Demosthenes Emmanuella J, Freedman Jason, Hernandez Camila, Shennette Lisa, Frisard Christine F, Lemon Stephenie C, Gerber Ben S, Amante Daniel J
UMass Chan Medical School, Department of Population and Quantitative Health Sciences, United States.
U.S. Department of Veteran's Affairs, United States.
Prev Med Rep. 2024 Aug 11;46:102859. doi: 10.1016/j.pmedr.2024.102859. eCollection 2024 Oct.
To investigate what overweight or obese adults with prediabetes in the United States report being told by providers about 1) having prediabetes, 2) diabetes risk, and 3) losing weight and the associations of these communications with attempted weight loss.
Data from 2015 to 2018 National Health and Nutrition Examination Surveys (NHANES) for adults with a body mass index in the overweight or obesity ranges and HbA1c in the prediabetes range were examined (n = 2085). Patient reported data on what providers told them about having prediabetes, being at risk for diabetes, and losing weight were compared with attempted weight loss.
Most participants (66.4%) reported never being told they had prediabetes nor being at risk for diabetes, 13.0% reported being told they had prediabetes, 10.6% at risk for diabetes, and 8.0% both messages. 18.3% of participants reported being told to lose weight. Participants who reported being told they had prediabetes and at increased diabetes risk were more likely to report attempted weight loss (adjusted odds ratio (AOR) 1.8, 95% confidence interval (CI) 1.1-3.2). Reporting that they were told to lose weight was not significantly associated with an increase in reported weight loss attempts.
In this cohort of individuals with overweight/obesity and prediabetic HbA1c values, low rates communications with providers about prediabetes and diabetes risk were reported. When both were discussed, patients reported greater attempted weight loss. These findings draw attention to the potential impact that provider communications about prediabetes and diabetes risk may have on lifestyle behavior change.
调查美国超重或肥胖的糖尿病前期成年人报告从医疗服务提供者那里得知的情况，包括1）患有糖尿病前期，2）糖尿病风险，以及3）减肥，以及这些沟通与尝试减肥之间的关联。
对2015年至2018年全国健康和营养检查调查（NHANES）中体重指数处于超重或肥胖范围且糖化血红蛋白处于糖尿病前期范围的成年人数据进行了检查（n = 2085）。将患者报告的关于医疗服务提供者告知他们患有糖尿病前期、有患糖尿病风险以及减肥的情况与尝试减肥进行比较。
大多数参与者（66.4%）报告从未被告知他们患有糖尿病前期或有患糖尿病风险，13.0%报告被告知患有糖尿病前期，10.6%报告有患糖尿病风险，8.0%报告同时收到这两条信息。18.3%的参与者报告被告知要减肥。报告被告知患有糖尿病前期且糖尿病风险增加的参与者更有可能报告尝试减肥（调整后的优势比（AOR）为1.8，95%置信区间（CI）为1.1 - 3.2）。报告被告知要减肥与报告的减肥尝试增加没有显著关联。
在这个超重/肥胖且糖化血红蛋白处于糖尿病前期值的队列中，报告与医疗服务提供者就糖尿病前期和糖尿病风险进行沟通的比例较低。当两者都被讨论时，患者报告有更多的减肥尝试。这些发现提请注意医疗服务提供者关于糖尿病前期和糖尿病风险的沟通可能对生活方式行为改变产生的潜在影响。
