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体重状况与发生糖尿病的成年人死亡率的关联
Mercedes R Carnethon1, Peter John D De Chavez, Mary L Biggs
1Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, 680 N Lake Shore Dr, Ste 1400, Chicago, IL 60611, USA. carnethon@northwestern.edu
JAMA
|August 9, 2012
概括
患有新发型2型糖尿病的正常体重成年人面临更高的死亡风险. 这项研究发现,与超重或肥胖的同行相比,正常体重指数 (BMI) 的个人经历了总,心血管和非心血管死亡率的增加.
科学领域:
- 内分泌学和新陈代谢学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 在正常体重的成年人中,称为代谢肥胖正常体重表型的2型糖尿病的死亡率含义不明.
- 了解糖尿病诊断时体重状况对死亡率的影响对于临床管理和公共卫生策略至关重要.
研究的目的:
- 调查新诊断为2型糖尿病的成年人体重状况和死亡率之间的关联.
- 通过关注发生的糖尿病病例,尽量减少糖尿病持续时间和故意减肥等混因素.
主要方法:
- 五项大型纵向队列研究的综合分析,包括超过2600名患有发病糖尿病的参与者.
- 在糖尿病诊断时,参与者被分为正常体重 (BMI 18.5-24.99) 或超重/肥胖 (BMI ≥25).
- 死亡结果 (总,心血管,非心血管) 在中位数的随访期内被跟踪.
主要成果:
- 正常体重的个体约占患有发病糖尿病的成人的12%.
- 总体,心血管和非心血管原因的死亡率在正常体重的参与者中明显高于超重/肥胖的参与者.
- 调整后的危险比率表明,正常体重的糖尿病患者的总和非心血管死亡风险大幅增加.
结论:
- 2型糖尿病诊断时的正常体重与所有原因和特定原因死亡率的增加有关.
- 研究结果强调,正常体重并不能保护糖尿病患者免受不良死亡结果的影响.
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