Ciardullo Anna V, Daghio Maria M, Brunetti Massimo, Bevini Massimo, Daya Ghassan, Feltri Gaetano, Novi Doriano, Goldoni Carlo A, Magrini Nicola
Centre for the Evaluation of the Effectiveness of Health Care (CEVEAS), Modena.
Soz Praventivmed. 2003;48(3):186-90. doi: 10.1007/s00038-003-2047-1.
To describe the characteristics of a diabetic population in a primary care setting, and to evaluate changes in glycaemic control at varying body weight categories.
We collected 4,610 valid baseline and three years follow-up paired data sheets sent from 77% of the general practitioners adhering to our shared-care program (257 GPs out of 521) for people with type 2 diabetes. Three conventional body weight categories were defined: "normal" (BMI, < or = 25 kg/m2), "overweight" (BMI 25.0-29.9), "obesity" (BMI > or = 30). According to weight status we calculated descriptive statistics and follow-up paired changes.
A fifth of the diabetic patients had a "normal" BMI, about 45% was "overweight" and 34% was "obese". At follow-up, the glycaemic control significantly improved both in "normal" and "overweight" people, while it significantly worsened in "obese" ones.
Our data confirm the crucial role played by body weight and its changes in diabetic patients.
描述基层医疗环境中糖尿病患者群体的特征，并评估不同体重类别下血糖控制的变化。
我们收集了来自参与我们共享照护计划的77%的全科医生（521名中的257名）发送的4610份有效的基线和三年随访配对数据表，涉及2型糖尿病患者。定义了三种传统体重类别：“正常”（体重指数，BMI，≤25千克/平方米）、“超重”（BMI 25.0 - 29.9）、“肥胖”（BMI≥30）。根据体重状况，我们计算了描述性统计数据和随访配对变化。
五分之一的糖尿病患者BMI“正常”，约45%为“超重”，34%为“肥胖”。随访时，“正常”和“超重”人群的血糖控制显著改善，而“肥胖”人群的血糖控制显著恶化。
我们的数据证实了体重及其变化在糖尿病患者中所起的关键作用。
