Trends in the prevalence of type 2 diabetes in Asians versus whites: results from the United States National Health Interview Survey, 1997-2008.

Trends in the prevalence of type 2 diabetes in Asians versus whites: results from the United States National Health Interview Survey, 1997-2008.
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亚洲人与白人的2型糖尿病患病率的趋势:美国国家健康访谈调查的结果,1997- 2008年。

DOI:
10.2337/dc10-0746
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发表时间:
2011-02
期刊:
影响因子:
16.2
通讯作者:
Yeh HC
Yeh HC
中科院分区:
医学1区
文献类型:
--
作者:
Lee JW;Brancati FL;Yeh HC

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研究亚裔美国人与非西班牙裔白人相比,2型糖尿病患病率及相关疾病的趋势。我们分析了1997年至2008年全国健康访谈调查的数据,构建了一个具有全国代表性的样本,调查对象为230,503名年龄在≥18岁的美国成年人。在这些成年人中,11,056人认为自己是亚裔美国人,219,447人是非西班牙裔白人。在整个研究期间,亚裔美国人的年龄和性别调整后的2型糖尿病患病率高于白人(4.3-8.2%对3.8-6.0%),并且在两个种族中都有显著的上升趋势(P<0.01)。BMI在两组中也都有所增加,但经年龄和性别调整后的亚裔美国人的BMI一直较低。在完全调整的Logistic回归模型中,亚裔美国人患糖尿病的可能性比他们的白人同龄人高30%-50%。此外,亚裔印度人患2型糖尿病的几率最高,其次是菲律宾人、其他亚洲人和中国人。与白人相比,亚裔美国人患2型糖尿病的风险要高得多,尽管他们的BMI要低得多。有必要对这种差异进行进一步的调查,目的是为亚裔美国人量身定做最佳的糖尿病预防策略。
To examine trends in the prevalence of type 2 diabetes and related conditions in Asian Americans compared with non-Hispanic whites. We analyzed data from the National Health Interview Survey (NHIS) from 1997 to 2008 to construct a nationally representative sample of 230,503 U.S. adults aged ≥18 years. Of these adults, 11,056 identified themselves as Asian Americans and 219,447 as non-Hispanic whites. The age- and sex-adjusted prevalence of type 2 diabetes was higher in Asian Americans than in whites throughout the study period (4.3–8.2% vs. 3.8–6.0%), and there was a significant upward trend in both ethnic groups (P < 0.01). BMI also was increased in both groups, but age- and sex-adjusted BMI was consistently lower in Asian Americans. In fully adjusted logistic regression models, Asian Americans remained 30–50% more likely to have diabetes than their white counterparts. In addition, Asian Indians had the highest odds of prevalent type 2 diabetes, followed by Filipinos, other Asians, and Chinese. Compared with their white counterparts, Asian Americans have a significantly higher risk for type 2 diabetes, despite having substantially lower BMI. Additional investigation of this disparity is warranted, with the aim of tailoring optimal diabetes prevention strategies to Asian Americans.
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发表时间: 2001-07-01
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