Aguiar Elroy J, Morgan Philip J, Collins Clare E, Plotnikoff Ronald C, Callister Robin
Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, University Drive, Callaghan, NSW 2308, Australia; School of Biomedical Sciences and Pharmacy, Faculty of Health and Medicine, University of Newcastle, University Drive, Callaghan, NSW 2308, Australia.
Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, University Drive, Callaghan, NSW 2308, Australia; School of Education, Faculty of Education and Arts, University of Newcastle, University Drive, Callaghan, NSW 2308, Australia.
Diabetes Res Clin Pract. 2015 Apr;108(1):45-54. doi: 10.1016/j.diabres.2015.01.017. Epub 2015 Jan 20.
AIMS: The primary aim was to describe characteristics of men identified at high-risk for Type 2 diabetes mellitus (T2DM) using the Australian diabetes risk assessment (AUSDRISK) tool. Secondary aims were to determine the prevalence of pre-diabetes and metabolic syndrome in these men. METHODS: Men (n=209) completed the AUSDRISK tool, with 165 identified as high-risk for T2DM (score ≥ 12, maximum 38). Demographic, anthropometric, physiological and behavioural outcomes were assessed for 101 men. Comparisons (one-way ANOVA) among three AUSDRISK score groups (12-15, 16-19, ≥ 20) were performed (significance level, P<0.05). RESULTS: Common risk factors (percentages) among high-risk men were waist circumference (>90 cm; 93%), age (>44 years; 79%), physical activity level (< 150 min wk(-1); 59%), family history of diabetes (39%) and previously high blood glucose levels (32%). Men with AUSDRISK scores ≥ 20 had higher (mean ± SD) HbA1C (6.0 ± 0.4% [42 ± 4.4 mmol.mol(-1)], P<0.001), FPG (5.3 ± 0.6 mmol.L(-1), P=0.001) and waist circumference (113.2 ± 9.8 cm, P=0.026) than men with scores of 12-15. Mean FPG for the sample was 5.0 ± 0.6 mmol.L(-1), whereas mean HbA1C was 5.8 ± 0.5% [40 ± 5.5 mmol.mol(-1)]. Pre-diabetes prevalence was 70% and metabolic syndrome prevalence was 62%. CONCLUSIONS: The AUSDRISK tool identified men who were mostly older than 44, and had large waist circumferences and elevated HbA1C. These findings provide evidence supporting the usefulness of the AUSDRISK screening tool for T2DM screening in clinical and research settings.
目的:主要目的是描述使用澳大利亚糖尿病风险评估(AUSDRISK)工具确定的2型糖尿病(T2DM)高危男性的特征。次要目的是确定这些男性中糖尿病前期和代谢综合征的患病率。 方法:209名男性完成了AUSDRISK工具评估,其中165名被确定为T2DM高危人群(得分≥12,满分38分)。对101名男性的人口统计学、人体测量学、生理学和行为学结果进行了评估。在三个AUSDRISK得分组(12 - 15、16 - 19、≥20)之间进行了比较(单因素方差分析)(显著性水平,P<0.05)。 结果:高危男性中常见的风险因素(百分比)为腰围(>90厘米;93%)、年龄(>44岁;79%)、身体活动水平(<150分钟/周;59%)、糖尿病家族史(39%)和既往高血糖水平(32%)。AUSDRISK得分≥20的男性的糖化血红蛋白(HbA1C)(均值±标准差)(6.0±0.4% [42±4.4毫摩尔/摩尔(-1)],P<0.001)、空腹血糖(FPG)(5.3±0.6毫摩尔/升,P = 0.001)和腰围(113.2±9.8厘米,P = 0.026)高于得分在12 - 15之间的男性。样本的平均空腹血糖为5.0±0.6毫摩尔/升,而平均糖化血红蛋白为5.8±0.5% [40±5.5毫摩尔/摩尔(-1)]。糖尿病前期患病率为70%,代谢综合征患病率为62%。 结论:AUSDRISK工具识别出的男性大多年龄超过44岁,腰围较大且糖化血红蛋白升高。这些发现为支持AUSDRISK筛查工具在临床和研究环境中用于T2DM筛查的有效性提供了证据。
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