马来西亚2型糖尿病成年人血糖控制中的种族差异:回顾性多变量分析
Fikry Ahmad1, Suhaili Abubakar2, Sharifah Sakinah Syed Alwi1
1Department of Biomedical Science, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, 43400, Malaysia.
Journal of racial and ethnic health disparities
|January 16, 2026
概括
马来西亚2型糖尿病患者的血糖控制受年龄,性别,种族和治疗类型的影响. 考虑这些因素的个性化策略可以改善结果.
科学领域:
- 内分泌学和新陈代谢学
- 公共卫生 公共卫生
- 临床研究 临床研究
背景情况:
- 优化2型糖尿病的血糖控制是一个重大的全球健康挑战.
- 马来西亚多元化的种族人口为糖尿病管理提供了独特的考虑因素.
- 了解影响血糖控制的因素对于有效的公共卫生战略至关重要.
研究的目的:
- 调查社会人口统计因素,BMI,治疗类型,并发症和糖尿病持续时间与血糖控制之间的关系.
- 分析马来西亚三大主要族群在2型糖尿病成年人中的这些关联.
- 为了确定针对性干预的血糖控制的关键决定因素.
主要方法:
- 苏丹阿卜杜勒阿齐兹·沙阿医院 (苏丹阿卜杜勒阿齐兹·沙阿医院) 的642名患者记录的回顾性审查 (2024年6月 - 2025年5月).
- 收集的数据包括年龄,性别,种族,BMI,并发症,糖尿病持续时间和药物治疗.
- 线性混合模型被用来分析血红蛋白A1c (HbA1c) 水平随着时间的推移,对共变量进行调整.
主要成果:
- 年龄,性别,种族和治疗类型与HbA1c水平显著相关 (p < 0.05).
- 年龄,性别和治疗类型显著影响了HbA1c随时间的变化 (p < 0.05).
- 年龄较大,女性性别,中国族裔和单疗法与更好的血糖指数结果有关.
结论:
- 年龄,性别,种族和治疗是决定2型糖尿病的马来西亚成年人血糖控制的关键因素.
- 建议采用个性化治疗策略,考虑年轻患者,男性,马来人或印度人,以及选择性单一治疗.
- 量身定制的方法可以提高血糖结果并减少与糖尿病相关的并发症.
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