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基于人群的糖尿病筛查项目中焦虑与血糖测量指标之间的关联。

The association between anxiety and measures of glycaemia in a population-based diabetes screening programme.

机构信息

Department of Health Sciences Department of Cardiovascular Sciences, University of Leicester, Leicester, UK.

出版信息

Diabet Med. 2011 Jul;28(7):785-8. doi: 10.1111/j.1464-5491.2011.03245.x.

DOI:10.1111/j.1464-5491.2011.03245.x
PMID:21672003
Abstract

AIM

To investigate associations between anxiety and measures of glycaemia in a White European and South Asian population attending community-based diabetes screening.

METHODS

In total, 4688 White European and 1353 South Asian participants (aged 40-75 years) without a previous diagnosis of Type 2 diabetes underwent an oral glucose tolerance test and HbA(1c) measurement, detailed history, anthropometric measurements and completed the short-form Spielberger State Trait Anxiety Inventory.

RESULTS

Anxiety was significantly higher in South Asian participants (mean 34.1; sd 0.37) compared with White European participants (mean 29.8; sd 0.13). Significant correlations were not identified between anxiety and fasting (r = -0.01, P = 0.75), 2-h glucose (r = -0.10, P = 0.24) or HbA(1c) (r = 0.01, P = 0.40).

CONCLUSIONS

Anxiety levels at screening were greater among South Asian people. Fasting, 2-h plasma glucose and HbA(1c) are not affected by anxiety during screening tests for diabetes. Current and proposed screening methods for diagnosis of diabetes are not affected by anxiety at screening.

摘要

目的

调查在参加社区糖尿病筛查的白种欧洲人和南亚人群中,焦虑与血糖测量值之间的关联。

方法

共有 4688 名白种欧洲人和 1353 名南亚参与者(年龄在 40-75 岁之间)没有 2 型糖尿病的既往诊断史,他们接受了口服葡萄糖耐量试验和 HbA(1c)测量、详细病史、人体测量学测量,并完成了短式斯皮尔伯格状态特质焦虑量表。

结果

南亚参与者的焦虑明显高于白种欧洲参与者(均值 34.1;标准差 0.37)。焦虑与空腹(r = -0.01,P = 0.75)、2 小时血糖(r = -0.10,P = 0.24)或 HbA(1c)(r = 0.01,P = 0.40)之间无显著相关性。

结论

在筛查时,南亚人焦虑水平更高。在糖尿病筛查期间,空腹、2 小时血浆葡萄糖和 HbA(1c)不受焦虑的影响。当前和拟议的用于诊断糖尿病的筛查方法不受筛查时焦虑的影响。

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