Prevalence, treatment, and control of diagnosed diabetes in the US National Health and Nutrition Examination Survey 1999-2004
Prevalence, treatment, and control of diagnosed diabetes in the US National Health and Nutrition Examination Survey 1999-2004
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DOI：
10.1016/j.annepidem.2007.10.007
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发表时间：
2008-03-01
影响因子：
5.6
通讯作者：
Lam, Karen S. L.
中科院分区：
文献类型：
--
作者：
Ong, Kwok Leung;Cheung, Bernard M. Y.;Lam, Karen S. L.
目得：本研究的目的是研究美国20岁以上成年人糖尿病的患病率、治疗和控制的趋势。方法：采用1999-2004年国家健康与营养调查的数据。糖化血红蛋白、血压和总胆固醇目标水平分别定义为糖化血红蛋白<7.0%、血压< 130/80 mm Hg和总胆固醇< 200 mg/dL。2003-2004年，确诊糖尿病的患病率为7.8%，在40-59岁的人群、女性、非西班牙裔白人、和肥胖人群的数据。虽然抗糖尿病治疗模式没有显著变化，但经年龄调整后，达到血糖和血压目标水平的糖尿病患者比例分别从35.8%增加到57.1%（p = 0.002）和从35.7%增加到48.3%（p = 0.04）。然而，只有那些人达到总胆固醇目标水平（从48.8%至50.4%）和那些实现所有3个目标水平（从7.5%至13.2%）的百分比不显著增加结论：在1999年至2004年，诊断糖尿病的患病率显着增加，在一些亚组的人口。然而，实现血糖和血压目标的糖尿病患者百分比的增加令人鼓舞，尽管仍有改进的余地。
PURPOSE: This study aimed to examine the trends in prevalence, treatment, and control of diagnosed diabetes in United States adults 20 years of age or older.METHODS: Data from the National Health and Nutrition Examination Survey 1999-2004 were used. Glycemic, blood pressure, and total cholesterol target levels were defined as having glycosylated hemoglobin < 7.0%, blood pressure < 130/80 mm Hg, and total cholesterol < 200 mg/dL, respectively.RESULTS: The prevalence of diagnosed diabetes was 7.8% in 2003-2004 and increased significantly in people aged 40-59 years, women, non-Hispanic whites, and obese people in the period 1999-2004. Although there was no significant change in the pattern of antidiabetic treatment, the age-adjusted percentage of people with diagnosed diabetes achieving glycemic and blood pressure target levels increased from 35.8% to 57.1% (p = 0.002) and from 35.7% to 48.3% (p = 0.04), respectively. However, there were only insignificant increases in percentages of those persons achieving total cholesterol target level (from 48.8% to 50.4%) and those achieving all 3 target levels (from 7.5% to 13.2%).CONCLUSIONS: In 1999-2004, the prevalence of diagnosed diabetes increased significantly in some subgroups of the population. However, the increases in percentages of people with diabetes achieving glycemic and blood pressure targets are encouraging, although there is room for improvement.