在阿布扎比的一项基于人口的队列研究中,2型糖尿病的发生率和预测因素
Latifa Mohammad Baynouna AlKetbi1,2, Rudina AlKetbi3, Mariam Saif AlShamsi4
1Abu Dhabi Healthcare Services, Seha Clinics, Abu Dhabi, United Arab Emirates. Latifa.mohammad@gmail.com.
Scientific reports
|July 3, 2025
概括
在阿布扎比,糖尿病 (DM) 患病率很高,包括高HbA1C和吸烟在内的显著风险因素. 一个新的预测模型有助于早期发现和预防糖尿病的策略.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 内分泌学 在内分泌学.
背景情况:
- 糖尿病 (DM) 是一个重大的全球健康挑战,需要对其决定因素和发病率进行持续监测.
- 了解DM的趋势对于有效的风险因素识别和未来的医疗保健规划至关重要.
研究的目的:
- 报告阿布扎比人口中糖尿病患病率和发病率.
- 确定显著的风险因素,并开发新发糖尿病的预测模型.
- 分析糖尿病前期的决定因素及其与年龄和性别的关系.
主要方法:
- 一个回顾性队列研究 (阿布扎比风险研究 - ADRS) 涉及8699名参与者,平均随访时间为9.2年.
- 考克斯回归分析以确定决定因素并构建糖尿病预测模型.
- 对糖尿病和糖尿病前期的流行,发病率和风险因素的分析.
主要成果:
- 糖尿病患病率增加至28.5% (25.3%的女性,31.9%的男性).
- 在12年内,糖尿病的总发病率为7.4%,其中较高的HbA1C,吸烟和eGFR是显著的预测因素.
- 糖尿病前期的决定因素包括较高的DBP,胆固醇,RBS,BMI,年龄和较低的HDL;性别和吸烟并不重要.
结论:
- 阿布扎比的糖尿病患病率仍然很高,累计糖尿病前期和糖尿病率的增加令人担忧.
- 一个经过验证的预测模型 (c-统计值0.837) 可以为预防糖尿病提供临床实践的信息.
- 专注于确定风险因素的公共卫生战略对于管理日益增长的糖尿病负担至关重要.
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