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饮食因素是否会增加患或未患2型糖尿病的古巴裔美国人的医疗费用?

Do dietary factors contribute to medical cost for Cuban Americans with and without type 2 diabetes?

作者信息

Debnath Subrata, Gomez Gianna P, Zarini Gustavo G, Vaccaro Joan A, Al-Hajeri Maha, Huffman Fatma G

机构信息

Department of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.

出版信息

J Health Care Finance. 2012 Summer;38(4):61-75.

PMID:22894022
Abstract

BACKGROUND

Cuban Americans have a high prevalence of type 2 diabetes, placing them at risk for cardiovascular disease (CVD) and increased medical costs. Little is known regarding the lifestyle risk factors of CVD among Cuban Americans. This study investigated modifiable CVD risk factors of Cuban Americans with and without type 2 diabetes.

METHODS

Sociodemographics, anthropometrics, blood pressure, physical activity, dietary intake, and biochemical parameters were collected and assessed for n=79 and n=80 Cuban Americans with and without type 2 diabetes.

RESULTS

Fourteen percent with diabetes and 24 percent without diabetes engaged in the recommended level of physical activity. Over 90 percent had over the recommended intake of saturated fats. Thirty-five percent were former or current smokers.

DISCUSSION

Cuban Americans had several lifestyle factors that are likely to increase the risk of CVD. Their dietary factors were associated with blood cholesterol and body weight, which has been shown to impact on medical expenses. These findings may be used for designing programs for the prevention of CVD as well as type 2 diabetes for Cuban Americans.

摘要

背景

古巴裔美国人中2型糖尿病的患病率很高,这使他们面临心血管疾病(CVD)风险并增加医疗成本。关于古巴裔美国人中CVD的生活方式风险因素,人们了解甚少。本研究调查了患有和未患有2型糖尿病的古巴裔美国人的可改变CVD风险因素。

方法

收集并评估了n = 79名患有2型糖尿病和n = 80名未患有2型糖尿病的古巴裔美国人的社会人口统计学、人体测量学、血压、身体活动、饮食摄入和生化参数。

结果

患有糖尿病的人群中有14%、未患有糖尿病的人群中有24%进行了推荐水平的身体活动。超过90%的人饱和脂肪摄入量超过推荐量。35%的人曾经或现在吸烟。

讨论

古巴裔美国人有几个可能增加CVD风险的生活方式因素。他们的饮食因素与血液胆固醇和体重有关,这已被证明会影响医疗费用。这些发现可用于为古巴裔美国人设计预防CVD以及2型糖尿病的项目。

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