Screening for Diabetes in an African American Community: Identifying Characteristics Associated With Abnormal Blood Glucose Readings

Screening for Diabetes in an African American Community: Identifying Characteristics Associated With Abnormal Blood Glucose Readings
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DOI:
10.1016/s0027-9684(15)30302-3
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发表时间:
2011-03-01
影响因子:
3.3
通讯作者:
Wisdom, Kimberlydawn
Wisdom, Kimberlydawn
中科院分区:
医学4区
文献类型:
--
作者:
Saffar, Darcy;Perkins, Denise White;Wisdom, Kimberlydawn

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目的:确定与非裔美国人异常血糖读数相关的特征,并确定更有针对性的社区2型糖尿病筛查方法的潜在价值。方法:在密歇根州底特律市的移动筛查活动中收集了7113名没有糖尿病诊断的参与者的数据。收集的数据包括性别、种族、年龄、自我报告的身高和体重、糖尿病总风险评分、血压和随机毛细血管血糖。结果:近9%的参与者随机血糖读数异常(RPG >= 160 mg/dL)。结果表明,年龄较大、血压升高和体重指数(BMI)与血糖读数异常显著相关。结论:这些发现表明,以社区为基础的糖尿病筛查针对50岁以上的高血压或BMI至少为25的成年人,可能会提高对非裔美国人异常血糖水平的检测。
Objective: To identify characteristics associated with abnormal blood glucose readings among African Americans and to determine the potential value of a more targeted approach to community-based screenings for type 2 diabetes.Methods: Data were collected from 7113 participants with no previous diagnosis of diabetes at mobile screening events in Detroit, Michigan. Data collected included gender, race, age, self-reported height and weight, total diabetes risk score, blood pressure, and random capillary blood glucose. Results: Nearly 9% of participants had abnormal random plasma glucose readings (RPG >= 160 mg/dL).Results indicated that higher age, elevated blood pressure, and body mass index (BMI) were significantly associated with abnormal glucose readings.Conclusion: These findings suggest that community-based screenings for diabetes that are targeted to adults aged more than 50 years who have high blood pressure or a BMI of at least 25 may enhance detection of abnormal glucose levels among African Americans.