2 型糖尿病合并多动症成人的血糖控制。

IF 2.7 3区 医学 Q2 PSYCHIATRY
Journal of Attention Disorders Pub Date : 2025-01-01 Epub Date: 2024-10-10 DOI:10.1177/10870547241288720
Dahlia Leshno, Liat Lev Shalem, Revital Perlov Gavze, Moshe Leshno
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引用次数: 0

摘要

介绍:坚持治疗对于平衡糖尿病和预防并发症非常重要。多动症会损害生活质量和许多生活领域的功能。本研究旨在评估多动症与 2 型糖尿病(T2DM)成人患者的血糖控制之间可能存在的关联:所有数据均来自马卡比医疗保健服务(Maccabi Healthcare Services,MHS)的自动数据库。这项回顾性横断面研究使用了马卡比医疗保健服务数据库中 2010 年至 2020 年的电子病历。通过使用年龄、性别和糖尿病病程等变量进行倾向评分,我们将 1582 名患有 T2DM 和多动症的患者与 1582 名患有 T2DM 但不患有多动症的患者进行了比较。我们使用 t 检验比较连续变量,使用 Mann-Whitney U 检验进行非参数检验。此外,我们还使用了多变量逻辑回归,以2019年至2020年期间有多动症和无多动症的T2DM患者的几个HbA1c值为临界值。多动症患者组中HbA1c值高于10%、9%和8%的患者比例是无多动症患者的4.7至5.9倍。此外,在多变量逻辑回归中,HbA1c 临界值为 10%、9% 和 8% 的 OR 分别为 4.2(95% CI [2.5,6.8])、4.3(95% CI [3.1,6.1])和 2.7(95% CI [2.2,3.4]):结论:合并多动症和 T2DM 的患者血糖控制不佳的发生率较高。研究结果拓展了人们对多动症与糖尿病之间关系的认识,并强调了进一步研究以改善治疗的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diabetes Glycemic Control in Adults With Type 2 Diabetes Mellitus and ADHD.

Introduction: Persistence in treatment is important in balancing diabetes and preventing complications. ADHD impairs quality of life and functioning in many areas of life. The aim of this study is to evaluate the possible association of ADHD and diabetes glycemic control among adults with type 2 diabetes mellitus (T2DM).

Methods: All data were obtained from Maccabi Healthcare Services (MHS) automated databases. This retrospective cross-sectional study uses electronic medical records from the Maccabi Healthcare Services database during the years 2010 to 2020. Using a propensity score with the variables of age, gender, and duration of diabetes, we compared a group of 1,582 patients with T2DM and ADHD to 1,582 patients with T2DM and without ADHD. We used a t-test to compare continuous variables and a Mann-Whitney U test for non-parametric testing. In addition, we used multivariate logistic regression with a cutoff of several HbA1c values in T2DM patients with and without ADHD during 2019 to 2020. The proportion of patients with HbA1c values above 10%, 9%, and 8% in the group of patients with ADHD was 4.7 to 5.9 times higher than in patients without ADHD. In addition, the OR in the multivariate logistic regression was 4.2 (95% CI [2.5, 6.8]), 4.3 (95% CI [3.1, 6.1]), and 2.7 (95% CI [2.2, 3.4]) for cutoff of HbA1c of 10%, 9%, and 8%, respectively.

Conclusion: Patients with co-morbid ADHD and T2DM have a higher incidence of poor glycemic control. The findings extend the knowledge on the relationship between ADHD and diabetes and highlight the need for further research to improve treatment.

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来源期刊
CiteScore
7.60
自引率
6.70%
发文量
71
审稿时长
6-12 weeks
期刊介绍: Journal of Attention Disorders (JAD) focuses on basic and applied science concerning attention and related functions in children, adolescents, and adults. JAD publishes articles on diagnosis, comorbidity, neuropsychological functioning, psychopharmacology, and psychosocial issues. The journal also addresses practice, policy, and theory, as well as review articles, commentaries, in-depth analyses, empirical research articles, and case presentations or program evaluations.
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