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Effects of diabetes definition on global surveillance of diabetes prevalence and diagnosis: A pooled analysis of 96 population-based studies with 331 288 participants
Authors :
Danaei, G Fahimi, S Lu, Y Zhou, B Hajifathalian, K Cesare, MD Lo, W-C Reis-Santos, B Cowan, MJ Shaw, JE Bentham, J Lin, JK Bixby, H Magliano, D Bovet, P Miranda, JJ Khang, Y-H Stevens, GA Riley, LM Ali, MK Ezzati, M Abdeen, ZA Kadir, KA Abu-Rmeileh, NM Acosta-Cazares, B Aekplakorn, W Aguilar-Salinas, CA Ahmadvand, A Nsour, MA Alkerwi, A Amouyel, P Andersen, LB Anderssen, SA Andrade, DS Anjana, RM Aounallah-Skhiri, H Aris, T Arlappa, N Arveiler, D Assah, FK Avdicová, M Balakrishna, N Bandosz, P Barbagallo, CM Barceló, Alberto Batieha, AM Baur, LA Romdhane, HB Bernabe-Ortiz, A Bhargava, SK Bi, Y Bjerregaard, P Björkelund, C Blake, M Blokstra, A Bo, S Boehm, BO Boissonnet, CP Brajkovich, I Breckenkamp, J Brewster, LM Brian, GR Bruno, G Bugge, A de León, AC Can, G Cândido, APC Capuano, V Carvalho, MJ Casanueva, FF Caserta, CA Castetbon, K Chamukuttan, S Chaturvedi, N Chen, CJ Chen, F Chen, S Cheng, C-Y Chetrit, A Chiou, S-T Cho, Y Chudek, J Cifkova, R Claessens, F Concin, H Cooper, C Cooper, R Costanzo, S Cottel, D Cowell, C Crujeiras, AB D Arrigo, G Dallongeville, J Dankner, R Dauchet, L de Gaetano, G de Henauw, S Deepa, M Dehghan, A Dhana, K Di Castelnuovo, AF Djalalinia, S Doua, K Drygas, W Du, Y Egbagbe, EE Eggertsen, R Ati, JE Elosua, R Erasmus, RT Erem, C Ergor, G Eriksen, L Escobedo-de la Pe na, J Fall, CH Farzadfar, F Felix-Redondo, FJ Ferguson, TS Fernández-Bergés, D Ferrari, M Ferreccio, C Finn, JD Föger, B Foo, LH Fouad, HM Francis, DK do Carmo Franco, M Franco, OH Frontera, G Furusawa, T Gaciong, Z Galbarczyk, A Garnett, SP Gaspoz, J-M Gasull, M Gates, L Geleijnse, JM Ghasemain, A Giampaoli, S Gianfagna, F Giovannelli, J Gross, MG González Rivas, JP Gorbea, MB Gottrand, F Grant, JF Grodzicki, T Grøntved, A Gruden, G Gu, D Guan, OP Guerrero, R Guessous, I Guimaraes, AL Gutierrez, L Hardy, R Kumar, RH He, J Heidemann, C Hihtaniemi, IT Ho, SY Ho, SC Hofman, A Russo Horimoto, ARV Hormiga, CM Horta, BL Houti, L Hussieni, AS Huybrechts, I Hwalla, N Iacoviello, L Iannone, AG Ibrahim, MM Ikeda, N Ikram, AM Irazola, VE Islam, M Iwasaki, M Jacobs, JM Jafar, T Jasienska, G Jiang, CQ Jonas, JB Joshi, P Kafatos, A Kalter-Leibovici, O Kasaeian, A Katz, J Kaur, P Kavousi, M Kelishadi, R Kengne, AP Kersting, M Khader, YS Kiechl, S Kim, J Kiyohara, Y Kolsteren, P Korrovits, P Koskinen, S Kratzer, W Kromhout, D Kula, K Kurjata, P Kyobutungi, C Lachat, C Laid, Y Lam, TH Landrove, O Lanska, V Lappas, G Laxmaiah, A Leclercq, C Lee, J Lehtimäki, T Lekhraj, R León-Mu noz, LM Li, Y Lim, W-Y Fernanda Lima-Costa, M Lin, H-H Lin, X Lissner, L Lorbeer, R Lozano, JE Lundqvist, A Lytsy, P Ma, G Machado-Coelho, GLL Machi, S Maggi, S Makdisse, M Rao, KM Manios, Y Manzato, E Margozzini, P Marques-Vidal, P Martorell, R Masoodi, SR Matsha, TE Mbanya, JCN McFarlane, SR McGarvey, ST McLachlan, S McNulty, BA Mediene-Benchekor, S Meirhaeghe, A Menezes, AMB Merat, S Meshram, II Mi, J Miquel, JF Mohamed, MK Mohammad, K Mohan, V Yusoff, MFM Moller, NC Molnar, D Mondo, CK Moreno, LA Morgan, K Moschonis, G Mossakowska, M Mostafa, A Mota, J Muiesan, ML Müller-Nurasyid, M Mursu, J Nagel, G Namesna, J Nang, EEK Nangia, VB Navarrete-Mu noz, EM Ndiaye, NC Nervi, F Nguyen, ND Nieto-Martínez, RE Ning, G Ninomiya, T Noale, M Noto, D Ochoa-Avilés, AM Oh, K Onat, A Osmond, C Otero, JA Palmieri, L Panda-Jonas, S Panza, F Parsaeian, M Peixoto, SV Pereira, AC Peters, A Peykari, N Pilav, A Pitakaka, F Piwonska, A Piwonski, J Plans-Rubió, P Porta, M Portegies, MLP Poustchi, H Pradeepa, R Price, JF Punab, M Qasrawi, RF Qorbani, M Raitakari, O Rao, SR Ramachandran, A Ramos, R Rampal, S Rathmann, W Redon, J Reganit, PFM Rigo, F Robinson, SM Robitaille, C Rodríguez, LA Rodríguez-Artalejo, F Rodriguez-Perez, MDC Rojas-Martinez, R Romaguera, D Rosengren, A Rubinstein, A Rui, O Ruiz-Betancourt, BS Rutkowski, M Sabanayagam, C Sachdev, HS Saidi, O Sakarya, S Salanave, B Salonen, JT Salvetti, M Sánchez-Abanto, J dos Santos, RN Santos, R Sardinha, LB Scazufca, M Schargrodsky, H Scheidt-Nave, C Shibuya, K Shin, Y Shiri, R Siantar, R Sibai, AM Simon, M Simons, J Simons, LA Sjostrom, M Slowikowska-Hilczer, J Slusarczyk, P Smeeth, L Snijder, MB Solfrizzi, V Sonestedt, E Soumare, A Staessen, JA Steene-Johannessen, J Stehle, P Stein, AD Stessman, J Stöckl, D Stokwiszewski, J Strufaldi, MW Sun, C-A Sundström, J Suriyawongpaisal, P Sy, RG Tai, ES Tarawneh, M Tarqui-Mamani, CB Thijs, L Tolstrup, JS Topbas, M Torrent, M Traissac, P Trinh, OTH Tulloch-Reid, MK Tuomainen, T-P Turley, ML Tzourio, C Ueda, P Ukoli, FM Ulmer, H Valdivia, G van Valkengoed, IGM Vanderschueren, D Vanuzzo, D Vega, T Velasquez-Melendez, G Veronesi, G Verschuren, M Vioque, J Virtanen, J Visvikis-Siest, S Viswanathan, B Vollenweider, P Voutilainen, S Wade, AN Wagner, A Walton, J Mohamud, WNW Wang, M-D Wang, YX Wannamethee, SG Weerasekera, D Whincup, PH Widhalm, K Wiecek, A Wilks, RJ Willeit, J Wojtyniak, B Wong, TY Woo, J Woodward, M Wu, AG Wu, FC Wu, SL Xu, H Yang, X Ye, X Yoshihara, A Younger-Coleman, NO Zambon, S Zargar, AH Zdrojewski, T Zhao, W Zheng, Y Danaei, G Fahimi, S Lu, Y Zhou, B Hajifathalian, K Cesare, MD Lo, W-C Reis-Santos, B Cowan, MJ Shaw, JE Bentham, J Lin, JK Bixby, H Magliano, D Bovet, P Miranda, JJ Khang, Y-H Stevens, GA Riley, LM Ali, MK Ezzati, M Abdeen, ZA Kadir, KA Abu-Rmeileh, NM Acosta-Cazares, B Aekplakorn, W Aguilar-Salinas, CA Ahmadvand, A Nsour, MA Alkerwi, A Amouyel, P Andersen, LB Anderssen, SA Andrade, DS Anjana, RM Aounallah-Skhiri, H Aris, T Arlappa, N Arveiler, D Assah, FK Avdicová, M Balakrishna, N Bandosz, P Barbagallo, CM Barceló, Alberto Batieha, AM Baur, LA Romdhane, HB Bernabe-Ortiz, A Bhargava, SK Bi, Y Bjerregaard, P Björkelund, C Blake, M Blokstra, A Bo, S Boehm, BO Boissonnet, CP Brajkovich, I Breckenkamp, J Brewster, LM Brian, GR Bruno, G Bugge, A de León, AC Can, G Cândido, APC Capuano, V Carvalho, MJ Casanueva, FF Caserta, CA Castetbon, K Chamukuttan, S Chaturvedi, N Chen, CJ Chen, F Chen, S Cheng, C-Y Chetrit, A Chiou, S-T Cho, Y Chudek, J Cifkova, R Claessens, F Concin, H Cooper, C Cooper, R Costanzo, S Cottel, D Cowell, C Crujeiras, AB D Arrigo, G Dallongeville, J Dankner, R Dauchet, L de Gaetano, G de Henauw, S Deepa, M Dehghan, A Dhana, K Di Castelnuovo, AF Djalalinia, S Doua, K Drygas, W Du, Y Egbagbe, EE Eggertsen, R Ati, JE Elosua, R Erasmus, RT Erem, C Ergor, G Eriksen, L Escobedo-de la Pe na, J Fall, CH Farzadfar, F Felix-Redondo, FJ Ferguson, TS Fernández-Bergés, D Ferrari, M Ferreccio, C Finn, JD Föger, B Foo, LH Fouad, HM Francis, DK do Carmo Franco, M Franco, OH Frontera, G Furusawa, T Gaciong, Z Galbarczyk, A Garnett, SP Gaspoz, J-M Gasull, M Gates, L Geleijnse, JM Ghasemain, A Giampaoli, S Gianfagna, F Giovannelli, J Gross, MG González Rivas, JP Gorbea, MB Gottrand, F Grant, JF Grodzicki, T Grøntved, A Gruden, G Gu, D Guan, OP Guerrero, R Guessous, I Guimaraes, AL Gutierrez, L Hardy, R Kumar, RH He, J Heidemann, C Hihtaniemi, IT Ho, SY Ho, SC Hofman, A Russo Horimoto, ARV Hormiga, CM Horta, BL Houti, L Hussieni, AS Huybrechts, I Hwalla, N Iacoviello, L Iannone, AG Ibrahim, MM Ikeda, N Ikram, AM Irazola, VE Islam, M Iwasaki, M Jacobs, JM Jafar, T Jasienska, G Jiang, CQ Jonas, JB Joshi, P Kafatos, A Kalter-Leibovici, O Kasaeian, A Katz, J Kaur, P Kavousi, M Kelishadi, R Kengne, AP Kersting, M Khader, YS Kiechl, S Kim, J Kiyohara, Y Kolsteren, P Korrovits, P Koskinen, S Kratzer, W Kromhout, D Kula, K Kurjata, P Kyobutungi, C Lachat, C Laid, Y Lam, TH Landrove, O Lanska, V Lappas, G Laxmaiah, A Leclercq, C Lee, J Lehtimäki, T Lekhraj, R León-Mu noz, LM Li, Y Lim, W-Y Fernanda Lima-Costa, M Lin, H-H Lin, X Lissner, L Lorbeer, R Lozano, JE Lundqvist, A Lytsy, P Ma, G Machado-Coelho, GLL Machi, S Maggi, S Makdisse, M Rao, KM Manios, Y Manzato, E Margozzini, P Marques-Vidal, P Martorell, R Masoodi, SR Matsha, TE Mbanya, JCN McFarlane, SR McGarvey, ST McLachlan, S McNulty, BA Mediene-Benchekor, S Meirhaeghe, A Menezes, AMB Merat, S Meshram, II Mi, J Miquel, JF Mohamed, MK Mohammad, K Mohan, V Yusoff, MFM Moller, NC Molnar, D Mondo, CK Moreno, LA Morgan, K Moschonis, G Mossakowska, M Mostafa, A Mota, J Muiesan, ML Müller-Nurasyid, M Mursu, J Nagel, G Namesna, J Nang, EEK Nangia, VB Navarrete-Mu noz, EM Ndiaye, NC Nervi, F Nguyen, ND Nieto-Martínez, RE Ning, G Ninomiya, T Noale, M Noto, D Ochoa-Avilés, AM Oh, K Onat, A Osmond, C Otero, JA Palmieri, L Panda-Jonas, S Panza, F Parsaeian, M Peixoto, SV Pereira, AC Peters, A Peykari, N Pilav, A Pitakaka, F Piwonska, A Piwonski, J Plans-Rubió, P Porta, M Portegies, MLP Poustchi, H Pradeepa, R Price, JF Punab, M Qasrawi, RF Qorbani, M Raitakari, O Rao, SR Ramachandran, A Ramos, R Rampal, S Rathmann, W Redon, J Reganit, PFM Rigo, F Robinson, SM Robitaille, C Rodríguez, LA Rodríguez-Artalejo, F Rodriguez-Perez, MDC Rojas-Martinez, R Romaguera, D Rosengren, A Rubinstein, A Rui, O Ruiz-Betancourt, BS Rutkowski, M Sabanayagam, C Sachdev, HS Saidi, O Sakarya, S Salanave, B Salonen, JT Salvetti, M Sánchez-Abanto, J dos Santos, RN Santos, R Sardinha, LB Scazufca, M Schargrodsky, H Scheidt-Nave, C Shibuya, K Shin, Y Shiri, R Siantar, R Sibai, AM Simon, M Simons, J Simons, LA Sjostrom, M Slowikowska-Hilczer, J Slusarczyk, P Smeeth, L Snijder, MB Solfrizzi, V Sonestedt, E Soumare, A Staessen, JA Steene-Johannessen, J Stehle, P Stein, AD Stessman, J Stöckl, D Stokwiszewski, J Strufaldi, MW Sun, C-A Sundström, J Suriyawongpaisal, P Sy, RG Tai, ES Tarawneh, M Tarqui-Mamani, CB Thijs, L Tolstrup, JS Topbas, M Torrent, M Traissac, P Trinh, OTH Tulloch-Reid, MK Tuomainen, T-P Turley, ML Tzourio, C Ueda, P Ukoli, FM Ulmer, H Valdivia, G van Valkengoed, IGM Vanderschueren, D Vanuzzo, D Vega, T Velasquez-Melendez, G Veronesi, G Verschuren, M Vioque, J Virtanen, J Visvikis-Siest, S Viswanathan, B Vollenweider, P Voutilainen, S Wade, AN Wagner, A Walton, J Mohamud, WNW Wang, M-D Wang, YX Wannamethee, SG Weerasekera, D Whincup, PH Widhalm, K Wiecek, A Wilks, RJ Willeit, J Wojtyniak, B Wong, TY Woo, J Woodward, M Wu, AG Wu, FC Wu, SL Xu, H Yang, X Ye, X Yoshihara, A Younger-Coleman, NO Zambon, S Zargar, AH Zdrojewski, T Zhao, W Zheng, Y
Publication Year :
2015
Abstract
Background Diabetes has been defined on the basis of different biomarkers, including fasting plasma glucose (FPG), 2-h plasma glucose in an oral glucose tolerance test (2hOGTT), and HbA1c. We assessed the effect of different diagnostic definitions on both the population prevalence of diabetes and the classification of previously undiagnosed individuals as having diabetes versus not having diabetes in a pooled analysis of data from population-based health examination surveys in different regions. Methods We used data from 96 population-based health examination surveys that had measured at least two of the biomarkers used for defining diabetes. Diabetes was defined using HbA1c (HbA1c ≥6·5% or history of diabetes diagnosis or using insulin or oral hypoglycaemic drugs) compared with either FPG only or FPG-or-2hOGTT definitions (FPG ≥7·0 mmol/L or 2hOGTT ≥11·1 mmol/L or history of diabetes or using insulin or oral hypoglycaemic drugs). We calculated diabetes prevalence, taking into account complex survey design and survey sample weights. We compared the prevalences of diabetes using different definitions graphically and by regression analyses. We calculated sensitivity and specificity of diabetes diagnosis based on HbA1c compared with diagnosis based on glucose among previously undiagnosed individuals (ie, excluding those with history of diabetes or using insulin or oral hypoglycaemic drugs). We calculated sensitivity and specificity in each survey, and then pooled results using a random-effects model. We assessed the sources of heterogeneity of sensitivity by meta-regressions for study characteristics selected a priori. Findings Population prevalence of diabetes based on FPG-or-2hOGTT was correlated with prevalence based on FPG alone (r=0·98), but was higher by 2–6 percentage points at different prevalence levels. Prevalence based on HbA1c was lower than prevalence based on FPG in 42·8% of age–sex–survey groups and higher in another 41·6%; in the other 15·6%, the two de
Details
Database :
OAIster
Notes :
text, English
Publication Type :
Electronic Resource
Accession number :
edsoai.on1367173613
Document Type :
Electronic Resource