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在先前被诊断为糖尿病的成年人中,对血管疾病的危险因素的控制较差
Sharon H Saydah1, Judith Fradkin, Catherine C Cowie
1US Centers for Disease Control and Prevention, National Center for Health Statistics, Hyattsville, Md, USA.
JAMA
|January 22, 2004
概括
血管疾病风险因素,如血糖,血压和胆固醇,在患有糖尿病的美国成年人中仍然控制不良. 公共卫生倡议对于改善管理和减少健康风险至关重要.
科学领域:
- 心血管健康 心血管健康
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 降低糖尿病的血管疾病风险取决于控制血糖,血压和胆固醇.
- 在美国糖尿病人群中,这些风险因素控制的现状尚不清楚.
研究的目的:
- 分析1999-2000年国家数据,以控制被诊断为糖尿病的成年人血管疾病风险因素.
- 评估过去十年风险因素控制的趋势.
主要方法:
- 使用了来自国家健康和营养检查调查 (NHANES III,1988-1994) 和NHANES 1999-2000年的数据.
- 分析了美国成年糖尿病患者在全国代表性样本中的血糖化血红蛋白 (HbA1c),血压和血清总胆固醇水平与目标目标.
主要成果:
- 在1999-2000年,只有37.0%的成人糖尿病患者达到HbA1c目标 (<7.0%),与NHANES III没有显著变化.
- 血压控制 (SBP <130 mm Hg,DBP <80 mm Hg) 仅达到35.8%,也没有显著的趋势变化.
- 总胆固醇水平 (≥200 mg/dL) 从NHANES III显著下降 (66.1%至51.8%),但只有7.3%的成年人同时达到所有三个危险因素目标 (HbA1c,血压,胆固醇).
结论:
- 对关键血管疾病风险因素的控制在被诊断为糖尿病的美国成年人中仍然不理想.
- 加强公共卫生战略是必要的,以改善这些风险因素的管理,并减轻血管疾病风险.
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