美国1990 - 1998年的糖尿病趋势。
Diabetes trends in the U.S.: 1990-1998.
作者信息
Mokdad A H, Ford E S, Bowman B A, Nelson D E, Engelgau M M, Vinicor F, Marks J S
机构信息
Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
出版信息
Diabetes Care. 2000 Sep;23(9):1278-83. doi: 10.2337/diacare.23.9.1278.
OBJECTIVE
To examine trends in diabetes prevalence in the U.S.
RESEARCH DESIGN AND METHODS
This study was conducted via telephone surveys in states that participated in the Behavioral Risk Factor Surveillance System between 1990 and 1998. The participants consisted of noninstitutionalized adults aged 18 years or older. The main outcome measure was self-reported diabetes.
RESULTS
The prevalence of diabetes rose from 4.9% in 1990 to 6.5% in 1998--an increase of 33%. Increases were observed in both sexes, all ages, all ethnic groups, all education levels, and nearly all states. Changes in prevalence varied by state. The prevalence of diabetes was highly correlated with the prevalence of obesity (r = 0.64, P<0.001).
CONCLUSIONS
The prevalence of diabetes continues to increase rapidly in the U.S. Because the prevalence of obesity is also rising, diabetes will become even more common. Major efforts are needed to alter these trends.
目的
研究美国糖尿病患病率的趋势。
研究设计与方法
本研究通过对1990年至1998年间参与行为危险因素监测系统的各州进行电话调查开展。参与者为18岁及以上的非机构化成年人。主要结局指标为自我报告的糖尿病。
结果
糖尿病患病率从1990年的4.9%升至1998年的6.5%，增长了33%。各性别、各年龄段、各种族、各教育水平以及几乎所有州的患病率均有所上升。患病率的变化因州而异。糖尿病患病率与肥胖患病率高度相关（r = 0.64，P<0.001）。
结论
美国糖尿病患病率持续快速上升。由于肥胖患病率也在上升，糖尿病将变得更加普遍。需要做出重大努力来改变这些趋势。
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