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August 11, 2023Journal of Southeast Asian Medical ResearchOpen Access

Trends in the Prevalence of Type 2 Diabetes Among Royal Thai Army Personnel and Associated Factors From 2017 to 2021

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Key result

The age- and sex-adjusted prevalence of type 2 diabetes among Royal Thai Army personnel significantly decreased from 17.9% in 2017 to 16.5% in 2021 (APR 0.91).

Why the study?

Diabetes increases the risk of atherosclerosis and cardiovascular diseases, but limited information is available regarding type 2 diabetes among Royal Thai Army personnel.

Population

235,491 active-duty Royal Thai Army personnel aged 35–60 years

Comparison

Assessment of behavioral and health factors associated with type 2 diabetes

Design

Serial cross-sectional study

Authors

BSBoonsub SakboonyaratTSTanatip SangkoolJPJaturon Poovieng

Discussion

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Overview

Modest T2D prevalence decline in Thai military personnel should not change practice; leaves open drivers of trend in observational data.

Study Design

Type

Cross-Sectional (n=235,491)

Multicenter

Yes

Structured PICO

P
Population
235,491 active-duty Royal Thai Army personnel aged 35 to 60 years evaluated in a serial cross-sectional study from 2017 to 2021 to determine the prevalence of type 2 diabetes.
O
Outcome
Prevalence of type 2 diabetes (T2D) and associated behavioral factors

Main Result

Relative Risk: 0.91 (95% CI 0.89–0.94)

Absolute Event Rate: 16.5% vs 17.9%

p-value: p=<0.001

The prevalence of type 2 diabetes among Royal Thai Army personnel decreased slightly from 2017 to 2021, but remains strongly associated with modifiable risk factors like smoking, obesity, and hypertension.

Limitations

  • Serial cross-sectional design limits the ability to establish causal relationships
  • Study population was predominantly male (~90%), which may limit generalizability
  • Potential recall bias due to self-reported lifestyle factors via questionnaires
  • Lack of detailed data on the intensity and frequency of alcohol use, tobacco use, and exercise
  • Missing data for some behavioral factors in the health examination database

Cite This Study

Sakboonyarat et al. (2023) conducted a cross-sectional in Type 2 Diabetes (n=235,491). Year 2021 vs. Year 2017 was evaluated on Age- and sex-adjusted prevalence of type 2 diabetes (APR 0.91, 95% CI 0.89-0.94, p=<0.001). The age- and sex-adjusted prevalence of type 2 diabetes among Royal Thai Army personnel significantly decreased from 17.9% in 2017 to 16.5% in 2021 (APR 0.91).

synapsesocial.com/papers/6a63f2d3b1ac4c8fd1f2de81https://doi.org/10.55374/jseamed.v7.160
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Rising trends in obesity prevalence among Royal Thai Army personnel from 2017 to 20212022 · 39 citations
  2. 2Prevalence and associated factors of ischemic heart disease (IHD) among patients with diabetes mellitus: a nation-wide, cross-sectional survey2018 · 64 citations
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  4. 4Triggering of Acute Myocardial Infarction by Heavy Physical Exertion -- Protection against Triggering by Regular Exertion1993 · 1,445 citations