Diabetes Care, Vol 22, Issue 11 1813-1820, Copyright © 1999 by American Diabetes Association

ARTICLES

Rapid changes in the prevalence of obesity and known diabetes in an adult Norwegian population. The Nord-Trondelag Health Surveys: 1984-1986 and 1995-1997

K Midthjell, O Kruger, J Holmen, A Tverdal, T Claudi, A Bjorndal and P Magnus
Community Medicine Research Unit, National Institute of Public Health, Verdal, Norway. verdalfh@online.no

OBJECTIVE: To determine whether changes in mean BMI and the prevalence of obesity in a total adult population during a short (11-year) period were associated with changes in the prevalence of diabetes. RESEARCH DESIGN AND METHODS: This study involved cross-sectional surveys of all inhabitants aged > or = 20 years of the county of Nord-Trondelag from 1984 to 1986 (n = 85,100) and from 1995 to 1997 (n = 92,434). Attendance rates were 88.1 and 71.3%, respectively, and 90.0% in an additional survey of people aged 13-19 years from 1995 to 1997 (n = 9,593). Main outcome measures were age-specific mean BMI for the diabetic and nondiabetic subgroups and the prevalence of obesity and diabetes. For comparison, mean BMIs from 18 of 19 Norwegian counties for the group aged 40-42 years were examined. RESULTS: Mean BMI increased from 27.2 to 29.0 kg/m2 in the diabetic population and from 25.1 to 26.3 kg/m2 in the nondiabetic population. The BMI distribution curve shifted to the right, but homogeneity was also reduced. A comparison with other Norwegian counties indicated that this increase occurred during the last 6 years between the surveys. The prevalence of obesity (BMI > or = 30 kg/m2) increased from 7.5 to 14% in nondiabetic men and from 13 to 18% in nondiabetic women. The increase was particularly great in men aged < 60 years and in women aged < 50 years. The overall prevalence of known diabetes increased between the two surveys (from 2.9 to 3.2%) but only in men. The largest increase was observed in the corresponding younger sex and age-groups. CONCLUSIONS: A substantial increase in mean BMI and the prevalence of obesity occurred in the younger age-groups at the same time as an increase in the prevalence of diabetes. A greater increase in diabetes prevalence in this ethnically stable Western European population may follow if effective primary preventive strategies are not undertaken.
CiteULike    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				A. C. Dale, L. J Vatten, T. I. Nilsen, K. Midthjell, and R. Wiseth Secular decline in mortality from coronary heart disease in adults with diabetes mellitus: cohort study BMJ, August 13, 2008; 337(jul01_2): a236 - a236. [Abstract] [Full Text] [PDF]

				M. M. Iversen, K. Midthjell, T. Ostbye, G. S. Tell, E. Clipp, R. Sloane, M. W. Nortvedt, S. Uhlving, and B. R. Hanestad History of and factors associated with diabetic foot ulcers in Norway: The Nord-Trondelag Health Study Scand J Public Health, January 1, 2008; 36(1): 62 - 68. [Abstract] [PDF]

				A. C. Dale, T. I. Nilsen, L. Vatten, K. Midthjell, and R. Wiseth Diabetes mellitus and risk of fatal ischaemic heart disease by gender: 18 years follow-up of 74 914 individuals in the HUNT 1 Study Eur. Heart J., December 1, 2007; 28(23): 2924 - 2929. [Abstract] [Full Text] [PDF]

				S. Carlsson, K. Midthjell, and V. Grill Influence of Family History of Diabetes on Incidence and Prevalence of Latent Autoimmune Diabetes of the Adult: Results from the Nord-Trondelag Health Study Diabetes Care, December 1, 2007; 30(12): 3040 - 3045. [Abstract] [Full Text] [PDF]

				L. L. Haheim, S. Tonstad, I. Hjermann, P. Leren, and I. Holme Predictiveness of body mass index for fatal coronary heart disease in men according to length of follow-up: A 21-year prospective cohort study Scand J Public Health, January 1, 2007; 35(1): 4 - 10. [Abstract] [PDF]

				S. Forsmo, J. Aaen, B. Schei, and A. Langhammer What Is the Influence of Weight Change on Forearm Bone Mineral Density in Peri- and Postmenopausal Women? The Health Study of Nord-Trondelag, Norway Am. J. Epidemiol., November 1, 2006; 164(9): 890 - 897. [Abstract] [Full Text] [PDF]

				L. Lund Haheim, P.G. Lund Larsen, A.J. Sogaard, and I. Holme Risk factors associated with body mass index increase in men at 28 years follow-up QJM, October 1, 2006; 99(10): 665 - 671. [Abstract] [Full Text] [PDF]

				O. Basso, S. Rasmussen, C. R. Weinberg, A. J. Wilcox, L. M. Irgens, and R. Skjaerven Trends in Fetal and Infant Survival Following Preeclampsia JAMA, September 20, 2006; 296(11): 1357 - 1362. [Abstract] [Full Text] [PDF]

				M. Eliasson and G. Bostrom Chapter 5.2: Major public health problems -- diabetes Scand J Public Health, June 1, 2006; 34(67_suppl): 59 - 68. [PDF]

				C. Glumer, D. Vistisen, K. Borch-Johnsen, S. Colagiuri, and on behalf of the DETECT-2 Collaboration Risk Scores for Type 2 Diabetes Can Be Applied in Some Populations but Not All Diabetes Care, February 1, 2006; 29(2): 410 - 414. [Abstract] [Full Text] [PDF]

				L. Getz, J. A Sigurdsson, I. Hetlevik, A. L. Kirkengen, S. Romundstad, and J. Holmen Estimating the high risk group for cardiovascular disease in the Norwegian HUNT 2 population according to the 2003 European guidelines: modelling study BMJ, September 10, 2005; 331(7516): 551. [Abstract] [Full Text] [PDF]

				A.-S. Furberg, G. Jasienska, N. Bjurstam, P. A. Torjesen, A. Emaus, S. F. Lipson, P. T. Ellison, and I. Thune Metabolic and Hormonal Profiles: HDL Cholesterol as a Plausible Biomarker of Breast Cancer Risk. The Norwegian EBBA Study Cancer Epidemiol. Biomarkers Prev., January 1, 2005; 14(1): 33 - 40. [Abstract] [Full Text] [PDF]

				C. Meisinger, M. Heier, A. Doering, B. Thorand, H. Loewel, and for the KORA Group Prevalence of Known Diabetes and Antidiabetic Therapy Between 1984/1985 and 1999/2001 in Southern Germany Diabetes Care, December 1, 2004; 27(12): 2985 - 2987. [Full Text] [PDF]

				A.-S. Furberg, M. B. Veierod, T. Wilsgaard, L. Bernstein, and I. Thune Serum High-Density Lipoprotein Cholesterol, Metabolic Profile, and Breast Cancer Risk J Natl Cancer Inst, August 4, 2004; 96(15): 1152 - 1160. [Abstract] [Full Text] [PDF]

				C. Glumer, B. Carstensen, A. Sandbaek, T. Lauritzen, T. Jorgensen, and K. Borch-Johnsen A Danish Diabetes Risk Score for Targeted Screening: The Inter99 study Diabetes Care, March 1, 2004; 27(3): 727 - 733. [Abstract] [Full Text] [PDF]

				S. Romundstad, J. Holmen, H. Hallan, K. Kvenild, and H. Ellekjaer Microalbuminuria and All-Cause Mortality in Treated Hypertensive Individuals: Does Sex Matter?: The Nord-Trondelag Health Study (HUNT), Norway Circulation, December 2, 2003; 108(22): 2783 - 2789. [Abstract] [Full Text] [PDF]

				A. Gokcel, A. K. Ozsahin, N. Sezgin, H. Karakose, M. E. Ertorer, M. Akbaba, N. Baklaci, A. Sengul, and N. Guvener High Prevalence of Diabetes in Adana, a Southern Province of Turkey Diabetes Care, November 1, 2003; 26(11): 3031 - 3034. [Abstract] [Full Text] [PDF]

				M. Eliasson, B. Lindahl, V. Lundberg, and B. Stegmayr Diabetes and obesity in Northern Sweden: occurrence and risk factors for stroke and myocardial infarction Scand J Public Health, November 1, 2003; 31(61_suppl): 70 - 77. [Abstract] [PDF]

				C. Glumer, T. Jorgensen, and K. Borch-Johnsen Prevalences of Diabetes and Impaired Glucose Regulation in a Danish Population: The Inter99 study Diabetes Care, August 1, 2003; 26(8): 2335 - 2340. [Abstract] [Full Text] [PDF]

				M. Nilsson, R. Johnsen, W. Ye, K. Hveem, and J. Lagergren Obesity and Estrogen as Risk Factors for Gastroesophageal Reflux Symptoms JAMA, July 2, 2003; 290(1): 66 - 72. [Abstract] [Full Text] [PDF]

				A. E. Pontiroli, P. Pizzocri, M. C. Librenti, P. Vedani, M. Marchi, E. Cucchi, C. Orena, M. Paganelli, M. Giacomelli, G. Ferla, et al. Laparoscopic Adjustable Gastric Banding for the Treatment of Morbid (Grade 3) Obesity and its Metabolic Complications: A Three-Year Study J. Clin. Endocrinol. Metab., August 1, 2002; 87(8): 3555 - 3561. [Abstract] [Full Text] [PDF]

				D. W. Dunstan, P. Z. Zimmet, T. A. Welborn, M. P. de Courten, A. J. Cameron, R. A. Sicree, T. Dwyer, S. Colagiuri, D. Jolley, M. Knuiman, et al. The Rising Prevalence of Diabetes and Impaired Glucose Tolerance: The Australian Diabetes, Obesity and Lifestyle Study Diabetes Care, May 1, 2002; 25(5): 829 - 834. [Abstract] [Full Text] [PDF]

				S. Krokstad and S. Westin Health inequalities by socioeconomic status among men in the Nord-Trondelag Health Study, Norway Scand J Public Health, April 1, 2002; 30(2): 113 - 124. [Abstract] [PDF]

				L. I. Trogstad, A. Eskild, P. Magnus, S. O. Samuelsen, and B.-I. Nesheim Changing paternity and time since last pregnancy; the impact on pre-eclampsia risk. A study of 547 238 women with and without previous pre-eclampsia Int. J. Epidemiol., December 1, 2001; 30(6): 1317 - 1322. [Abstract] [Full Text] [PDF]

				R. Kuperstein, P. Hanly, M. Niroumand, and Z. Sasson The importance of age and obesity on the relation between diabetes and left ventricular mass J. Am. Coll. Cardiol., June 1, 2001; 37(7): 1957 - 1962. [Abstract] [Full Text] [PDF]

				B. K. Jacobsen, I. Njolstad, I. Thune, T. Wilsgaard, M.-L. Lochen, and H. Schirmer Increase in Weight in All Birth Cohorts in a General Population: The Tromso Study, 1974-1994 Arch Intern Med, February 12, 2001; 161(3): 466 - 472. [Abstract] [Full Text] [PDF]