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Clin Med Insights Endocrinol Diabetes. 2015 May 12;8:41-5. doi: 10.4137/CMED.S24742. eCollection 2015.

Changes in the prevalence of diabetes mellitus in bulgaria (2006-2012).

Clinical medicine insights. Endocrinology and diabetes

Anna-Maria Borissova, Alexander Shinkov, Roussanka Kovatcheva, Jordan Vlahov, Lilia Dakovska, Todor Todorov

Affiliations

  1. Medical University of Sofia, University Hospital of Endocrinology, Clinic of Thyroid and Metabolic Bone Disorders, Sofia, Bulgaria.

PMID: 26005363 PMCID: PMC4431479 DOI: 10.4137/CMED.S24742

Abstract

AIM: The aim of this study was to compare two nationwide cross-sectional studies of diabetes prevalence in Bulgaria (2006 and 2012) and to assess its dynamics.

MATERIAL AND METHODS: The two studies included 2396 and 2033 subjects, respectively. The International Diabetes Federation (IDF) diagnostic criteria were applied, and the data were weighed for type of settlement and age.

RESULTS: Diabetes prevalence was found to be 7.9% in 2006 and 9.55% in 2012, P = 0.06, showing an increase of 20.9%. The absolute increase was 0.9% in the females and 2.3% in the males (P < 0.09). The increase was the largest in those aged 50-59: [9.4%, 2006 vs. 15.7%, 2012, P < 0.01]. Diabetes prevalence increased in the 20-60-year olds by 6.8% and decreased in the elderly by 6.1%. Obesity increased from 26.7 to 32.7%, P < 0.02.

CONCLUSIONS: A significant increase in diabetes prevalence was found that necessitates healthcare measures and resources for community-based awareness and prevention programs.

Keywords: diabetes dynamic; diabetes epidemic; diabetes prevalence; obesity

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