Diabetes Res Clin Pract:一项关于2型糖尿病诊断率、未诊断率及前期患病率大型人口研究

2015-11-18 徐媛 MedSci原创

最近几十年里,2型糖尿病的患病率急剧增加,随着人口老龄化,这一趋势将持续下去。本文研究对来自爱尔兰老年人糖尿病诊断率、未诊断率及糖尿病前期患病率进行了调查。 研究人员收纳了来自The Irish Longitudinal Study on Ageing (TILDA) 5377名50岁以上的男性和女性。通过医生的诊断和药物治疗数据诊断为糖尿病。利用糖化血红蛋白(HbA1c)分析来确定糖尿病前期。

最近几十年里,2型糖尿病的患病率急剧增加,随着人口老龄化,这一趋势将持续下去。本文研究对来自爱尔兰老年人糖尿病诊断率、未诊断率及糖尿病前期患病率进行了调查。

研究人员收纳了来自The Irish Longitudinal Study on Ageing (TILDA) 5377名50岁以上的男性和女性。通过医生的诊断和药物治疗数据诊断为糖尿病。利用糖化血红蛋白(HbA1c)分析来确定糖尿病前期。使用逻辑回归模型评估糖尿病类型和人口之间的关系以及生活方式的特点。

2型糖尿病诊断率和未确诊率分别为8.6%(95% CI:7.6 - -9.5%)和0.9%(95%CI:0.6 - -1.1%)。2型糖尿病在男性人群中更普遍,并且随年龄增加患病率增加。糖尿病前期患病率为5.5%(95% CI:4.8 - -6.3%),随着年龄的增加前期患病风险明显增高。男性与糖尿病及糖尿病前期之间密切相关;高血压、中心性肥胖与糖尿病及糖尿病前期同样密切相关。年龄增长、高胆固醇史、健康自测较差及身体活动少与糖尿病密切相关。

尽管在爱尔兰地区具有高肥胖率和未确诊的疾病,但糖尿病诊断率和前期患病率相对较低,改变生活方式可能有助于进一步减少糖尿病前期患病率。

原始出处

Leahy S1, O' Halloran AM2, O' Leary N2, Healy M3, McCormack M3, Kenny RA2, O' Connell J4.Prevalence and correlates of diagnosed and undiagnosed type 2 diabetes mellitus and pre-diabetes in older adults: Findings from the Irish Longitudinal Study on Ageing (TILDA).Diabetes Res Clin Pract. 2015 Oct 19

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    2016-11-29 脱因不花

    不知道有没有关于中国糖尿病的流行病学调查

    0

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IDF全新权威数据:糖尿病发病率持续飙升,每6秒就有1人死于并发症

11月14日是加拿大科学家班廷的生日,他于1921年发现了胰岛素,并因此获得了诺贝尔医学奖。所以联合国和国际糖尿病联盟(International Diabetes Federation,IDF)在1991年将今天设立为联合国糖尿病日。今年,IDF发布的“IDF全球糖尿病概览”已经到第七版了,这个概览是国际上有关糖尿病全球患病情况和相关信息的权威参考书和重要的数据来源。完全版本会在12月1号在温哥