Evidence map›Paper›PMID 27833664›Full record

ReviewDiabetology & metabolic syndrome2016

Factors that could explain the increasing prevalence of type 2 diabetes among adults in a Canadian province: a critical review and analysis.

Véronique Thibault, Mathieu Bélanger, Emilie LeBlanc, Lise Babin, Stuart Halpine, Beverly Greene, Michelina Mancuso

Abstract readReview
In one paragraph

Review in Diabetology & metabolic syndrome, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Véronique ThibaultFaculty of Medicine and Health Sciences, Université de Sherbrooke, 2500 boul. de l'Université, Sherbrooke, QC J1K 2R1 Canada ; Centre de formation médicale du Nouveau-Brunswick, 100 Des Aboiteaux St, Moncton, NB E1A 7R1 Canada.
Mathieu BélangerFaculty of Medicine and Health Sciences, Université de Sherbrooke, 2500 boul. de l'Université, Sherbrooke, QC J1K 2R1 Canada ; Centre de formation médicale du Nouveau-Brunswick, 100 Des Aboiteaux St, Moncton, NB E1A 7R1 Canada ; Vitalité Health Network, 275 Main Street Suite 600, Bathurst, NB E2A 1A9 Canada ; 100 rue des Aboiteaux, Pavillon J.-Raymond Frenette, Moncton, NB E1A 3E9 Canada.
Emilie LeBlancFaculty of Medicine and Health Sciences, Université de Sherbrooke, 2500 boul. de l'Université, Sherbrooke, QC J1K 2R1 Canada ; Centre de formation médicale du Nouveau-Brunswick, 100 Des Aboiteaux St, Moncton, NB E1A 7R1 Canada.
Lise BabinFaculty of Medicine and Health Sciences, Université de Sherbrooke, 2500 boul. de l'Université, Sherbrooke, QC J1K 2R1 Canada ; Centre de formation médicale du Nouveau-Brunswick, 100 Des Aboiteaux St, Moncton, NB E1A 7R1 Canada ; Vitalité Health Network, 275 Main Street Suite 600, Bathurst, NB E2A 1A9 Canada.
Stuart HalpineNew Brunswick Department of Health, 520 King Street, Fredericton, NB E3B 6G3 Canada.
Beverly GreeneNew Brunswick Department of Health, 520 King Street, Fredericton, NB E3B 6G3 Canada.
Michelina MancusoNew Brunswick Health Council, 100 des Aboiteaux Street, Suite 2200, Moncton, NB E1A 7R1 Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of diabetes has increased since the last decade in New Brunswick. Identifying factors contributing to the increase in diabetes prevalence will help inform an action plan to manage the condition. The objective was to describe factors that could explain the increasing prevalence of type 2 diabetes in New Brunswick since 2001.

methodsA critical literature review was conducted to identify factors potentially responsible for an increase in prevalence of diabetes. Data from various sources were obtained to draw a repeated cross-sectional (2001-2014) description of these factors concurrently with changes in the prevalence of type 2 diabetes in New Brunswick. Linear regressions, Poisson regressions and Cochran Armitage analysis were used to describe relationships between these factors and time.

resultsFactors identified in the review were summarized in five categories: individual-level risk factors, environmental risk factors, evolution of the disease, detection effect and global changes. The prevalence of type 2 diabetes has increased by 120% between 2001 and 2014. The prevalence of obesity, hypertension, prediabetes, alcohol consumption, immigration and urbanization increased during the study period and the consumption of fruits and vegetables decreased which could represent potential factors of the increasing prevalence of type 2 diabetes. Physical activity, smoking, socioeconomic status and education did not present trends that could explain the increasing prevalence of type 2 diabetes. During the study period, the mortality rate and the conversion rate from prediabetes to diabetes decreased and the incidence rate increased. Suggestion of a detection effect was also present as the number of people tested increased while the HbA

conclusionsThis study presents a comprehensive overview of factors potentially responsible for population level changes in prevalence of type 2 diabetes. Recent increases in type 2 diabetes in New Brunswick may be attributable to a combination of some individual-level and environmental risk factors, the detection effect, the evolution of the disease and global changes.

Indexed as

Diabetes mellitusEpidemiologyFactorsPrevalenceTrendsType 2 diabetes

Identifiers

PMID27833664
PMCPMC5103368

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.