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2010 - 2019年韩国西南部地区糖尿病前期的临床特征及相关危险因素

Clinical Characteristics and Associated Risk Factors of Prediabetes in the Southwestern Region of Korea from 2010-2019.

作者信息

Oh Mi-Ra, Jung Su-Jin, Bae Eun-Ju, Park Byung-Hyun, Chae Soo-Wan

机构信息

Clinical Trial Center for Functional Foods, Chonbuk National University Hospital, Jeonju, Jeonbuk 54907, Korea.

College of Pharmacy, Chonbuk National University, Jeonju, Jeonbuk 54896, Korea.

出版信息

J Clin Med. 2020 Apr 13;9(4):1114. doi: 10.3390/jcm9041114.

Abstract

This study investigated the clinical characteristics and associated risk factors of prediabetes in the southwestern region of Korea. A total of 323 subjects from 13 prediabetes studies were included in the data analysis. Subjects with prediabetes were divided into the following subtypes: (1) normal glucose tolerance (NGT) with HbA1c 5.7%-6.4%; (2) isolated impaired fasting glucose (I-IFG); (3) isolated impaired glucose tolerance (I-IGT); and (4) combined I-IFG and I-IGT (C-IFG/IGT). Clinical and biochemical variables were compared among subtypes, and multivariate logistic regression analysis was used to identify risk factors for prediabetes subtypes. The overall proportion of subjects with NGT, I-IFG, I-IGT and C-IFG/IGT was 8.4%, 20.7%, 33.1% and 37.8%, respectively. In men, C-IFG/IGT was the most common subtype, while in women, I-IGT was the most common. The parameters related to dysglycemia, atherosclerosis and liver dysfunction were higher in subjects in the C-IFG/IGT subtype than in other subtypes. Multiple linear regression analysis revealed independent risk factors for increased FPG, 2h-PPG and HbA1c levels. This study identified the clinical features and independent risk factors for prediabetes subtypes.

摘要

本研究调查了韩国西南部地区糖尿病前期的临床特征及相关危险因素。数据分析纳入了来自13项糖尿病前期研究的323名受试者。糖尿病前期受试者被分为以下亚型:(1)糖化血红蛋白(HbA1c)为5.7%-6.4%的糖耐量正常(NGT);(2)单纯空腹血糖受损(I-IFG);(3)单纯糖耐量受损(I-IGT);(4)合并空腹血糖受损和糖耐量受损(C-IFG/IGT)。对各亚型的临床和生化变量进行比较,并采用多因素逻辑回归分析确定糖尿病前期各亚型的危险因素。NGT、I-IFG、I-IGT和C-IFG/IGT受试者的总体比例分别为8.4%、20.7%、33.1%和37.8%。在男性中,C-IFG/IGT是最常见的亚型,而在女性中,I-IGT是最常见的。C-IFG/IGT亚型受试者的血糖异常、动脉粥样硬化和肝功能障碍相关参数高于其他亚型。多元线性回归分析揭示了空腹血糖(FPG)、餐后2小时血糖(2h-PPG)和HbA1c水平升高的独立危险因素。本研究确定了糖尿病前期各亚型的临床特征和独立危险因素。

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