PMID- 25256018 OWN - NLM STAT- MEDLINE DCOM- 20160412 LR - 20221207 IS - 1873-460X (Electronic) IS - 1056-8727 (Linking) VI - 29 IP - 1 DP - 2015 Jan-Feb TI - Prevalence of microvascular diseases among tertiary care Chinese with early versus late onset of type 2 diabetes. PG - 32-7 LID - S1056-8727(14)00256-6 [pii] LID - 10.1016/j.jdiacomp.2014.08.010 [doi] AB - AIMS: This study aimed to investigate the impact of early-onset diabetes on the risk of microvascular diseases in Chinese with type 2 diabetes mellitus (T2DM). METHODS: A cross sectional survey of 29,442 patients with T2DM in 77 tertiary hospitals in China was conducted in 2011. Early-onset diabetes was defined as diagnosis of diabetes before 40years of age. Microvascular complications and risk factors were documented. Prevalence of microvascular disease was standardized to the Chinese population in 2010. Logistic regression analysis was performed to obtain odds ratios (OR) for early versus late onset of T2DM. RESULTS: A total of 1,303 (4.4%) patients had nephropathy, 2,137 (7.3%) had retinopathy and 3,012 (10.2%) had either of them. Early-onset diabetes greatly increased the prevalence of microvascular diseases compared with late-onset diabetes (nephropathy: 5.1% vs. 1.5%; retinopathy: 7.1% vs. 2.7%; either: 9.7% vs. 3.6%), especially among patients from 45 to 59years of age. After adjusting for age and sex, patients with early-onset T2DM were at 1.69-fold (95% CI 1.46-1.95) higher risk of microvascular diseases than those with late-onset T2DM. However, this was not significant after adjusting for traditional risk factors and disease duration (p=0.162). CONCLUSION: Chinese patients with early-onset T2DM are at a marked increased risk of microvascular diseases. CI - Copyright (c) 2015 Elsevier Inc. All rights reserved. FAU - Li, Ling AU - Li L AD - Department of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical University, Tianjin, China. FAU - Ji, Linong AU - Ji L AD - Department of Endocrinology and metabolism, Peking University People's Hospital, Beijing, China. FAU - Guo, Xiaohui AU - Guo X AD - Department of Endocrinology, Peking University First Hospital, Beijing, China. FAU - Ji, Qiuhe AU - Ji Q AD - Department of Endocrinology, Xijing Hospital affiliated to 4th Military Medical University, Xi'an, China. FAU - Gu, Weijun AU - Gu W AD - Department of Endocrinology, Chinese PLA General Hospital, Beijing, China. FAU - Zhi, Xinyue AU - Zhi X AD - Department of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical University, Tianjin, China. FAU - Li, Xing AU - Li X AD - Department of Endocrinology, The Second Hospital of Shanxi Medical University, Taiyuan, China. FAU - Kuang, Hongyu AU - Kuang H AD - Department of Endocrinology, The First Affiliated Hospital of Harbin Medical University, Harbin, China. FAU - Su, Benli AU - Su B AD - Department of Endocrinology, The Second Affiliated Hospital of Dalian Medical University, Dalian, China. FAU - Yan, Jinhua AU - Yan J AD - Department of Endocrinology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China. FAU - Yang, Xilin AU - Yang X AD - Department of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical University, Tianjin, China. Electronic address: yxl@hotmail.com. LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20140903 PL - United States TA - J Diabetes Complications JT - Journal of diabetes and its complications JID - 9204583 SB - IM MH - Adult MH - Age Distribution MH - *Age of Onset MH - Asian People/statistics & numerical data MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/diagnosis/*epidemiology MH - Diabetic Angiopathies/diagnosis/*epidemiology MH - Diabetic Nephropathies/diagnosis/*epidemiology MH - Diabetic Retinopathy/diagnosis/epidemiology MH - Female MH - Follow-Up Studies MH - Humans MH - Logistic Models MH - Male MH - Odds Ratio MH - Prevalence MH - Severity of Illness Index MH - Sex Distribution MH - Tertiary Care Centers OTO - NOTNLM OT - Chinese OT - Early-onset OT - Microvascular diseases OT - Prevalence OT - Type 2 diabetes mellitus EDAT- 2014/09/27 06:00 MHDA- 2016/04/14 06:00 CRDT- 2014/09/27 06:00 PHST- 2014/06/26 00:00 [received] PHST- 2014/08/01 00:00 [revised] PHST- 2014/08/21 00:00 [accepted] PHST- 2014/09/27 06:00 [entrez] PHST- 2014/09/27 06:00 [pubmed] PHST- 2016/04/14 06:00 [medline] AID - S1056-8727(14)00256-6 [pii] AID - 10.1016/j.jdiacomp.2014.08.010 [doi] PST - ppublish SO - J Diabetes Complications. 2015 Jan-Feb;29(1):32-7. doi: 10.1016/j.jdiacomp.2014.08.010. Epub 2014 Sep 3.