Turkish Adult Risk Factor survey 2013: rapid rise in the prevalence of diabetes [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2014; 42(6): 511-516 | DOI: 10.5543/tkda.2014.27543

Turkish Adult Risk Factor survey 2013: rapid rise in the prevalence of diabetes

Altan Onat1, Hakan Çakır2, Yusuf Karadeniz3, İbrahim Dönmez4, Ahmet Karagöz5, Murat Yüksel6, Günay Can7
1Istanbul University, Cerrahpasa Medical Faculty, Department of Cardiology
2Kartal Kosuyolu Education And Research Hospital
3Haseki Education And Research Hospital
4Abant İzzet Baysal University, Medical Faculty, Department of Cardiology
5Giresun Education And Research Hospital
6Dicle University Medical Faculty
7Istanbul University, Cerrahpasa Medical Faculty, Public Health


OBJECTIVES
To analyze (1) the sex-specific and age-bracket defined all-cause and coronary mortality in the 23-years’ follow-up of the Turkish Adult Risk Factor Study, and (2) to determine the nation-wide prevalence of Type-2 diabetes and its recent trend.

STUDY DESIGN
Information on the mode of death was obtained from first-degree relatives and/or health personnel of local heath office. Information collected in survivors was based on history, physical examination of the cardiovascular system and Minnesota coding of resting electrocardiograms. Diabetes was defined by criteria of the American Diabetes Association without the use of glycated hemoglobin.

RESULTS
Of the 1370 participants to be surveyed, 768 were examined, in 452 subjects information was gathered, and 29 men, 18 women were ascertained to have died. Cumulative assessment of the entire cohort in the age bracket 45-74 years disclosed coronary mortality to be 7.5/1000 personyears in men and 3.74 in women, persisting to be high among the European countries. The recent decline observed in overall mortality seemed to halt as well. Of greatest concern was the finding in the past 12 years that the rate of rise in the age-controlled prevalence of Type-2 diabetes was as high as 5% annually.

CONCLUSION
Overall and coronary mortality in Turkish adults continue to be high, while an elicited annual increase of 5% in the age-controlled prevalence of diabetes is virtually alarming and requires new public health policies.

Keywords: Diabetes mellitus, coronary disease/mortality; mortality/ trends; Turkey/epidemiology.

How to cite this article
Altan Onat, Hakan Çakır, Yusuf Karadeniz, İbrahim Dönmez, Ahmet Karagöz, Murat Yüksel, Günay Can. Turkish Adult Risk Factor survey 2013: rapid rise in the prevalence of diabetes. Turk Kardiyol Dern Ars. 2014; 42(6): 511-516

Corresponding Author: Altan Onat, Türkiye
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