Prevalence and determinants of diabetes mellitus in a representative sample of Italian adults
<p><strong>PREVALENCE AND DETERMINANTS OF DIABETES MELLITUS IN A REPRESENTATIVE SAMPLE OF ITALIAN ADULTS</strong></p><p><strong><br /></strong></p><p><strong>Background:</strong> Diabetes mellitus is a dramatic epidemic worldwid...
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| Format: | Article |
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Milano University Press
2014-11-01
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| Series: | Epidemiology, Biostatistics and Public Health |
| Online Access: | http://ebph.it/article/view/9980 |
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| author | Rosario Asciutto Alessandra Lugo Silvano Gallus Maria Carla Roncaglioni Carlo La Vecchia Cristina Bosetti |
| author_facet | Rosario Asciutto Alessandra Lugo Silvano Gallus Maria Carla Roncaglioni Carlo La Vecchia Cristina Bosetti |
| author_sort | Rosario Asciutto |
| collection | DOAJ |
| description | <p><strong>PREVALENCE AND DETERMINANTS OF DIABETES MELLITUS IN A REPRESENTATIVE SAMPLE OF ITALIAN ADULTS</strong></p><p><strong><br /></strong></p><p><strong>Background:</strong> Diabetes mellitus is a dramatic epidemic worldwide. This study providea an updated estimate of itsprevalence and determinants among Italian adults.</p><p><strong>Methods:</strong> Data were derived from a face-to-face survey conducted in 2013 on 2901 individuals (1391 men, 1510 women) aged ≥18 years, representative of the general adult Italian population. Odds ratios (OR) for diabetes <em>versus </em>non diabetes in relation to selected risk factors were derived using multiple logistic regression models.</p><p><strong>Results:</strong> Overall, 135 out of 2901 adults (4.7%) reported a diagnosis of diabetes, with similar prevalence in men (4.8%) and in women (4.5%). Diabetes increased with age (0.6% at age 18-44, 5.1% at age 45-64, and 11.3% at age ≥65 years; p-trend <0.001) and decreased with increasing level of education (12.8% for low, 7.8% for middle, and 1.4% for high education; p-trend <0.001). Prevalence was higher among obese subjects (10.8%) compared to normal weight subjects (3.1%; OR=2.46; p-trend=0.001), among individuals reporting a physical activity <30 minutes of walk/day (5.6%) compared to those reporting >60 minutes of walk/day (3.8%; OR=1.43), and among ex-smokers (11.6%) compared to never smokers (4.2%; OR=2.51); moreover, it was lower among moderate drinkers (3.1%) than among abstainers (6.1%; OR=0.57; p-trend=0.016). Prevalence of diabetes was 16.1% in individuals with a diagnosis of hypertension (OR=4.66), 15.2% in those with high cholesterol (OR=3.84), and 21.6% among aspirin users (OR=4.46).</p><p><strong>Conclusion:</strong> Although diabetes prevalence in Italy is still comparatively low, effective clinical and preventive intervention strategies – focused on major risk behaviors – should be implemented to control the diffusion of this condition.<strong></strong></p> |
| format | Article |
| id | doaj-art-bb70a56aacd94a29aca3c2b2b74cccac |
| institution | DOAJ |
| issn | 2282-0930 |
| language | English |
| publishDate | 2014-11-01 |
| publisher | Milano University Press |
| record_format | Article |
| series | Epidemiology, Biostatistics and Public Health |
| spelling | doaj-art-bb70a56aacd94a29aca3c2b2b74cccac2025-08-20T03:22:50ZengMilano University PressEpidemiology, Biostatistics and Public Health2282-09302014-11-0111410.2427/998010223Prevalence and determinants of diabetes mellitus in a representative sample of Italian adultsRosario Asciutto0Alessandra Lugo1Silvano Gallus2Maria Carla Roncaglioni3Carlo La Vecchia4Cristina Bosetti5Department of Sciences for the Health Promotion and Mother and Child Care "G. D'Alessandro", Hygiene Section, University of Palermo, Palermo, ItalyDepartment of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, ItalyDepartment of Epidemiology, IRCCS - Istituto di Ricerche Farmacologiche “Mario Negri”, Milan, ItalyDepartment of Cardiovascular Research, IRCCS - Istituto di Ricerche Farmacologiche “Mario Negri”, Milan, ItalyDepartment of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, ItalyDepartment of Epidemiology, IRCCS - Istituto di Ricerche Farmacologiche “Mario Negri”, Milan, Italy<p><strong>PREVALENCE AND DETERMINANTS OF DIABETES MELLITUS IN A REPRESENTATIVE SAMPLE OF ITALIAN ADULTS</strong></p><p><strong><br /></strong></p><p><strong>Background:</strong> Diabetes mellitus is a dramatic epidemic worldwide. This study providea an updated estimate of itsprevalence and determinants among Italian adults.</p><p><strong>Methods:</strong> Data were derived from a face-to-face survey conducted in 2013 on 2901 individuals (1391 men, 1510 women) aged ≥18 years, representative of the general adult Italian population. Odds ratios (OR) for diabetes <em>versus </em>non diabetes in relation to selected risk factors were derived using multiple logistic regression models.</p><p><strong>Results:</strong> Overall, 135 out of 2901 adults (4.7%) reported a diagnosis of diabetes, with similar prevalence in men (4.8%) and in women (4.5%). Diabetes increased with age (0.6% at age 18-44, 5.1% at age 45-64, and 11.3% at age ≥65 years; p-trend <0.001) and decreased with increasing level of education (12.8% for low, 7.8% for middle, and 1.4% for high education; p-trend <0.001). Prevalence was higher among obese subjects (10.8%) compared to normal weight subjects (3.1%; OR=2.46; p-trend=0.001), among individuals reporting a physical activity <30 minutes of walk/day (5.6%) compared to those reporting >60 minutes of walk/day (3.8%; OR=1.43), and among ex-smokers (11.6%) compared to never smokers (4.2%; OR=2.51); moreover, it was lower among moderate drinkers (3.1%) than among abstainers (6.1%; OR=0.57; p-trend=0.016). Prevalence of diabetes was 16.1% in individuals with a diagnosis of hypertension (OR=4.66), 15.2% in those with high cholesterol (OR=3.84), and 21.6% among aspirin users (OR=4.46).</p><p><strong>Conclusion:</strong> Although diabetes prevalence in Italy is still comparatively low, effective clinical and preventive intervention strategies – focused on major risk behaviors – should be implemented to control the diffusion of this condition.<strong></strong></p>http://ebph.it/article/view/9980 |
| spellingShingle | Rosario Asciutto Alessandra Lugo Silvano Gallus Maria Carla Roncaglioni Carlo La Vecchia Cristina Bosetti Prevalence and determinants of diabetes mellitus in a representative sample of Italian adults Epidemiology, Biostatistics and Public Health |
| title | Prevalence and determinants of diabetes mellitus in a representative sample of Italian adults |
| title_full | Prevalence and determinants of diabetes mellitus in a representative sample of Italian adults |
| title_fullStr | Prevalence and determinants of diabetes mellitus in a representative sample of Italian adults |
| title_full_unstemmed | Prevalence and determinants of diabetes mellitus in a representative sample of Italian adults |
| title_short | Prevalence and determinants of diabetes mellitus in a representative sample of Italian adults |
| title_sort | prevalence and determinants of diabetes mellitus in a representative sample of italian adults |
| url | http://ebph.it/article/view/9980 |
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