Achievement of American Diabetes Association clinical practice recommendations among US adults with diabetes, 1999-2002 - The National Health and Nutrition Examination Survey
Achievement of American Diabetes Association clinical practice recommendations among US adults with diabetes, 1999-2002 - The National Health and Nutrition Examination Survey
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DOI：
10.2337/diacare.29.03.06.dc05-1254
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发表时间：
2006-03-01
期刊：
影响因子：
16.2
通讯作者：
Ratner, RE
中科院分区：
文献类型：
--
作者：
Resnick, HE;Foster, GL;Ratner, RE
目的 - 估计符合美国糖尿病协会 (ADA) 临床实践建议的美国成人糖尿病患者比例。 研究设计和方法 - 使用 1999-2002 年全国健康和营养检查调查的数据，确定了 998 名年龄 >= 18 岁的自报糖尿病患者。对 HbA(1c) (A1C)、HDL 胆固醇、LDL 胆固醇、LDL 胆固醇、甘油三酯、血压、肾功能营养素摄入量、吸烟、肺炎球菌疫苗接种和体力活动符合 ADA 建议的成人糖尿病患者比例进行了估计。 结果 - 1999 年至 2002 年美国成人糖尿病患者中，49.8% 的 A1C < 7%； HDL 胆固醇、LDL 胆固醇和甘油三酯的低风险人群分别为 27.4%、36.0% 和 65.0%。近 40% 的人达到血压建议，66% 的肾功能正常，蛋白质、饱和脂肪、不饱和脂肪和纤维的每日营养建议得到满足，分别有 64.0%、48.3%、28.3% 和 18.3% 的人满足。尽管 > 81% 的样本报告在检查时不吸烟，但只有 38.2% 的人报告曾接种过肺炎球菌疫苗，28.2% 的人报告称曾接种过肺炎球菌疫苗。获得建议的身体活动水平。种族、年龄、糖尿病病程和教育程度影响 ADA 建议的实现。结论 - 美国成人糖尿病患者实现 ADA 临床实践建议的程度还远远不够。
OBJECTIVE - To estimate the proportion of U.S. adults with diabetes who meet American Diabetes Association (ADA) clinical practice recommendations.RESEARCH DESIGN AND METHODS - Using data from the 1999-2002 National Health and Nutrition Examination Survey, 998 adults aged >= 18 years with self-reported diabetes were identified. The proportion of adults with diabetes meeting ADA recommendations for HbA(1c) (A1C), HDL cholesterol, LDL cholesterol, LDL cholesterol, triglycerides, blood pressure, renal function nutrient intake, smoking, pneumococcal vaccination, and physical activity was estimated.RESULTS - Among U.S. adults with diabetes in 1999-2002, 49.8% had A1C < 7%; 27.4, 36.0, and 65.0% were classified as low risk for HDL cholesterol, LDL cholesterol, and triglycerides, respectively. Nearly 40% met blood pressure recommendations, 66% had normal renal function, and daily nutrient recommendations for protein, saturated fat, unsaturated fat, and fiber were met by 64.0, 48.3, 28.3, and 18.3%, respectively Although > 81% of the sample reported not smoking at the time of the exam, only 38.2% reported ever having had a pneumococcal immunization, and 28.2% reported getting the recommended level of physical activity. Race, age, duration of diabetes, and education affected achievement of ADA recommendations.CONCLUSIONS - Achievement of ADA clinical practice recommendations is far from adequate in U.S. adults with diabetes.