美国的老龄化、糖尿病与公共卫生系统。
Aging, diabetes, and the public health system in the United States.
机构信息
Epidemiology and Statistics Branch, Office of the Director of the Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention (CDC), Atlanta, GA 30341-3717, USA.
出版信息
Am J Public Health. 2012 Aug;102(8):1482-97. doi: 10.2105/AJPH.2011.300616. Epub 2012 Jun 14.
Abstract
Diabetes (diagnosed or undiagnosed) affects 10.9 million US adults aged 65 years and older. Almost 8 in 10 have some form of dysglycemia, according to tests for fasting glucose or hemoglobin A1c. Among this age group, diagnosed diabetes is projected to reach 26.7 million by 2050, or 55% of all diabetes cases. In 2007, older adults accounted for $64.8 billion (56%) of direct diabetes medical costs, $41.1 billion for institutional care alone. Complications, comorbid conditions, and geriatric syndromes affect diabetes care, and medical guidelines for treating older adults with diabetes are limited. Broad public health programs help, but effective, targeted interventions and expanded surveillance and research and better policies are needed to address the rapidly growing diabetes burden among older adults.
摘要
糖尿病（已确诊或未确诊）影响着 1090 万美国 65 岁及以上的成年人。根据空腹血糖或糖化血红蛋白检测，近 8 成人存在某种形式的糖代谢异常。在这一年龄组中，预计到 2050 年，诊断出的糖尿病将达到 2670 万，占所有糖尿病病例的 55%。2007 年，老年人占糖尿病直接医疗费用的 648 亿美元（56%），仅机构护理就占 411 亿美元。并发症、合并症和老年综合征影响着糖尿病的治疗，针对老年糖尿病患者的治疗医学指南也很有限。广泛的公共卫生项目有所帮助，但需要有效的、有针对性的干预措施，扩大监测和研究，并制定更好的政策，以应对老年人中迅速增长的糖尿病负担。
相似文献
1
Aging, diabetes, and the public health system in the United States.美国的老龄化、糖尿病与公共卫生系统。
Am J Public Health. 2012 Aug;102(8):1482-97. doi: 10.2105/AJPH.2011.300616. Epub 2012 Jun 14.
2
Clinical and Public Health Implications of 2019 Endocrine Society Guidelines for Diagnosis of Diabetes in Older Adults.2019 年内分泌学会老年糖尿病诊断指南的临床和公共卫生意义。
Diabetes Care. 2020 Jul;43(7):1456-1461. doi: 10.2337/dc19-2467. Epub 2020 Apr 23.
3
Diabetes: a global challenge with high economic burden for public health systems and society.糖尿病：对公共卫生系统和社会而言具有高经济负担的全球性挑战。
Am J Public Health. 2013 Feb;103(2):e1-2. doi: 10.2105/AJPH.2012.301106. Epub 2012 Dec 13.
4
Identifying Trends in Undiagnosed Diabetes in U.S. Adults by Using a Confirmatory Definition: A Cross-sectional Study.使用验证性定义识别美国成年人未诊断糖尿病的趋势：一项横断面研究。
Ann Intern Med. 2017 Dec 5;167(11):769-776. doi: 10.7326/M17-1272. Epub 2017 Oct 24.
5
Caspersen et al. respond to Arredondo.卡斯佩森等人回应阿雷东多。
Am J Public Health. 2013 Feb;103(2):e2. doi: 10.2105/AJPH.2012.301133. Epub 2012 Dec 13.
6
Prevalence of diabetes and high risk for diabetes using A1C criteria in the U.S. population in 1988-2006.1988-2006 年美国人群中应用 A1C 标准评估的糖尿病及糖尿病高危的流行率。
Diabetes Care. 2010 Mar;33(3):562-8. doi: 10.2337/dc09-1524. Epub 2010 Jan 12.
7
Projecting diabetes prevalence among Mexicans aged 50 years and older: the Future Elderly Model-Mexico (FEM-Mexico).预测 50 岁及以上墨西哥人糖尿病患病率：未来老年人模型-墨西哥（FEM-Mexico）。
BMJ Open. 2017 Oct 25;7(10):e017330. doi: 10.1136/bmjopen-2017-017330.
8
Prevalence of diabetes and impaired fasting glucose in adults--United States, 1999-2000.1999 - 2000年美国成年人糖尿病及空腹血糖受损患病率
MMWR Morb Mortal Wkly Rep. 2003 Sep 5;52(35):833-7.
9
Projection of the future diabetes burden in the United States through 2060.到2060年美国未来糖尿病负担的预测。
Popul Health Metr. 2018 Jun 15;16(1):9. doi: 10.1186/s12963-018-0166-4.
10
Economic Costs of Diabetes in the U.S. in 2017.2017 年美国糖尿病的经济成本。
Diabetes Care. 2018 May;41(5):917-928. doi: 10.2337/dci18-0007. Epub 2018 Mar 22.
引用本文的文献
1
Developing and Evaluating SEE-Diabetes: A Patient-Centered Educational Decision Support System for Diabetes Care.开发和评估 SEE-Diabetes：一种面向糖尿病护理的以患者为中心的教育决策支持系统。
J Eval Clin Pract. 2025 Feb;31(1):e14234. doi: 10.1111/jep.14234. Epub 2024 Nov 4.
2
Changes in the preoperative ocular surface flora with an increase in patient age: A surveillance analysis of bacterial diversity and resistance to fluoroquinolone.随着患者年龄增长术前眼表菌群的变化：细菌多样性及对氟喹诺酮耐药性的监测分析
Graefes Arch Clin Exp Ophthalmol. 2023 Nov;261(11):3231-3239. doi: 10.1007/s00417-023-06121-1. Epub 2023 Jun 1.
3
Diabetes mellitus is associated with 90-day mortality in old critically ill COVID-19 patients: a multicenter prospective observational cohort study.糖尿病与老年危重症 COVID-19 患者 90 天死亡率相关：一项多中心前瞻性观察队列研究。
Infection. 2023 Oct;51(5):1407-1415. doi: 10.1007/s15010-023-02001-2. Epub 2023 Mar 1.
4
The Food4Years Ageing Network: Improving foods and diets as a strategy for supporting quality of life, independence and healthspan in older adults.食品 4 年衰老网络：改善食物和饮食作为支持老年人生活质量、独立性和健康寿命的策略。
Nutr Bull. 2023 Mar;48(1):124-133. doi: 10.1111/nbu.12599. Epub 2023 Jan 31.
5
Identifying risk factors of developing type 2 diabetes from an adult population with initial prediabetes using a Bayesian network.利用贝叶斯网络从初诊前期糖尿病的成年人群中识别 2 型糖尿病的发病风险因素。
Front Public Health. 2023 Jan 12;10:1035025. doi: 10.3389/fpubh.2022.1035025. eCollection 2022.
6
Perceptions of the Healthcare System Among Black Men with Previously Undiagnosed Diabetes and Prediabetes.黑人男性对先前未被诊断出的糖尿病和糖尿病前期的医疗保健系统的看法。
J Racial Ethn Health Disparities. 2023 Dec;10(6):3150-3158. doi: 10.1007/s40615-022-01488-z. Epub 2022 Dec 15.
7
A pilot study to demonstrate the paracrine effect of equine, adult allogenic mesenchymal stem cells , with a potential for healing of experimentally-created, equine thoracic wounds .一项初步研究，旨在证明马的成年异体间充质干细胞的旁分泌作用，该干细胞具有治愈实验性创建的马胸部伤口的潜力。
Front Vet Sci. 2022 Nov 14;9:1011905. doi: 10.3389/fvets.2022.1011905. eCollection 2022.
8
The unfolded protein response reverses the effects of glucose on lifespan in chemically-sterilized C. elegans.未折叠蛋白反应逆转了化学灭菌的秀丽隐杆线虫中葡萄糖对寿命的影响。
Nat Commun. 2022 Oct 19;13(1):5889. doi: 10.1038/s41467-022-33630-0.
9
Predicting the 2-Year Risk of Progression from Prediabetes to Diabetes Using Machine Learning among Chinese Elderly Adults.利用机器学习预测中国老年人群中糖尿病前期进展为糖尿病的2年风险
J Pers Med. 2022 Jun 27;12(7):1055. doi: 10.3390/jpm12071055.
10
Utility of Non-High-Density Lipoprotein Cholesterol to High-Density Lipoprotein Cholesterol Ratio in Evaluating Incident Diabetes Risk.非高密度脂蛋白胆固醇与高密度脂蛋白胆固醇比值在评估糖尿病发病风险中的效用
Diabetes Metab Syndr Obes. 2022 May 31;15:1677-1686. doi: 10.2147/DMSO.S355980. eCollection 2022.
本文引用的文献
1
Opioid abuse in the United States and Department of Health and Human Services actions to address opioid-drug-related overdoses and deaths.美国的阿片类药物滥用情况以及美国卫生与公众服务部为应对与阿片类药物相关的过量用药和死亡所采取的行动。
J Pain Palliat Care Pharmacother. 2015 Jun;29(2):133-9. doi: 10.3109/15360288.2015.1037530.
2
Management of hyperglycaemia in type 2 diabetes: a patient-centered approach. Position statement of the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD).2型糖尿病高血糖管理：以患者为中心的方法。美国糖尿病协会（ADA）和欧洲糖尿病研究协会（EASD）的立场声明。
Diabetologia. 2012 Jun;55(6):1577-96. doi: 10.1007/s00125-012-2534-0. Epub 2012 Apr 20.
3
Efficacy and effectiveness of influenza vaccines: a systematic review and meta-analysis.流感疫苗的疗效和效果：系统评价和荟萃分析。
Lancet Infect Dis. 2012 Jan;12(1):36-44. doi: 10.1016/S1473-3099(11)70295-X. Epub 2011 Oct 25.
4
Enrolling people with prediabetes ages 60-64 in a proven weight loss program could save Medicare $7 billion or more.将 60-64 岁的前驱糖尿病患者纳入经过验证的减肥计划中，可为医疗保险节省 70 亿美元或更多。
Health Aff (Millwood). 2011 Sep;30(9):1673-9. doi: 10.1377/hlthaff.2010.0944.
5
6
Herpes zoster vaccine in older adults and the risk of subsequent herpes zoster disease.老年人带状疱疹疫苗与后续带状疱疹发病风险。
JAMA. 2011 Jan 12;305(2):160-6. doi: 10.1001/jama.2010.1983.
7
Projection of the year 2050 burden of diabetes in the US adult population: dynamic modeling of incidence, mortality, and prediabetes prevalence.2050 年美国成年人口糖尿病负担预测：发病率、死亡率和糖尿病前期患病率的动态建模。
Popul Health Metr. 2010 Oct 22;8:29. doi: 10.1186/1478-7954-8-29.
8
Prevalence of diabetic retinopathy in the United States, 2005-2008.2005 - 2008年美国糖尿病视网膜病变的患病率。
JAMA. 2010 Aug 11;304(6):649-56. doi: 10.1001/jama.2010.1111.
9
Cost-effectiveness of interventions to prevent and control diabetes mellitus: a systematic review.预防和控制糖尿病的干预措施的成本效益：系统评价。
Diabetes Care. 2010 Aug;33(8):1872-94. doi: 10.2337/dc10-0843.
Zotero 插件