南印度人糖尿病的ADA 1997标准与WHO 1985标准的比较——金奈城市人口研究。美国糖尿病协会。

Comparison of ADA 1997 and WHO 1985 criteria for diabetes in south Indians--the Chennai Urban Population Study. American Diabetes Association.

作者信息

Deepa R, Shanthi Rani S, Premalatha G, Mohan V

机构信息

Madras Diabetes Research Foundation, Chennai, India.

出版信息

Diabet Med. 2000 Dec;17(12):872-4. doi: 10.1046/j.1464-5491.2000.00385.x.

DOI:10.1046/j.1464-5491.2000.00385.x

PMID:11168331

Abstract

AIMS

To compare the American Diabetes Association (ADA) fasting criteria and World Health Organization (WHO) 2-h criteria for diabetes in an urban south Indian population.

METHODS

Subjects were drawn from the Chennai Urban Population Study. Of the 1001 subjects studied, 52 (5.2%) were diagnosed as having diabetes according to WHO 2-h criteria and 32 (3.2%) according to the ADA fasting criteria.

RESULTS

Twenty-five (48%) of the subjects diagnosed with diabetes by the WHO 2-h criteria were not classified as having diabetes by the ADA fasting criteria. Similarly, of the 78 subjects (7.8%) classified as having impaired glucose tolerance (IGT), only eight (10.3%) had impaired fasting glucose (IFG) according to the ADA fasting criteria. The overall agreement between the WHO 2-h criteria and ADA fasting criteria was poor (kappa = 0.40).

CONCLUSIONS

Use of the ADA fasting criteria results in a lower prevalence rates of diabetes in this lean urban south Indian population.

摘要

目的

比较美国糖尿病协会（ADA）的空腹血糖标准与世界卫生组织（WHO）的2小时血糖标准在印度南部城市人群中对糖尿病的诊断情况。

方法

研究对象来自金奈城市人口研究。在1001名研究对象中，根据WHO的2小时血糖标准，有52人（5.2%）被诊断为糖尿病；根据ADA的空腹血糖标准，有32人（3.2%）被诊断为糖尿病。

结果

根据WHO的2小时血糖标准被诊断为糖尿病的对象中，有25人（48%）根据ADA的空腹血糖标准未被归类为糖尿病。同样，在78名被归类为糖耐量受损（IGT）的对象（7.8%）中，根据ADA的空腹血糖标准，只有8人（10.3%）有空腹血糖受损（IFG）。WHO的2小时血糖标准与ADA的空腹血糖标准之间的总体一致性较差（kappa = 0.40）。