Family Networks of Obesity and Type 2 Diabetes in Rural Appalachia
Family Networks of Obesity and Type 2 Diabetes in Rural Appalachia
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DOI：
10.1111/j.1752-8062.2009.00162.x
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发表时间：
2009-12-01
影响因子：
3.9
通讯作者：
Branch, Robert
中科院分区：
文献类型：
--
作者：
Pancoska, Petr;Buch, Shama;Branch, Robert
肥胖和糖尿病的患病率在西弗吉尼亚州贫困、医疗服务不足的阿巴拉契亚农村地区的青少年和成年人中进行了研究。一个基于网络的问卷调查肥胖和糖尿病获得了989家庭成员的2 - 10个社区为基础的临床研究（CBPR）培训的青少年成员的网络18个科学俱乐部，纳入142个家庭。在年龄校正后，< 20岁的青少年和成年人中有50%肥胖。肥胖的频率分布呈三峰型。在总人群中，10.4%患有2型糖尿病，而24%的成年肥胖受试者患有2型糖尿病。一个新的指标，家庭糖尿病风险潜力，确定了风险潜力的三峰分布。在最低最常见的分布中，43%的家庭有糖尿病家庭成员。在中间分布中，69%的家庭成员患有糖尿病，在得分最高的分布中，所有家庭都有糖尿病成员。总之，阿巴拉契亚农村最贫穷的县处于肥胖和糖尿病流行的危机水平。年龄校正的肥胖和家庭糖尿病潜在风险的分布不是正态分布。我们认为，针对风险最大的个别家庭单位提供了最有效的战略，以改善这种流行病。
The prevalence of obesity and diabetes has been studied in adolescent and adult populations in poor, medically underserved rural Appalachia of West Virginia. A web-based questionnaire about obesity and diabetes was obtained in 989 family members of 2 10 Community Based Clinical Research (CBPR) trained adolescent members of a network of 18 science clubs, incorporating 142 families. After age-correction in < 20 years old, 50% of both adolescents and adults were obese. The frequency distribution of obesity was trimodal. In the overall population 10.4% had type 2 diabetes, while 24% of adult, obese subjects had type 2 diabetes. A new metric, the family diabetes risk potential, identified a trimodal distribution of risk potential. In the lowest most common distribution 43% of families had a diabetic family member. In the intermediate distribution, 69% had a diabetic family member, and in the distribution with highest scores all the families had a diabetic member. in conclusion, the poorest counties of rural Appalachia are at crisis level with the prevalence of obesity and diabetes. The distribution of age-corrected obesity and family diabetes risk potential are not normally distributed. We suggest that targeting individual family units at greatest risk offers the most efficient strategy for ameliorating this epidemic.