摘要
Background:According to the World Health Organization (WHO),a global reduction of 17% has been achieved in the major noncommunicable disease-associated mortality rate since 2000.This decline was due to the decreasing mortality associated with cardiovascular and chronic respiratory diseases. The WHO has not made any comments on diabetes-related mortality thus far.The objective of this study was to demonstrate trends in diabetes-related mortality associated with country-wide interventions.Methods:The WHO statistics were used to assess trends in diabetes-related mortality from 2000 to 2016.Different types of community-based interventions in 49 countries were compared and assessed.Results:The baseline mortality decreased by 7%.Mortality in middle-income countries was higher than that in high-income countries. The prevalence of obesity showed a gradual increase in all countries. After implementation of the WHO "best buy" in 2010, mortality increased in 17 countries and decreased in 32 countries. Regarding the smoking prevalence trend, 87% countries with decreasing diabetes-related mortality had a gradual decline in tobacco usage since 2000.The decline was observed only in 43% countries with increasing diabetes-related mortality. The prevalence of hypertension increased in 19% countries with declining diabetes-related mortality and in 35% countries with increasing diabetes-related mortality. Physical activity measures tended to be better implemented in countries with declining diabetes-related mortality than in countries with increasing diabetes-related mortality.Conclusion:Smoking cessation and better blood pressure control are associated with declining diabetes-related mortality. Longer implementation periods are needed for other lifestyle interventions.
