EPIDEMIOLOGY, OBESITY, AND NON-INSULIN-DEPENDENT DIABETES-MELLITUS
EPIDEMIOLOGY, OBESITY, AND NON-INSULIN-DEPENDENT DIABETES-MELLITUS
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DOI：
10.1093/oxfordjournals.epirev.a036035
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发表时间：
1989-01-01
影响因子：
5.5
通讯作者：
BARRETTCONNOR, E
中科院分区：
文献类型：
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作者：
BARRETTCONNOR, E
肥胖和糖尿病的流行病学研究是医学上已知的最古老的慢性疾病之一，早在肥胖和癌症或心脏病的研究之前。Joslin(2)是第一批以现代流行病学家可以接受的方式引起人们对肥胖和糖尿病之间联系的关注的人之一。1921年，他描述了一项研究，将1000名糖尿病患者的体重和身高按年龄与保险人寿进行比较。他了解使用连续案例和大样本的重要性，实际测量身高和体重的重要性，围绕人寿保险表的“正常标准”提供一些差异的重要性，考虑瘦和超重程度的重要性，以及风险比率基本概念的重要性。在描述他的数据时，Joslin写道：“该表作为一个整体显示，在所考虑的1000名糖尿病患者中，只有10%的最大体重低于标准体重区间，而15%的人处于标准体重区间，75%的人高于标准体重区间”(2，第81页)。
Epidemiologic studies of obesity and diabetes, one of the oldest known chronic condition associations in medicine, antedated studies of obesity and cancer or heart disease. Joslin (2) was among the first to draw attention to the association between obesity and diabetes in a manner that would be acceptable to modern epidemiologists. In 1921, he described a study of weight and height in 1,000 diabetics compared by age with insured lives. He understood the importance of using consecutive cases and large samples, of actually measuring both height and weight, of giving some variation around the" normal standard" of the life insurance tables, of considering the degree of leanness as well as overweight, and the importance of the basic concept of risk ratios. Describing his data, Joslin wrote," The table as a whole shows that of the 1,000 diabetics considered, the maximum weights of only 10 per cent were below the standard weight zone, while 15 per cent came in that zone and 75 per cent above it"(2, p. 81).