Factors that could explain the increasing prevalence of type 2 diabetes among adults in a Canadian province: a critical review and analysis
| Autor: | Lise Babin, Beverly Greene, Stuart Halpine, Emilie LeBlanc, Veronique Thibault, Michelina Mancuso, Mathieu Bélanger |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Gerontology
medicine.medical_specialty Epidemiology Endocrinology Diabetes and Metabolism 030209 endocrinology & metabolism Type 2 diabetes Disease Review Factors 03 medical and health sciences 0302 clinical medicine Diabetes mellitus Internal Medicine medicine Prevalence 030212 general & internal medicine Prediabetes Socioeconomic status lcsh:RC620-627 business.industry Mortality rate medicine.disease Obesity 3. Good health lcsh:Nutritional diseases. Deficiency diseases Trends business Demography |
| Zdroj: | Diabetology & Metabolic Syndrome, Vol 8, Iss 1, Pp 1-10 (2016) Diabetology & Metabolic Syndrome |
| ISSN: | 1758-5996 |
| Popis: | Background The 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. Methods A 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. Results Factors 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 HbA1c and the age at detection decreased. Period and birth cohort effect were also noted through a rise in the prevalence of type 2 diabetes across all age groups, but greater increases were observed among the younger cohorts. Conclusions This 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. |
| Databáze: | OpenAIRE |
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