Prevalence and predictors of prediabetes and diabetes among adults in Palau: Population-based national STEPS survey

Esayas Haregot Hilawe, Chifa Chiang, Hiroshi Yatsuya, Chaochen Wang, Edolem Ikerdeu, Kaori Honjo, Takashi Mita, Renzhe Cui, Yoshihisa Hirakawa, Sherilynn Madraisau, Gregorio Ngirmang, Hiroyasu Iso, Atsuko Aoyama

Research output: Contribution to journalArticle

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Abstract

We aimed to investigate the prevalence and predictors of diabetes and prediabetes among adults in Palau. We used data of 1915 adults, aged 25 to 64 years, who participated in the World Health Organization's (WHO) STEPwise Approach to Risk Factor Surveillance (STEPS) study in Palau. Information on behavioral risk factors of NCDs and physical and biochemical measurements were obtained using standard methods of the WHO. The diagnosis of diabetes and prediabetes was based on the recent American Diabetes Association criteria. Predictors of the prevalence of diabetes and prediabetes were identified using multinomial logistic regression analysis. The overall age-standardized prevalence of prediabetes and diabetes were 40.4% (43.6% for men, 37.4% for women) and 17.7% (18.6% for men, 17% for women), respectively. Old age, overall obesity (high BMI), central obesity (large waist circumference or waist-hip ratio), hypertension and hypertriglyceridemia were significant predictors of prediabetes and/or diabetes. Diabetes occurred at a younger age in "obese" individuals than that of their "non-obese" counterparts. We confirmed that prediabetes and diabetes are highly prevalent in Palau affecting 40% and 18% adults, respectively. Introducing public health interventions to reduce and prevent obesity as early as possible could prove useful to curb the problem.

Original languageEnglish
Pages (from-to)475-483
Number of pages9
JournalNagoya journal of medical science
Volume78
Issue number4
DOIs
Publication statusPublished - 01-01-2016

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Palau
Prediabetic State
Population
Obesity
Waist-Hip Ratio
Abdominal Obesity
Hypertriglyceridemia
Waist Circumference
Surveys and Questionnaires
Public Health
Logistic Models
Regression Analysis
Hypertension

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Hilawe, Esayas Haregot ; Chiang, Chifa ; Yatsuya, Hiroshi ; Wang, Chaochen ; Ikerdeu, Edolem ; Honjo, Kaori ; Mita, Takashi ; Cui, Renzhe ; Hirakawa, Yoshihisa ; Madraisau, Sherilynn ; Ngirmang, Gregorio ; Iso, Hiroyasu ; Aoyama, Atsuko. / Prevalence and predictors of prediabetes and diabetes among adults in Palau : Population-based national STEPS survey. In: Nagoya journal of medical science. 2016 ; Vol. 78, No. 4. pp. 475-483.
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Hilawe, EH, Chiang, C, Yatsuya, H, Wang, C, Ikerdeu, E, Honjo, K, Mita, T, Cui, R, Hirakawa, Y, Madraisau, S, Ngirmang, G, Iso, H & Aoyama, A 2016, 'Prevalence and predictors of prediabetes and diabetes among adults in Palau: Population-based national STEPS survey', Nagoya journal of medical science, vol. 78, no. 4, pp. 475-483. https://doi.org/10.18999/nagjms.78.4.475

Prevalence and predictors of prediabetes and diabetes among adults in Palau : Population-based national STEPS survey. / Hilawe, Esayas Haregot; Chiang, Chifa; Yatsuya, Hiroshi; Wang, Chaochen; Ikerdeu, Edolem; Honjo, Kaori; Mita, Takashi; Cui, Renzhe; Hirakawa, Yoshihisa; Madraisau, Sherilynn; Ngirmang, Gregorio; Iso, Hiroyasu; Aoyama, Atsuko.

In: Nagoya journal of medical science, Vol. 78, No. 4, 01.01.2016, p. 475-483.

Research output: Contribution to journalArticle

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T1 - Prevalence and predictors of prediabetes and diabetes among adults in Palau

T2 - Population-based national STEPS survey

AU - Hilawe, Esayas Haregot

AU - Chiang, Chifa

AU - Yatsuya, Hiroshi

AU - Wang, Chaochen

AU - Ikerdeu, Edolem

AU - Honjo, Kaori

AU - Mita, Takashi

AU - Cui, Renzhe

AU - Hirakawa, Yoshihisa

AU - Madraisau, Sherilynn

AU - Ngirmang, Gregorio

AU - Iso, Hiroyasu

AU - Aoyama, Atsuko

PY - 2016/1/1

Y1 - 2016/1/1

N2 - We aimed to investigate the prevalence and predictors of diabetes and prediabetes among adults in Palau. We used data of 1915 adults, aged 25 to 64 years, who participated in the World Health Organization's (WHO) STEPwise Approach to Risk Factor Surveillance (STEPS) study in Palau. Information on behavioral risk factors of NCDs and physical and biochemical measurements were obtained using standard methods of the WHO. The diagnosis of diabetes and prediabetes was based on the recent American Diabetes Association criteria. Predictors of the prevalence of diabetes and prediabetes were identified using multinomial logistic regression analysis. The overall age-standardized prevalence of prediabetes and diabetes were 40.4% (43.6% for men, 37.4% for women) and 17.7% (18.6% for men, 17% for women), respectively. Old age, overall obesity (high BMI), central obesity (large waist circumference or waist-hip ratio), hypertension and hypertriglyceridemia were significant predictors of prediabetes and/or diabetes. Diabetes occurred at a younger age in "obese" individuals than that of their "non-obese" counterparts. We confirmed that prediabetes and diabetes are highly prevalent in Palau affecting 40% and 18% adults, respectively. Introducing public health interventions to reduce and prevent obesity as early as possible could prove useful to curb the problem.

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