ラオス高齢者の糖尿病とメコン流域および日本との比較 : 高所プロジェクトへの展望

Abstract

ラオス農村部のソンコン在住高齢者において, 高頻度の糖尿病を認めた. メコン川流域に沿った, 中国のシプソンパンナ, タイ東北部のコンケン市街と農村の3地域とともに日本とも, 頻度において比較した結果, 経済発展, 経済状態, 生活習慣, 民族の違いなどが関連している可能性があり, 重大な問題である. 地球規模で, 途上国における糖尿病の増加が急速に進んでいる状況とともに, ラオスの農村部においては, 糖尿病が貧困層に多いという現象がみられており, 高所住民はさらに, 近代の文明病に対する脆弱性が懸念される.

High prevalence of DM and IGT were shown in the community-dwelling elderly in a rural area of Laos, which is one of the developing countries in Southeast Asia. The high prevalence of Diabetes in the area may be associated with many factors, such as ethnic and genetic vulnerable factors, rapid economic development followed by nutritional transition, and other additional factors, like the "fetal origins of disease" hypothesis. In the comparison of the prevalence of DM in Jing Hong (Thai), in Songkhone in Laos and in Khon Kaen (Issan), the prevalence of DM was very related to the development of economic condition of the peoples. Compared with the esthnic of Songkhon (Phuthai and Lao) that of Khon Kaen (Issan) is closer than that of Jing Hong (Thai). The number of people with diabetes is estimated to be increasing very fast especially in developing countries with the economic and social globalization. Notably low economic status had higher risk for diabetes in the rural villages of Songkhon in our study. We have the hypothesis that high-altitude peoples are fragile to lifestyle-related diseases and its verification is one of the important issues in the High-Altitude Project.