PMID- 29219149 OWN - NLM STAT- MEDLINE DCOM- 20190708 LR - 20220410 IS - 1759-5037 (Electronic) IS - 1759-5029 (Linking) VI - 14 IP - 2 DP - 2018 Feb TI - Global aetiology and epidemiology of type 2 diabetes mellitus and its complications. PG - 88-98 LID - 10.1038/nrendo.2017.151 [doi] AB - Globally, the number of people with diabetes mellitus has quadrupled in the past three decades, and diabetes mellitus is the ninth major cause of death. About 1 in 11 adults worldwide now have diabetes mellitus, 90% of whom have type 2 diabetes mellitus (T2DM). Asia is a major area of the rapidly emerging T2DM global epidemic, with China and India the top two epicentres. Although genetic predisposition partly determines individual susceptibility to T2DM, an unhealthy diet and a sedentary lifestyle are important drivers of the current global epidemic; early developmental factors (such as intrauterine exposures) also have a role in susceptibility to T2DM later in life. Many cases of T2DM could be prevented with lifestyle changes, including maintaining a healthy body weight, consuming a healthy diet, staying physically active, not smoking and drinking alcohol in moderation. Most patients with T2DM have at least one complication, and cardiovascular complications are the leading cause of morbidity and mortality in these patients. This Review provides an updated view of the global epidemiology of T2DM, as well as dietary, lifestyle and other risk factors for T2DM and its complications. FAU - Zheng, Yan AU - Zheng Y AD - State Key Laboratory of Genetic Engineering, School of Life Sciences, Fudan University, 2005 Songhu Road, Shanghai, China. AD - Department of Nutrition, Harvard T.H. Chan School of Public Health, 2005 Songhu Road, Shanghai, China. FAU - Ley, Sylvia H AU - Ley SH AD - Department of Nutrition, Harvard T.H. Chan School of Public Health, 2005 Songhu Road, Shanghai, China. AD - Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, 181 Longwood Avenue, Boston, Massachusetts 02115, USA. FAU - Hu, Frank B AU - Hu FB AD - Department of Nutrition, Harvard T.H. Chan School of Public Health, 2005 Songhu Road, Shanghai, China. AD - Department of Epidemiology, Harvard T.H. Chan School of Public Health, 665 Huntington Avenue, Boston, Massachusetts 02115, USA. AD - Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, 181 Longwood Avenue, Boston, Massachusetts 02115, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20171208 PL - England TA - Nat Rev Endocrinol JT - Nature reviews. Endocrinology JID - 101500078 SB - IM MH - *Diabetes Complications/epidemiology/etiology/prevention & control MH - Diabetes Mellitus, Type 2/*epidemiology/etiology/therapy MH - *Diet MH - *Disease Management MH - Global Health MH - Humans MH - *Life Style MH - Morbidity/trends MH - Risk Factors EDAT- 2017/12/09 06:00 MHDA- 2019/07/10 06:00 CRDT- 2017/12/09 06:00 PHST- 2017/12/09 06:00 [pubmed] PHST- 2019/07/10 06:00 [medline] PHST- 2017/12/09 06:00 [entrez] AID - nrendo.2017.151 [pii] AID - 10.1038/nrendo.2017.151 [doi] PST - ppublish SO - Nat Rev Endocrinol. 2018 Feb;14(2):88-98. doi: 10.1038/nrendo.2017.151. Epub 2017 Dec 8.