意大利非传染性疾病的超重和高血糖之间的相互作用:来自横截面研究的结果
Vincenzo Atella1,2, Federico Belotti1,2, Matilde Giaccherini2
1Department of Economics and Finance, University of Rome Tor Vergata, Rome, Italy.
Acta diabetologica
|May 13, 2024
概括
体重过重和高血糖症显著增加主要慢性疾病的风险. 管理这两种疾病是预防严重健康问题的关键医疗保健优先事项.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 代谢综合征是代谢综合征的一种.
背景情况:
- 体重过重,包括超重和肥胖,是一个日益严重的全球健康问题.
- 高血糖症,包括禁食葡萄糖和糖尿病受损,是许多慢性疾病的主要危险因素.
- 了解超重和高血糖对慢性疾病患病率的综合影响对于公共卫生干预至关重要.
研究的目的:
- 为了确定不同身体质量指数 (BMI) 类别中慢性并发症的流行率.
- 研究体重过重和葡萄糖代谢异常对主要慢性疾病风险的协同效应.
- 根据BMI和血糖状况确定高风险子组.
主要方法:
- 意大利一家大型全科医院注册 (Health Search/IQVIA Health LPD) 的分析,其中包括2018年991,917名成年人.
- 根据BMI (正常体重,超重,肥胖等级1-3) 和葡萄糖代谢状态 (常态血糖,禁食葡萄糖受损,糖尿病) 对研究群体的分类.
- 使用ICD-9 CM代码识别并发症.
主要成果:
- 超重的发病率为39.4%,肥胖的发病率为11.1%.
- 糖尿病 (DM) 影响了8.9%,禁食葡萄糖 (IFG) 影响了4.2%的人口.
- 超重和肥胖都与较高的葡萄糖异常率和慢性疾病有关,包括心血管疾病,心力衰竭,慢性病和胃肠道瘤. IFG和DM的存在显著增加了每个BMI类别内的并发症风险.
结论:
- 体重过重和高血糖症对公众健康造成重大双重负担.
- 解决超重和高血糖症是减轻慢性疾病风险的基本医疗保健优先事项.
- 对BMI升高和葡萄糖代谢异常的个体进行有针对性的干预是有必要的.
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