Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults

• DOI: 10.1007/s10654-013-9771-5
• Publication Date: 2013-02-13T09:25:57Z
• Authors: Ilhan Satman; Beyhan Omer; Yildiz Tutuncu; Sibel Kalaca; Selda Gedik; Nevin Dinccag; Kubilay Karsidag; Sema Genc; Aysegul Telci; Bulent Canbaz; Fulya Turker; Temel Yilmaz; Bekir Cakir; Jaakko Tuomilehto
• Keywords: Prediabetes; Impaired fasting glucose; Turkish population; Cross-sectional study

There is concern about an emerging diabetes epidemic in Turkey. We aimed to determine the prevalence of diagnosed and undiagnosed diabetes, prediabetes their 12-year trends identify risk factors for adult Turkish population. A cross-sectional, population-based survey, 'TURDEP-II' included 26,499 randomly sampled adults aged ≥ 20 years (response rate: 87 %). Fasting glucose biochemical parameters were measured all; then a OGTT was performed eligible participants. The 16.5 % (new 7.5 %), translating 6.5 million with It higher women than men (p = 0.008). age-standardized TURDEP-I population (performed 1997-98) 13.7 (if same diagnostic definition applied calculated 11.4 isolated-IFG impaired tolerance (IGT), combined 14.7, 7.9, 8.2 %, respectively; that obesity 36 hypertension 31.4 %. Compared TURDEP-I; rate increase diabetes: 90 IGT: 106 obesity: 40 central 35 but decreased by 11 during last 12 years. In age, waist, body mass index (BMI), hypertension, low education, living environment; BMI, independently associated increased diabetes. current smoking, being single reduced risk. These results from one largest nationally representative surveys carried out so far show has rapidly become major public health challenge figures are alarming underscore urgent need national programs prevent manage illness thus complications.