美国成年人糖尿病患病率和管理模式,2001-2023年
Miaojin Hu1, Michael H Le2, Yee Hui Yeo3
1Department of Biostatistics, University of Michigan, Ann Arbor, MI, USA.
Acta diabetologica
|July 30, 2025
概括
从2001年到2023年,糖尿病患病率显著增加,血糖控制恶化. 高血糖和风险因素的管理仍然是一个关键的公共卫生挑战.
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:
- 糖尿病是美国发病率和死亡率的主要原因之一.
- 鉴定糖尿病的趋势对于公共卫生干预至关重要.
研究的目的:
- 分析2001年至2023年糖尿病患病率的长期趋势.
- 为了评估随着时间的推移,血糖控制,脂质水平,血压和药物使用的变化.
- 为了确定糖尿病患病率和控制的人口预测因素.
主要方法:
- 对国家健康和营养检查系列 (NHANES) 数据 (2001-2023) 的回顾分析.
- 包括27,437名参与者,特别关注3467例诊断和1602例未诊断的糖尿病病例.
- 结果包括糖尿病患病率,血糖控制 (血红蛋白A1c),脂质控制 (LDL),血压和药物使用,分析了人口因素.
主要成果:
- 糖尿病患病率从10.0%上升到15.1%,男性和某些种族/民族群体的患病率更高.
- 血糖控制下降,更少的人达到血红蛋白A1c <7% (61.5%至44.9%).
- 脂质控制得到改善,但仍不理想;血压控制没有随着时间的推移显著变化.
结论:
- 2001年至2023年期间,糖尿病患病率大幅增加.
- 高血糖和相关的风险因素,如高血压和脂质失调的有效管理仍然不足.
- 需要有针对性的干预措施来应对不断上升的糖尿病率并改善患者的治疗结果.
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