美国超重或肥胖成年人糖尿病检测的发生率,2016-2019年
Yu Chen1, Elizabeth A Lundeen2, Alain K Koyama2
1Division of Diabetes Translation, Centers for Disease Control and Prevention, 4770 Buford Hwy NE, Atlanta, GA 30341 (ppz4@cdc.gov).
Preventing chronic disease
|December 28, 2023
概括
对于40至70岁的超重或肥胖的成年人,建议对糖尿病前期和2型糖尿病进行查. 血糖检测率有所不同,更广泛的定义产生了更高的患病率,这表明需要改进查工作.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 内分泌学 在内分泌学.
背景情况:
- 对糖尿病前期和2型糖尿病的查使早期检测和治疗成为可能.
- 美国预防服务工作组建议对40至70岁的超重或肥胖的成年人进行定期血糖查.
研究的目的:
- 估计40至70岁超重或肥胖的成年人在3年内接受血糖检测的比例.
- 分析影响该人口群体血糖检测率的因素.
主要方法:
- 利用了2016年的IQVIA门诊电子医疗记录数据.
- 确定了1,338,509名年龄在40至70岁之间的超重或肥胖的成年人,不包括那些有先前存在的糖尿病患者.
- 在2017-2019年间检查的血糖检测发生率和计算的流行率.
主要成果:
- 血糖测试的未调整流行率为33.4% (血红蛋白A1c或快餐血糖) 和74.3% (包括随机或未指定的葡萄糖测量).
- 肥胖的成年人比超重的人更容易接受测试.
- 在50-59岁的男性和成年人中观察到更高的测试率.
结论:
- 这些发现突出了基于定义和人口统计数据的血糖测试的差异.
- 结果可以为公共卫生倡议提供信息,以加强对超重和肥胖成年人糖尿病风险的查.
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