Pierce M, Harding D, Ridout D, Keen H, Bradley C
Department of Primary Health Care and General Practice, Imperial College School of Medicine, London.
Br J Gen Pract. 2001 Mar;51(464):194-9.
People with a parent with type II diabetes have an increased risk of the disease. There is increasing evidence for the possibility of prevention, particularly by attaining and maintaining normal weight and adequate levels of physical exercise. No prior studies have reported awareness of risk and prevention in this high-risk group.
To explore beliefs about personal risk of diabetes and prevention in people with a parent with type II diabetes.
A total of 254 adults with type II diabetes were identified from five randomly selected practices in south London. Self-report questionnaires were sent to 152 eligible offspring of these patients. A total of 105 of the offspring returned the self-report questionnaires and participated in the study.
Five randomly selected practices in south London.
Patients with type II diabetes in five randomly selected practices in south London were asked if we might contact their offspring. One randomly selected offspring (over 18 years of age) from each family completed a self-report questionnaire.
Of 254 adults with type II diabetes 152 had eligible offspring. A total of 105 (69%) of the offspring participated in the study. A total of 69 (66%) of these offspring believed their personal risk of developing diabetes was 'low'. At least 28 (28%) and maybe as many as 73 (70%) underestimated the risk of diabetes in offspring. Compared with the number thinking their current risk was low significantly more (95 versus 69) thought that their risk would be low if neither of their parents had diabetes. Fifty-seven (54%) thought prevention was possible. Sixteen thought taking more exercise was important for prevention and only seven thought that weight control was important. Many had good general knowledge about diabetes and its complications but awareness of the relationship between diabetes and cardiovascular disease was poor.
People with a parent with type II diabetes are usually aware that they have an increased risk of diabetes. However, they often underestimate that risk and know little about potentially useful preventive strategies. They need accurate information about these matters if they are to reduce their risk of diabetes and its complications.
父母患有II型糖尿病的人患该疾病的风险会增加。越来越多的证据表明该病存在预防的可能性，尤其是通过达到并维持正常体重以及进行适量体育锻炼。此前尚无研究报告过这一高危人群对风险及预防的认知情况。
探讨父母患有II型糖尿病的人群对自身患糖尿病风险及预防措施的看法。
从伦敦南部随机选取的五家医疗机构中识别出254名II型糖尿病成年患者。向其中152名符合条件的患者后代发放了自填式问卷。共有105名后代返回了自填式问卷并参与了研究。
伦敦南部随机选取的五家医疗机构。
询问伦敦南部随机选取的五家医疗机构中的II型糖尿病患者，我们是否可以联系他们的后代。每个家庭随机选取一名（18岁以上）后代填写一份自填式问卷。
在254名II型糖尿病成年患者中，152人有符合条件的后代。共有105名（69%）后代参与了研究。这些后代中共有69名（66%）认为自己患糖尿病的个人风险“低”。至少28名（28%），甚至可能多达73名（70%）低估了后代患糖尿病的风险。与认为自己当前风险低的人数相比，认为如果父母都没有糖尿病其风险就会低的人数明显更多（95名对69名）。57名（54%）认为预防是有可能的。16人认为多锻炼对预防很重要，只有7人认为控制体重很重要。许多人对糖尿病及其并发症有较好的常识，但对糖尿病与心血管疾病之间的关系了解不足。
父母患有II型糖尿病的人通常意识到自己患糖尿病的风险增加。然而，他们往往低估这种风险，并且对可能有用的预防策略知之甚少。如果他们想降低患糖尿病及其并发症的风险，就需要了解有关这些问题的准确信息。
