Do Behavioral Risk Factors for Prediabetes and Insulin Resistance Differ across the Socioeconomic Gradient? Results from a Community-Based Epidemiologic Survey.
Do Behavioral Risk Factors for Prediabetes and Insulin Resistance Differ across the Socioeconomic Gradient? Results from a Community-Based Epidemiologic Survey.
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DOI：
10.1155/2015/806257
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发表时间：
2015
影响因子：
2.8
通讯作者：
McKinlay JB
中科院分区：
文献类型：
--
作者：
Yang MH;Hall SA;Piccolo RS;Maserejian NN;McKinlay JB
为了研究与糖尿病相关的行为风险因素（饮食、BMI、腰围、体力活动和睡眠时间）是否也与糖尿病前期和胰岛素抵抗（IR）相关，我们使用了波士顿地区社区健康（BACH）调查（2010-2012,n = 3155）的数据。采用Logistic和线性回归模型检验生活方式因素与糖尿病前期状态、胰岛素抵抗、糖尿病前期或胰岛素抵抗的关系。所有回归模型均按教育程度和收入水平分层（以检查风险因素是否在社会经济因素中有差异影响），并根据年龄、性别、种族/民族、糖尿病家族史和吸烟状况进行调整。我们发现，腰围越大，胰岛素抵抗（IR）水平越高，患前驱糖尿病的几率也越高。虽然大腰围和IR之间的关联在所有SES水平上都是一致的（P < 0.001），但大腰围和前驱糖尿病之间的关联仅在最高的社会经济阶层中具有统计学意义，研究生学位和收入阶层的比值比分别为1.68 （95% CI 1.07-2.62）和1.88 （95% CI 1.22-2.92）。在SES人群中，饮食、身体活动、睡眠时间和多种危险因素与前驱糖尿病或IR的存在之间没有关联。
To examine whether behavioral risk factors associated with diabetes (diet, BMI, waist circumference, physical activity, and sleep duration) are also related to both prediabetes and insulin resistance (IR), we used data from Boston Area Community Health (BACH) Survey (2010–2012, n = 3155). Logistic and linear regression models were used to test the association of lifestyle factors with prediabetes status, insulin resistance, and prediabetes or insulin resistance. All regression models were stratified by education and income levels (to examine whether risk factors had differential effects across socioeconomic factors) and adjusted for age, gender, race/ethnicity, family history of diabetes, and smoking status. We found that large waist circumference was consistently associated with higher levels of insulin resistance (IR) and increased odds of prediabetes. While the association between large waist circumference and IR was consistent across all levels of SES (P < 0.001), the association between large waist circumference and prediabetes was only statistically significant in the highest socioeconomic strata with odds ratios of 1.68 (95% CI 1.07–2.62) and 1.88 (95% CI 1.22–2.92) for postgraduate degree and income strata, respectively. There was no association between diet, physical activity, sleep duration, and the presence of multiple risk factors and prediabetes or IR within SES strata.
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血红蛋白A1C和禁食等离子体葡萄糖定义的美国前糖尿病前期的世俗变化：国家健康和营养检查调查，1999-2010。
影响因子：
16.2
作者：
Bullard KM;Saydah SH;Imperatore G;Cowie CC;Gregg EW;Geiss LS;Cheng YJ;Rolka DB;Williams DE;Caspersen CJ
通讯作者：
Caspersen CJ
影响因子：
16.2
作者：
Cappuccio FP;D'Elia L;Strazzullo P;Miller MA
通讯作者：
Miller MA
影响因子：
5
作者：
Harding, AH;Day, NE;Wareham, NJ
通讯作者：
Wareham, NJ
DOI：
10.1034/j.1600-0579.2003.00211.x
发表时间：
2003-05-01
影响因子：
6.3
作者：
Brown, AF;Gross, AG;Mangione, CM
通讯作者：
Mangione, CM
影响因子：
16.2
作者：
Ayas, NT;White, DP;Hu, FB
通讯作者：
Hu, FB