Department of Public Health, Aarhus University, Aarhus, Denmark.
Queen Ingrid's Hospital, Steno Diabetes Center Greenland, Nuuk, Greenland.
Int J Circumpolar Health. 2024 Dec;83(1):2421052. doi: 10.1080/22423982.2024.2421052. Epub 2024 Nov 6.
This study aims to estimate the prevalence of cardiovascular disease, kidney disease, and other selected diseases including hypertension, atrial fibrillation, asthma, chronic obstructive lung disease, osteoarthritis, osteoporosis, psoriasis and depression among Greenlanders living in Nuuk with and without type 2 diabetes (T2D). The study was designed as a cross-sectional case-control study based on data from the electronic medical record (EMR) in Greenland. Persons with a registered T2D diagnosis in EMR and residence in Nuuk ( = 435) were included. The prevalence of cardiovascular disease was 17.9% among persons with T2D and significantly higher compared to the control group (10.1%). In addition, our results showed a significantly higher prevalence of ischaemic heart disease, hypertension, heart failure, atrial fibrillation, osteoarthritis and psoriasis among persons with T2D compared to the control group.Our study found a higher prevalence in five out of 10 selected diseases in regularly followed persons with T2D in Nuuk compared to unselected controls. This enlightens the importance of a broad multifaceted approach in combination of changing primary health care to focus on early detection of controllable risk factors and chronic conditions care in Artic Greenland.
本研究旨在估计格陵兰努克市患有 2 型糖尿病(T2D)和不患有 T2D 的人群中心血管疾病、肾脏疾病和其他选定疾病(包括高血压、心房颤动、哮喘、慢性阻塞性肺疾病、骨关节炎、骨质疏松症、银屑病和抑郁症)的患病率。该研究设计为基于格陵兰电子病历(EMR)数据的横断面病例对照研究。EMR 中登记有 T2D 诊断且居住在努克的人(=435 人)被纳入研究。患有 T2D 的人群中心血管疾病的患病率为 17.9%,明显高于对照组(10.1%)。此外,与对照组相比,我们的研究结果显示,患有 T2D 的人群中缺血性心脏病、高血压、心力衰竭、心房颤动、骨关节炎和银屑病的患病率明显更高。我们的研究发现,在努克定期随访的 T2D 患者中,有五种选定疾病的患病率高于未选择的对照组。这凸显了在北极格陵兰,采取广泛的多方面方法的重要性,包括改变初级保健,重点关注可控制的危险因素和慢性病的早期发现。