Recent trends in the prevalence of type 2 diabetes and the association with abdominal obesity lead to growing health disparities in the USA: An analysis of the NHANES surveys from 1999 to 2014.
Recent trends in the prevalence of type 2 diabetes and the association with abdominal obesity lead to growing health disparities in the USA: An analysis of the NHANES surveys from 1999 to 2014.
复制标题
DOI：
10.1111/dom.13143
复制
发表时间：
2018-03
期刊：
影响因子：
--
通讯作者：
Kosiborod M
中科院分区：
文献类型：
--
作者：
Caspard H;Jabbour S;Hammar N;Fenici P;Sheehan JJ;Kosiborod M
评估腹部肥胖和非肥胖个体之间2型糖尿病患病率的长期趋势是否不同。根据美国人口普查局于2014年1月1日发布的年龄、性别和种族人口分布估计值标准化后，使用国家健康和营养检查调查（NHANES）的数据估计1999/2000年至2013/2014年美国≥20岁人群中2型糖尿病和腹部肥胖的患病率。美国人群中腹部肥胖的患病率从1999/2000年的47.4%（95%置信区间[CI] 42.6 - 52.2）增加至2013/2014年的57.2%（95% CI 55.9 - 58.5）。在所有年龄组中均观察到显著增加：20 - 44岁、45 - 64岁和≥65岁。2型糖尿病的患病率也从1999/2000年的8.8%（95%CI 7.2 - 10.4）增加到2013/2014年的11.7%（95%CI 10.9 - 12.6），近年来趋势无实质性变化。然而，2型糖尿病患病率的增加仅限于腹部肥胖的个体，更具体地说，是年龄≥45岁的腹部肥胖个体，非肥胖组和年龄<45岁的个体的患病率没有显著变化。这些研究结果强调了腹部肥胖的重要性，它既是美国2型糖尿病持续流行的可能关键因素，也是公共卫生干预的优先目标。
To assess whether the secular trends in type 2 diabetes prevalence differ between abdominally obese and non‐obese individuals. Data from the National Health and Nutrition Examination Surveys (NHANES) were used to estimate the prevalence of type 2 diabetes and abdominal obesity among individuals aged ≥20 years in the USA from 1999/2000 to 2013/2014, after standardization to the age, sex and ethnicity population distribution estimates on January 1, 2014, as published by the US Census Bureau. The prevalence of abdominal obesity in the US population increased from 47.4% (95% confidence interval [CI] 42.6‐52.2) in 1999/2000 to 57.2% (95% CI 55.9‐58.5) in 2013/2014. A significant increase was observed in all age groups: 20 to 44, 45 to 64, and ≥65 years. The prevalence of type 2 diabetes has also increased from 8.8% (95% CI 7.2‐10.4) in 1999/2000 to 11.7% (95% CI 10.9‐12.6) in 2013/2014, with no substantial change in trend over the recent years. However, the increase in the prevalence of type 2 diabetes was limited to individuals with abdominal obesity, and more specifically to individuals aged ≥45 years with abdominal obesity, with no significant change in prevalence in the non‐obese group and in individuals aged <45 years. These findings highlight the critical importance of abdominal obesity—both as a likely key contributor to the continuing epidemic of type 2 diabetes in the USA and as a priority target for public health interventions.
登录
查看更多内容
影响因子：
8.2
作者：
Haynes, Aveni;Bulsara, Max K.;Davis, Elizabeth A.
通讯作者：
Davis, Elizabeth A.
影响因子：
16.2
作者：
Janiszewski, Peter M.;Janssen, Ian;Ross, Robert
通讯作者：
Ross, Robert
影响因子：
16.2
作者：
Cowie, Catherine C.;Engelgau, Michael M.;Gregg, Edward W.
通讯作者：
Gregg, Edward W.
影响因子：
120.7
作者：
Menke, Andy;Casagrande, Sarah;Cowie, Catherine C.
通讯作者：
Cowie, Catherine C.
影响因子：
3.7
作者：
Mamtani M;Kulkarni H;Dyer TD;Almasy L;Mahaney MC;Duggirala R;Comuzzie AG;Blangero J;Curran JE
通讯作者：
Curran JE