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Diabetes trends in the U.S.: 1990-1998.
Open accessAbstract
OBJECTIVE: To examine trends in diabetes prevalence in the U.S. RESEARCH DESIGN AND METHODS: This study was conducted via telephone surveys in states that participated in the Behavioral Risk Factor Surveillance System between 1990 and 1998. The participants consisted of noninstitutionalized adults aged 18 years or older. The main outcome measure was self-reported diabetes. RESULTS: The prevalence of diabetes rose from 4.9% in 1990 to 6.5% in 1998--an increase of 33%. Increases were observed in both sexes, all ages, all ethnic groups, all education levels, and nearly all states. Changes in prevalence varied by state. The prevalence of diabetes was highly correlated with the prevalence of obesity (r = 0.64, P<0.001). CONCLUSIONS: The prevalence of diabetes continues to increase rapidly in the U.S. Because the prevalence of obesity is also rising, diabetes will become even more common. Major efforts are needed to alter these trends.
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“The majority of insulin resistant individuals, both diabetic and nondiabetics, are overweight or obese [58]”
From Pathogenesis of insulin resistance in skeletal muscle (2010) · cites this paper as [58]
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“This overall increase in diabetes prevalence reflects an increase in type 2 diabetes (which accounts for 90% to 95% of all diagnosed cases) due to the epidemic increase in excess body weight occurring in the US population during that period.”
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“However, the rising prevalence of diseases like obesity and diabetes among the young and increases in disability suggest that future cohorts entering into Medicare may be less healthy.(1,6) The net effect of these trends is unclear.”
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“This finding is in keeping with well-established epidemiologic data indicating that the prevalence of diabetes increases with age [40], with an almost two-fold increase past age 49 [39].”
MethodResultThe High Cost of Not Consuming Fruits and Vegetables
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“The Texas population we studied is among the poorest in the United States [18] with increasing rates of obesity and type 2 DM [4].”
BackgroundThe diabetes epidemic: a national and global crisis
Bonow, R. O., & Gheorghiade, M. (2004) · The American Journal of Medicine · doi:10.1016/j.amjmed.2003.10.014 · Cited by 158
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“In the US, the overall prevalence among white non-Hispanics is higher in most publications: for the population aged >20, Harris et al. [27] found a prevalence of 4.8% and Mokdad et al. [ 39 ] found 5.9%, vs. 3.9% in this age category in our results.”
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Metabolic and molecular basis of insulin resistance
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D IETARY , E VOLUTIONARY, AND M ODERNIZING I NFLUENCES ON THE P REVALENCE OF T YPE 2 D IABETES
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“This is important since the risk of diabetes is increased by 9% for every 1-kg increase in body weight (Mokdad et al. 2000).”
BackgroundMetabolic Syndrome, Obesity, and Related Risk Factors Among College Men and Women
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Overweight and Diabetes Prevalence Among US Immigrants
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“Type 2 diabetes—which is linked to obesity and physical inactivity, accounts for 90% to 95% of diabetes cases, and most often appears in people older than 40 (Mokdad et al., 2000)—has been diagnosed in an estimated 10% of African American women.”
Secular trends in neonatal macrosomia in Berlin: influences of potential determinants
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“However, although Type 2 DM accounts for 90–95% of all diabetes (27), much less is known about the underlying mechanisms responsible for the elevated risk in this condition.”
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“Compensatory hyperinsulinemia tends to lead to [1] dyslipidemia; [2] decreases in vasodilatation mediated by nitric oxide; and [3] increases in blood pressure, clotting factors, and inflammatory risk factors for coronary artery disease (e.”
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“has increased by 40% from 1990 to 1999, and is projected to increase by 165% between the years 2020 and 2050 (2,3).”
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Increasing prevalence of Type 2 diabetes mellitus in all ethnic groups in Mauritius
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Progression of Lower-Extremity Disability in Older Women With Diabetes
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Metadata
- Authors
- Mokdad, A. H., Ford, E. S., Bowman, B. A., Nelson, D. E., Engelgau, M. M., Vinicor, F., & Marks, J. S.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2000-09-01
- Volume
- 23
- Issue
- 9
- Pages
- 1278-1283
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W2126115073
- Cited by
- 1,042
- References
- 16
- Citations by year
- 2026: 7 · 2025: 6 · 2024: 8 · 2023: 5 · 2022: 12 · 2021: 14 · 2020: 6 · 2019: 12 · 2018: 12 · 2017: 17 · 2016: 20 · 2015: 15 · 2014: 32 · 2013: 27 · 2012: 30
- FWCI
- 61.40
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Diabetes Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- diabetes prevalence, temporal trends, obesity, self-reported diabetes, Behavioral Risk Factor Surveillance System, state-level variation, ethnic differences, educational attainment, United States
- MeSH terms
- Adult, Age Factors, Aged, Body Weight, Demography, Diabetes Mellitus, Educational Status, Female, Humans, Male, Middle Aged, Obesity, Risk Factors, Sex Factors, Smoking, United States, Racial Groups
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