ArticlePloS one2012
Predictors of diabetes in older people in urban China.
Article in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 24 citations in OpenAlex.
- Possible sarcopenia and risk of new-onset type 2 diabetes mellitus in older adults in China: a 7-year longitudinal cohort study.BMC geriatrics · 2023Article
- Impact of Older Age Adiposity on Incident Diabetes: A Community-Based Cohort Study in China.Diabetes & metabolism journal · 2022Article
- Out-of-Home Activities and Health in Older Adults: A Scoping Review.OTJR : occupation, participation and health · 2021Article
- Association between socioeconomic status and incident stroke in China.Journal of epidemiology and community health · 2020Article
- Incidence and risk factors for type 2 diabetes mellitus in transitional Thailand: results from the Thai cohort study.BMJ open · 2016Article
- Prediction of the 20-year incidence of diabetes in older Chinese: Application of the competing risk method in a longitudinal study.Medicine · 2016Observational
- Awareness, treatment, control of diabetes mellitus and the risk factors: survey results from northeast China.PloS one · 2014Article
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundChina has the largest number of people with diabetes in the world. Over the last 30 years China has experienced rapid economic growth and a growing income gap between rich and poor. The population is ageing, however diabetes in older people has not been well studied to date. In this study we determined incidence and predictors of diabetes in older Chinese people.
methodsDuring 2001, using a standard interview method, we examined 1,317 adults aged ≥65 years who did not have diabetes in the city of Hefei, and characterized baseline risk factors. Over 7.5 years of follow up, we documented incident diabetes using self-reported doctor diagnosis and the cause of death in the whole cohort, and HbA(1C) ≥48 mmol/mol in a nested case-control sample. A multivariate Cox regression model was employed to investigate risk of diabetes in relation to baseline risk factors.
resultsDuring follow up, 119 persons had newly diagnosed diabetes. World age-standardised incidence of diabetes was 24.5 (95% CI 19.5-29.5) per 1,000 person-years. Risk of diabetes was significantly and positively associated with income, waist circumference and body mass index, smoking and uncontrolled hypertension, but negatively associated with having a hobby of walking and frequency of visiting children/other relatives and contacting neighbours/friends. Higher income was significantly associated with increased diabetes risk regardless of cardiovascular and psychosocial risk factors. Compared to those with middle income and no psychosocial risk factors, the hazard ratio for incident diabetes among participants with high income and psychosocial risk was 2.13 (95% CI 1.02-4.45).
conclusionsIncreasing incidence of diabetes in relation to high income has become an important public health issue in China. Maintaining social networks and gentle physical activities and reducing psychosocial factors may be integrated into current multi-faceted preventive strategies for curbing the epidemic of diabetes in the older population.
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