PMID- 27282985 OWN - NLM STAT- MEDLINE DCOM- 20170731 LR - 20220331 IS - 1753-0407 (Electronic) IS - 1753-0407 (Linking) VI - 9 IP - 5 DP - 2017 May TI - Secular trends in the prevalence of type 2 diabetes in adults in China from 1995 to 2014: A meta-analysis. PG - 450-461 LID - 10.1111/1753-0407.12440 [doi] AB - BACKGROUND: The aim of the present study was to estimate trends in the prevalence of type 2 diabetes mellitus (T2DM) in adults in China. METHODS: A systematic search was conducted for studies of T2DM prevalence in adults in China from 2000 to 2014. Pooled prevalence was calculated by a random-effects model. Subgroup and sensitivity analyses were performed. Chi-squared and Cochran-Mantel-Haenszel tests were used to assess differences among subgroups and pooled prevalence, respectively. RESULTS: Forty-six studies (data from 1995 to 2014; 1 463 079 adults) were included in the meta-analysis. The overall prevalence of T2DM was 7.9 %. The pooled prevalence overall and by location (urban and rural), gender (male and female), and age category (18-39, 40-59, and >/=60 years) was 4.5 %, 5.1 % and 3.0 %, 4.0 % and 4.2 %, and 1.4 %, 5.0 %, and 10.3 %, respectively, from 1995 to 1999; 6.6 %, 9.3 % and 5.6 %, 7.4 % and 7.5 %, and 1.8 %, 5.9 %, and 12.4 %, respectively, from 2000 to 2004; 10.3 %, 11.8 % and 6.8 %, 10.0 % and 8.6 %, and 2.8 %, 10.3 %, and 20.0 %, respectively, from 2005 to 2009; and 8.3 %, 12.5 % and 7.6 %, 8.6 % and 8.0 %, and 3.5 %, 8.5 %, and 15.3 %, respectively, from 2010 to 2014. The prevalence increased from 5.8 % to 11.6 % with per-capita gross domestic product and differed by diagnostic criteria. CONCLUSIONS: There was a trend of increasing prevalence of T2DM in adults in China from 1995 to 2009, with a decrease in 2010-14 and a greater increase over time in urban versus rural areas, males versus females, and older versus younger adults. CI - (c) 2016 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd. FAU - Han, Chengyi AU - Han C AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. AD - Department of Prevention and Health Care, The Affiliated Luohu Hospital of Shenzhen University Health Sciences Center, Shenzhen, China. AD - Department of Preventive Medicine, Shenzhen University Health Sciences Center, Shenzhen, China. FAU - Zhang, Ming AU - Zhang M AD - Department of Preventive Medicine, Shenzhen University Health Sciences Center, Shenzhen, China. FAU - Luo, Xinping AU - Luo X AD - Department of Preventive Medicine, Shenzhen University Health Sciences Center, Shenzhen, China. FAU - Wang, Chongjian AU - Wang C AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. FAU - Yin, Lei AU - Yin L AD - Department of Prevention and Health Care, Military Hospital of Henan Province, Zhengzhou, China. FAU - Pang, Chao AU - Pang C AD - Department of Prevention and Health Care, Military Hospital of Henan Province, Zhengzhou, China. FAU - Feng, Tianping AU - Feng T AD - Department of Prevention and Health Care, Military Hospital of Henan Province, Zhengzhou, China. FAU - Ren, Yongcheng AU - Ren Y AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. AD - Department of Preventive Medicine, Shenzhen University Health Sciences Center, Shenzhen, China. FAU - Wang, Bingyuan AU - Wang B AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. AD - Department of Preventive Medicine, Shenzhen University Health Sciences Center, Shenzhen, China. FAU - Zhang, Lu AU - Zhang L AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. FAU - Li, Linlin AU - Li L AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. FAU - Yang, Xiangyu AU - Yang X AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. FAU - Zhang, Hongyan AU - Zhang H AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. FAU - Zhao, Yang AU - Zhao Y AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. FAU - Zhou, Junmei AU - Zhou J AD - Department of Preventive Medicine, Shenzhen University Health Sciences Center, Shenzhen, China. FAU - Xie, Zhihui AU - Xie Z AD - Intensive Care Unit, Zhoukou City Central Hospital, Zhoukou, China. FAU - Zhao, Jingzhi AU - Zhao J AD - Department of Prevention and Health Care, Military Hospital of Henan Province, Zhengzhou, China. FAU - Hu, Dongsheng AU - Hu D AD - Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. AD - Department of Prevention and Health Care, The Affiliated Luohu Hospital of Shenzhen University Health Sciences Center, Shenzhen, China. AD - Department of Preventive Medicine, Shenzhen University Health Sciences Center, Shenzhen, China. LA - eng PT - Journal Article PT - Meta-Analysis DEP - 20160822 PL - Australia TA - J Diabetes JT - Journal of diabetes JID - 101504326 SB - IM MH - Adolescent MH - Adult MH - Age Factors MH - Aged MH - Chi-Square Distribution MH - China/epidemiology MH - Diabetes Mellitus, Type 2/*diagnosis/*epidemiology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Prevalence MH - Rural Health/*statistics & numerical data/trends MH - Sex Factors MH - Urban Health/*statistics & numerical data/trends MH - Young Adult OTO - NOTNLM OT - 2型糖尿病 OT - meta-analysis OT - meta分析 OT - prevalence OT - type 2 diabetes OT - 患病率 EDAT- 2016/06/11 06:00 MHDA- 2017/08/02 06:00 CRDT- 2016/06/11 06:00 PHST- 2016/01/15 00:00 [received] PHST- 2016/06/01 00:00 [revised] PHST- 2016/06/07 00:00 [accepted] PHST- 2016/06/11 06:00 [pubmed] PHST- 2017/08/02 06:00 [medline] PHST- 2016/06/11 06:00 [entrez] AID - 10.1111/1753-0407.12440 [doi] PST - ppublish SO - J Diabetes. 2017 May;9(5):450-461. doi: 10.1111/1753-0407.12440. Epub 2016 Aug 22.