Summary

This study presents three research papers on diabetes-related topics. The first paper focuses on the epidemiology of diabetes in China, examining prevalence rates and influencing factors among adults. The second paper investigates risk factors for type 2 diabetes, particularly the role of physical activity in middle-aged Japanese individuals. The final paper explores the possible links between type 2 diabetes and Parkinson's disease in a large study of U.S. male physicians.

Full Transcript

## علي محمود رجب شرف الدين 32230189 تكنولوجيا العلوم الصحيه شعبة "آشعة" ### A Cross-Sectional Study on Diabetes Epidemiology Among People Aged 40 Years and Above in Shenyang, China This study aimed at understanding the diabetic prevalence, awareness, treatment, and control rates and their influenc...

## علي محمود رجب شرف الدين 32230189 تكنولوجيا العلوم الصحيه شعبة "آشعة" ### A Cross-Sectional Study on Diabetes Epidemiology Among People Aged 40 Years and Above in Shenyang, China This study aimed at understanding the diabetic prevalence, awareness, treatment, and control rates and their influencing factors among people aged ≥ 40 years in Shenyang, China. A face-to-face cross-sectional epidemiological survey was conducted on the respondents using the national unified questionnaire. A total of 3922 respondents were enrolled, including 609 cases of diabetes. The diabetic prevalence rate was 15.5%, and was higher in rural areas than that in urban areas (17.7% vs. 14.2%, p = 0.004), while no difference was observed between men and women (14.8% vs. 16.1%, p = 0.242). Advanced age, hypertension, and dyslipidemia were the diabetes influencing factors. Among the 609 respondents with diabetes, the diabetic awareness and treatment rates, and the control rate of fasting plasma glucose were 82.3%, 36.6%, and 17.1%, respectively. In different age groups, the diabetic awareness rate was higher in men than that in women, and the treatment rate was higher in women than that in men. ### A Case-Control Study of Risk Factors for Development of Type 2 Diabetes: Emphasis on Physical Activity The aim of this case-control study was to evaluate the association between the lifestyle risk factors, especially physical activity, and the prevalence of type 2 diabetes and the comorbidity of type 2 diabetes and dyslipidemia in middle-aged Japanese urban population. Subjects (279 males and 119 females, 53.5+/-6.8 years old) were selected from one city office in Tokyo and consisted of type 2 diabetes cases (n=53), dyslipidemia cases (n=130), the comorbidity cases (n=58), and sex- and age-matched controls (n=155). A self-administered questionnaire was used to collect physical activity data using Baecke's questionnaire translated and other lifestyle data. Our results revealed that physical activity was significantly associated with the reduction of the prevalence of type 2 diabetes and the comorbidity, and the sex- and age-adjusted odds ratios of the fourth quartile to the lowest one were 0.31 (95%CI:0.12-0.81) and 0.32 (95%CI:0.13-0.81), respectively. Family history of diabetes and smoking. ### Prospective Cohort Study of Type 2 Diabetes and the Risk of Parkinson's Disease **Objective:** To evaluate the association between type 2 diabetes and newly reported Parkinson's disease. **Research Design and Methods:** Our study included 21,841 participants in the Physicians' Health Study, a cohort of U.S. male physicians. Diabetes and Parkinson's disease were self-reported via questionnaire. We used time-varying Cox regression to calculate adjusted relative risk (RR) for Parkinson's disease. **Results:** Over 23 years, 556 individuals with Parkinson's disease were identified. Subjects with diabetes had an increased Parkinson's disease risk (multivariable-adjusted RR 1.34 [95% CI 1.01-1.77]). The association remained significant after exclusion of those with known vascular disease. The diagnosis of diabetes was clustered around the diagnosis of Parkinson's disease and was more apparent among men with short diabetes duration and those without complications from diabetes. **Conclusions:** Results of this large prospective study in men do not suggest that diabetes is a preceding risk factor for Parkinson's disease.

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