| Titre : | Trends in the prevalence and incidence of diabetes in the UK : 1996-2005. (2009) |
| Auteurs : | E.L. MASSO GONZALEZ ; L.A. GARCIA RODRIGUEZ ; JOHANSSON (S.) : SWE. Institute of Medicine. Sahlgrenska Academy Göteborg University. ; WALLANDER (M.A.) : SWE. Department of Public Health and Caring Science. Uppsala University. ; AstraZeneca R & D. Mölndal. SWE ; Spanish Centre for Pharmacoepidemiological Research. Madrid. ESP |
| Type de document : | Article |
| Dans : | Journal of epidemiology and community health (vol. 63, n° 4, 2009) |
| Pagination : | 332-336 |
| Langues: | Anglais |
| Mots-clés : | Diabète ; Tendance séculaire ; Prévalence ; Incidence ; Europe ; Glande endocrine [pathologie] |
| Résumé : | [BDSP. Notice produite par INIST-CNRS qsoBR0xI. Diffusion soumise à autorisation]. Background : To estimate the incidence and prevalence of type 1 and type 2 diabetes in the UK general population from 1996 to 2005. Methods : Using The Health Improvement Network database, patients with type 1 or type 2 diabetes were identified who were 10-79 years old between 1996 and 2005. Prevalent cases (n=49 999) were separated from incident cases (n=42 642 ; type 1=1256, type 2=41 386). Data were collected on treatment patterns in incident cases, and on body mass index in prevalent and incident cases. Results : Diabetes prevalence increased from 2.8% in 1996 to 4.3% in 2005. The incidence of diabetes in the UK increased from 2.71 (2.58-2.85)/1000 person-years in 1996 to 4.42 (4.32-4.53)/1000 person-years in 2005. The incidence of type 1 diabetes remained relatively constant throughout the study period ; however, the incidence of type 2 diabetes increased from 2.60 (2.47-2.74)/1000 person-years in 1996 to 4.31 (4.21-4.42)/1000 person-years in 2005. Between 1996 and 2005, the proportion of individuals newly diagnosed with type 2 diabetes who were obese increased from 46% to 56%. Treatment with metformin increased across the study period, while treatment with sulphonylureas decreased. Conclusions : The prevalence and incidence of type 2 diabetes have increased in the UK over the past decade. This might be primarily explained by the changes in obesity prevalence. Also, there was a change in drug treatment pattern from sulphonylureas to metformin. |
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