Diabetes Risk Reduction Behaviors Among US Adults with Prediabetes
Diabetes Risk Reduction Behaviors Among US Adults with Prediabetes
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DOI：
10.1016/j.amepre.2009.12.029
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发表时间：
2010-04-01
影响因子：
5.5
通讯作者：
Cowie, Catherine C.
中科院分区：
文献类型：
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作者：
Geiss, Linda S.;James, Cherie;Cowie, Catherine C.
背景：糖尿病高危人群可以通过改变饮食结构、中等强度运动和适度减肥等方式预防或延缓糖尿病的发生。然而，美国糖尿病前期成年人在多大程度上改变了生活方式，从而降低了风险。目的：本研究旨在研究与降低糖尿病风险相一致的生活方式改变以及与在患有糖尿病的成年人中采用这些改变相关的因素。方法：2009年，分析了参加2005-2006年国家健康和营养调查并进行了有效的空腹血糖和口服葡萄糖耐量测试的1402名非糖尿病成年人的数据，这些测试表明，在过去的一年里，患有糖尿病前期的成年人报告他们试图控制或减轻体重，减少饮食中的脂肪或卡路里的量，结果：2005年至2006年，近30%的美国成年人口患有糖尿病前期，但只有7.3%(95%CI=5.596，92%)知道自己患有糖尿病。大约一半的糖尿病前期成年人报告在过去一年中进行了糖尿病风险降低行为，但只有大约三分之一的糖尿病前期成年人在过去一年中接受了医疗保健提供者关于这些行为的建议。在多变量分析中，提供者建议、女性、超重或肥胖与所有三种风险降低行为均呈正相关。结论：美国成人糖尿病前期患者采用风险降低行为并不理想。需要努力提高对糖尿病前期的认识，增加对健康行为的促进，并改善循证生活方式方案的可用性，以减缓糖尿病新病例的增长(Am J Prev Med 2010，38(4)403-409)，这是由Elsevier Inc.代表美国预防医学杂志发表的
Background: Diabetes can be prevented or delayed in high-risk adults through lifestyle modifications, including dietary changes, moderate-intensity exercise, and modest weight loss. However, the extent to which U.S. adults with prediabetes are making lifestyle changes consistent with reducing risk is unknown.Purpose: This study aimed to study lifestyle changes consistent with reducing diabetes risk and factors associated with their adoption among adults with prediabetesMethods: In 2009, data were analyzed from 1402 adults aged years without diabetes who participated in the 2005-2006 National Health and Nutrition Examination Survey and had valid fasting plasma glucose and oral glucose tolerance tests The extent to which adults with prediabetes report that in the past year they tried to control or lose weight, reduced the amount of fat or calories in their diet, or increased physical activity or exercise was estimated and factors associated with the adoption of these behaviors were examinedResults: Almost 30% of the U.S. adult population had prediabetes in 2005-2006, but only 7 3% (95% CI=5.596, 92%) were aware they had it. About half of adults with prediabetes reported performing diabetes risk reduction behaviors in the past year, but only about one third of adults with prediabetes had received healthcare provider advice about these behaviors in the past year. In multivariate analyses, provider advice, female gender, and being overweight or obese were positively associated with all three risk reduction behaviors.Conclusions: Adoption of risk reduction behaviors among U.S. adults with prediabetes is suboptimal. Efforts to improve awareness of prediabetes, increase promotion of healthy behaviors, and improve availability of evidence-based lifestyle programs are needed to slow the growth in new cases of diabetes (Am J Prev Med 2010,38(4) 403-409) Published by Elsevier Inc on behalf of American Journal of Preventive Medicine