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Risk Factors of Undiagnosed Diabetes Mellitus among Korean Adults: A National Cross-Sectional Study Using the KNHANES Data

Author

Listed:
  • Sangwon Lee

    (Cancer Data Center, National Cancer Control Institute, National Cancer Center, Gyeonggi-do, Goyang-si 10408, Korea
    These authors contributed equally to this original paper.)

  • Kwang Sun Ryu

    (Cancer Data Center, National Cancer Control Institute, National Cancer Center, Gyeonggi-do, Goyang-si 10408, Korea
    These authors contributed equally to this original paper.)

  • Ha Ye Jin Kang

    (Cancer Data Center, National Cancer Control Institute, National Cancer Center, Gyeonggi-do, Goyang-si 10408, Korea)

  • Na Young You

    (Cancer Data Center, National Cancer Control Institute, National Cancer Center, Gyeonggi-do, Goyang-si 10408, Korea)

  • Kui Son Choi

    (Cancer Data Center, National Cancer Control Institute, National Cancer Center, Gyeonggi-do, Goyang-si 10408, Korea
    Graduate School of Cancer Science and Policy, National Cancer Center, Gyeonggi-do, Goyang-si 10408, Korea)

  • Yul Hwangbo

    (Healthcare AI Team, Healthcare Platform Center, National Cancer Center, Gyeonggi-do, Goyang-si 10408, Korea
    Division of Endocrinology, Department of Internal Medicine, National Cancer Center, Gyeonggi-do, Goyang-si 10408, Korea)

  • Jae Wook Lee

    (Division of Nephrology, Department of Internal Medicine, National Cancer Center, Gyeonggi-do, Goyang-si 10408, Korea)

  • Hyo Soung Cha

    (Cancer Data Center, National Cancer Control Institute, National Cancer Center, Gyeonggi-do, Goyang-si 10408, Korea
    Graduate School of Cancer Science and Policy, National Cancer Center, Gyeonggi-do, Goyang-si 10408, Korea
    Healthcare AI Team, Healthcare Platform Center, National Cancer Center, Gyeonggi-do, Goyang-si 10408, Korea)

Abstract

In this cross-sectional study, we investigated the baseline risk factors of diabetes mellitus (DM) in patients with undiagnosed DM (UDM). We utilized the Korean National Health and Nutrition Examination Survey (KNHANES) 2010–2017 data. Data regarding the participants’ demographic characteristics, health status, health determinants, healthcare accessibility, and laboratory tests were gathered to explore the differences between the DM, UDM, and without-DM groups. Among the 64,759 individuals who participated in the KNHANES 2010–2017, 32,611 individuals aged ≥20 years with fasting plasma glucose levels of <100 or ≥126 mg/dL were selected. The odds ratios (ORs) regarding family history of diabetes and the performance of national health and cancer screening tests were lower in the UDM group than in the DM group (adjusted OR: 0.54; 95% confidence interval (CI): 0.43, 0.66; adjusted OR: 0.74; 95% CI: 0.62, 0.89; adjusted OR: 0.71; 95% CI: 0.60, 0.85). The ORs of hypertension and obesity were higher in the UDM group than in the DM group (adjusted OR: 1.32; 95% CI: 1.06, 1.64; adjusted OR: 1.80; 95% CI: 1.37, 2.36, respectively). Patients with UDM were more likely to be exposed to DM-related risk factors than those with and without DM. Public health interventions to prevent UDM development are necessary.

Suggested Citation

  • Sangwon Lee & Kwang Sun Ryu & Ha Ye Jin Kang & Na Young You & Kui Son Choi & Yul Hwangbo & Jae Wook Lee & Hyo Soung Cha, 2021. "Risk Factors of Undiagnosed Diabetes Mellitus among Korean Adults: A National Cross-Sectional Study Using the KNHANES Data," IJERPH, MDPI, vol. 18(3), pages 1-17, January.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:3:p:1195-:d:489359
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    References listed on IDEAS

    as
    1. Kim, Hongsoo & Cheng, Shou-Hsia, 2018. "Assessing quality of primary diabetes care in South Korea and Taiwan using avoidable hospitalizations," Health Policy, Elsevier, vol. 122(11), pages 1222-1231.
    2. Kwang Sun Ryu & Ha Ye Jin Kang & Sang Won Lee & Hyun Woo Park & Na Young You & Jae Ho Kim & Yul Hwangbo & Kui Son Choi & Hyo Soung Cha, 2020. "Screening Model for Estimating Undiagnosed Diabetes among People with a Family History of Diabetes Mellitus: A KNHANES-Based Study," IJERPH, MDPI, vol. 17(23), pages 1-16, November.
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