香港中文大學 香港中文大医院 CU Faculty of Medicine The Chinese University of Hong Kong The Chinese University of Hong Kong 中大研究警示懷孕妇女要注意體重增幅 CUHK Studies Alert Mothers to Pregnancy Weight Gain
Copyright © 2018. All Rights Reserved. Faculty of Medicine, The Chinese University of Hong Kong
Increasing diabetes in adults and children 糖尿病成人及兒童患者上升 DM in adults in china Type 2 DM in Children in Hong Kong 中國糖尿病成年患者 香港二型糖尿病兒童患者 Slope 0.314 incr/year pm0.00 19801935199019952000200520102015 Calendar Year New cases increased 10x Between 1997-2007 Prevalence increased 10x Between 1980-2014 Huen ke et al. hk journal of paed 2009 Ma RC diabetologia 2018 Feb 1 香港中文大學 The Chinese University of Hong Kong
Copyright © 2018. All Rights Reserved. Faculty of Medicine, The Chinese University of Hong Kong Increasing diabetes in adults and children 糖尿病成人及兒童患者上升 Ma RC. Diabetologia 2018 Feb 1 DM in adults in China 中國糖尿病成年患者 Type 2 DM in Children in Hong Kong 香港二型糖尿病兒童患者 Huen KF et al, HK Journal of Paed 2009 New cases increased 10x Between 1997-2007 Prevalence increased 10x Between 1980-2014
Global increase in childhood obesity 全球兒童期肥胖個案不斷上升 □ West Africa Polynesia and Micronesia Central Africa Caribbean uthern 口 Andean Latin America East africa Central Latin america 60口 Middle east and north Africa■ I Southern Latin America CentralAsia 口 High-income English- South asia speaking countries Childhood and Southeast asia □ Northwestern Europe □ East asia □ Southwestern Europe adolescent obesity 口 High-income Asia Pacif Central Europe Melanesia Eastern Europe increased 10x over 4 decades 兒童期及青少年期肥胖 個案於40多年間急升10倍 0 1980 1990 2000 2010 Global burden of disease. Lancet 2017 oct 10 香港中文大學 The Chinese University of Hong Kong
Copyright © 2018. All Rights Reserved. Faculty of Medicine, The Chinese University of Hong Kong Global increase in childhood obesity 全球兒童期肥胖個案不斷上升 Global Burden of Disease. Lancet 2017 Oct 10 1980 1990 2000 2010 Childhood and adolescent obesity increased 10x over 4 decades 兒童期及青少年期肥胖 個案於40多年間急升10倍
Burden of Hyperglycaemia in Pregnancy 懷孕期高血糖 Hyperglycaemia in Pregnancy estimated to affect 1 in 6 pregnancies globally(approx. 20 million birhts/year) Majority(85%)due to Gestational Diabetes Tianjin, China -GDM prevalence Children born to gdm mothers "DM prevalence More likely to be overweight 6 GDM Have higher blood pressure Prevalence Have higher risk of dm later (%) IDF Diabetes Atlas, 7th Edition 2015 Zhang F et al, Diabet Med 2011 ng J et al, PLoS One 2015 Ma rc et al. Eur j clin Nutr 2017 香港中文大學 The Chinese University of Hong Kong
Copyright © 2018. All Rights Reserved. Faculty of Medicine, The Chinese University of Hong Kong IDF Diabetes Atlas, 7th Edition, 2015 Zhang F et al, Diabet Med 2011 Leng J et al, PLoS One 2015 Ma RC et al, Eur J Clin Nutr 2017 • Hyperglycaemia in Pregnancy estimated to affect 1 in 6 pregnancies globally (approx. 20 million birhts/year) • Majority (85%) due to Gestational Diabetes Burden of Hyperglycaemia in Pregnancy 懷孕期高血糖 GDM Prevalence (%) Tianjin, China Children born to GDM mothers - More likely to be overweight - Have higher blood pressure - Have higher risk of DM later
2001年至2006年 中大醫學院曾參與國際性大型硏究「高血糖與不 良懷孕結果」( Hyperglycemia and adverse Pregnancy Outcome study,簡稱「HAPO研究」) 全球15個地區超過2.5萬名孕婦 探討妊娠期間母親高血糖對懷孕的不良影響,以 制定妊娠糖尿病( gestational diabetes mellitus, GDM)的標準 香港中文大學 The Chinese University of Hong Kong CU Faculty of Medicine
Copyright © 2018. All Rights Reserved. Faculty of Medicine, The Chinese University of Hong Kong 2001年 至 2006年 ➢ 中大醫學院曾參與國際性大型研究「高血糖與不 良懷孕結果」 (Hyperglycemia and adverse Pregnancy Outcome study, 簡稱「HAPO研究」) ➢ 全球15個地區超過2.5萬名孕婦 ➢ 探討妊娠期間母親高血糖對懷孕的不良影響，以 制定妊娠糖尿病 (gestational diabetes mellitus, GDM) 的標準