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Red Commissar
9th September 2013, 22:53
http://www.nytimes.com/2013/09/10/health/diabetes-epidemic-grows-in-china.html



Diabetes Epidemic Grows in China

By DONALD G. McNEIL Jr. (http://topics.nytimes.com/top/reference/timestopics/people/m/donald_g_jr_mcneil/index.html)

China has the world’s biggest diabetes epidemic, and it continues to get worse, according to the latest study (http://jama.jamanetwork.com/article.aspx?articleid=1734701) of the disease’s devastating effects on the world’s most populous country, which has risen from poverty to become an economic superpower in 30 years.

Previous studies (http://www.nytimes.com/2010/03/26/world/asia/26iht-diabetes.html?_r=0) had found rapidly rising rates of the disease, and the newest, published last week by The Journal of the American Medical Association, shows that China has just passed the United States: 11.6 percent of Chinese adults have the disease, compared with 11.3 percent here; in 1980, prevalence was below 1 percent.

The total — 114 million people — means China has about a third of the world’s diabetes sufferers, who are at greater risk of heart disease, stroke and kidney failure. That will put enormous strain on the country’s public health system, the authors said.

Perhaps even more alarming, the study, which involved testing almost 99,000 people, found that half had “prediabetic” blood glucose levels.

For unknown reasons, weight gain leads to Type 2 diabetes in Asians (http://aadi.joslin.org/content/diabetes-asians-asian-americans) at even lower body-mass indexes than it does in whites or blacks. The average body mass index in the study was 23.7, which is considered normal.
But obesity is increasing rapidly in China. Experts have blamed many factors: the introduction of high-calorie Western diets and fast food, more travel by car, sedentary factory jobs replacing farm labor, and families who spoil the one child that most are allowed to have.

This of course comes from a study conducted here in the US, but it is something I've noticed with a lot of developing countries with increasing amounts of diabetes diagnosis. Now whether this is because these conditions are actually being reported now (a variety of reasons can cause people to avoid categorizing themselves as diabetic, say out of fear of stigmatization), or if we can attribute it to changes in Chinese life is what people lean towards. For my part I'm partial towards the former- it really does seem like something in the diets most popular in developed countries seem to adversely contribute towards developing diabetes later on in life.

DROSL
9th September 2013, 23:28
There's really something wrong with humanity. We must save ourselves or we'll extinct like other species.

Trap Queen Voxxy
9th September 2013, 23:41
Given the effects of capitalism on the food industry no wonder; Beetus Rising.

argeiphontes
10th September 2013, 00:55
The numbers are real, not a result of reporting. The rise is due to Westernization of the traditional Chinese diet, in this case the addition of too much fat. Since intramyocellular lipid (i.e. "marbling" of human muscle tissue with fat) is what causes insulin resistance and diabetes (http://diabetes.diabetesjournals.org/content/48/5/1113.abstract), diabetes is the result of a diet too high in fat. Asians are probably more susceptible to this than (your average) Americans because their traditional diet is heavy on rice, which is incredibly low fat. Yet probably not that much more susceptible in absolute terms since there's an epidemic here. You'll find diabetes rates much higher in richer coastal areas than in the countryside, probably even now.

Check out the China Study, conducted in the 1970s (http://en.wikipedia.org/wiki/The_China_Study). It's good reading.

Another interesting epidemiological look at this, is the difference in diabetes rates between the Pima Indians in New Mexico (high) and the Tarahumara in actual Mexico. They're genetically the same group, living just across the border from each other, but their diet varies greatly.

Os Cangaceiros
11th September 2013, 10:52
Now whether this is because these conditions are actually being reported now (a variety of reasons can cause people to avoid categorizing themselves as diabetic, say out of fear of stigmatization

Is there really a social stigma surrounding being diabetic?

piet11111
12th September 2013, 14:18
I also recall a study along wealth lines that showed diabetes disproportionally affects the lower income demographic.

Probably because the more affordable foodstuffs are stuffed with all kinds of crap.

Eleutheromaniac
12th September 2013, 14:29
Smoking could contribute too. Studies have shown that cigarette smoking may be a direct cause of Type 2 Diabetes. China has the largest smoking population in the world (~350,000,000).