Diabetes in Hispanic American Youth
Diabetes in Hispanic American Youth
复制标题
西班牙裔美国青年的糖尿病
作者：
J. Lawrence;E. Mayer‐Davis;K. Reynolds;J. Beyer;D. Pettitt;R. D'Agostino;S. Marcovina;G. Imperatore;R. Hamman
报告2001年西班牙裔美国青年1型和2型糖尿病的患病率和2002-2005年的发病率，并描述这些青年的人口统计学、临床和行为特征。研究设计和方法--青年糖尿病研究中心的数据，一项以人群为基础的多中心观察性研究，对象为0-19岁的经医生诊断为糖尿病的青年，被用来估计1型和2型糖尿病的患病率和发病率。通过问卷调查、体格检查、血液和尿液采集获得的信息进行分析，以描述完成研究访问的青年的特征。在西班牙裔美国青年中，1型糖尿病比2型糖尿病更普遍，包括10-19岁的青年。在1型或2型糖尿病患病率方面没有显著的性别差异。10-14岁女性2型糖尿病发病率是男性的2倍（P < 0.005），而15-19岁青年女性2型糖尿病发病率高于1型糖尿病（P < 0.05），但男性2型糖尿病发病率与1型糖尿病发病率无显著性差异。血糖控制不良（定义为A1 C ≥ 9.5%）以及高LDL胆固醇和甘油三酯在年龄≥15岁的两种糖尿病患者中很常见。44%的1型糖尿病患者超重或肥胖。结论：血糖控制不良、血脂升高、超重和肥胖的高患病率等因素可能使西班牙裔1型和2型糖尿病青年面临未来糖尿病相关并发症的风险。
OBJECTIVE—To report the 2001 prevalence and 2002–2005 incidence of type 1 and type 2 diabetes in Hispanic American youth and to describe the demographic, clinical, and behavioral characteristics of these youth. RESEARCH DESIGN AND METHODS—Data from the SEARCH for Diabetes in Youth Study, a population-based multicenter observational study of youth aged 0–19 years with physician-diagnosed diabetes, were used to estimate the prevalence and incidence of type 1 and type 2 diabetes. Information obtained by questionnaire, physical examination, and blood and urine collection was analyzed to describe the characteristics of youth who completed a study visit. RESULTS—Among Hispanic American youth, type 1 diabetes was more prevalent than type 2 diabetes, including in youth aged 10–19 years. There were no significant sex differences in type 1 or type 2 diabetes prevalence. The incidence of type 2 diabetes for female subjects aged 10–14 years was twice that of male subjects (P < 0.005), while among youth aged 15–19 years the incidence of type 2 diabetes exceeded that of type 1 diabetes for female subjects (P < 0.05) but not for male subjects. Poor glycemic control, defined as A1C ≥9.5%, as well as high LDL cholesterol and triglycerides were common among youth aged ≥15 years with either type of diabetes. Forty-four percent of youth with type 1 diabetes were overweight or obese. CONCLUSIONS—Factors such as poor glycemic control, elevated lipids, and a high prevalence of overweight and obesity may put Hispanic youth with type 1 and type 2 diabetes at risk for future diabetes-related complications.
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影响因子：
5.1
作者：
Kershnar, Ann K.;Daniels, Stephen R.;Rodriguez, Beatriz L.
通讯作者：
Rodriguez, Beatriz L.
患有胰岛素依赖型糖尿病的城市非裔美国人和西班牙裔美国人儿童的医院使用模式、家族史和共存状况。
影响因子：
5.1
作者：
Lipton,RB
通讯作者：
Lipton,RB
影响因子：
5.8
作者：
Albers, John J.;Marcovina, Santica M.;Dabelea, Dana M.
通讯作者：
Dabelea, Dana M.
影响因子：
120.7
作者：
Dabelea, Dana;Bell, Ronny A.;Waitzfelder, Beth
通讯作者：
Waitzfelder, Beth
DOI：
10.1097/00004583-199101000-00009
发表时间：
1991-01-01
影响因子：
13.3
作者：
ROBERTS, RE;LEWINSOHN, PM;SEELEY, JR
通讯作者：
SEELEY, JR