taiwanese: a representative population prospective cohort study of 800,000 individuals. BMC Cancer. 2011, 11: 20-10.1186/1471-2407-11-20.CrossRefPubMedPubMedCentral
31.
Hsu CC, Wahlqvist ML, Lee MS, Tsai HN: Incidence of dementia is increased in type 2 diabetes and reduced by the use of sulfonylureas and metformin. J Alzheimers Dis. 2011, 24 (3): 485-493.PubMed
32.
Wahlqvist ML, Lee MS, Hsu CC, Chuang SY, Lee JT, Tsai HN: Metformin-inclusive sulfonylurea therapy reduces the risk of Parkinson’s disease occurring with Type 2 diabetes in a Taiwanese population cohort. Parkinsonism Relat Disord. 2012, 18 (6): 753-758. 10.1016/j.parkreldis.2012.03.010.CrossRefPubMed
Metadata
Title
Time trend analysis of the prevalence and incidence of diagnosed type 2 diabetes among adults in Taiwan from 2000 to 2007: a population-based study
Authors
Cheng-Chieh Lin
Chia-Ing Li
Chih-Yi Hsiao
Chiu-Shong Liu
Sing-Yu Yang
Cheng-Chun Lee
Tsai-Chung Li
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2013
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-318

Other articles of this Issue 1/2013

BMC Public Health 1/2013 Go to the issue

Research article

Understanding critical health literacy: a concept analysis

Study protocol

A randomized control trial: training program of university students as health promoters

Research article

The epidemiology and surveillance response to pandemic influenza A (H1N1) among local health departments in the San Francisco Bay Area

Study protocol

Study of Health and Activity in Preschool Environments (SHAPES): Study protocol for a randomized trial evaluating a multi-component physical activity intervention in preschool children

Research article

The role of community conversations in facilitating local HIV competence: case study from rural Zimbabwe

Research article

Relationship between area-level socioeconomic characteristics and outdoor NO2concentrations in rural and urban areas of northern Spain