青年和老年糖尿病患者的心脏代谢风险状况：42项全国健康调查的汇总横断面分析。

IF 2.6 4区医学 Q3 ENDOCRINOLOGY & METABOLISM

Primary Care Diabetes Pub Date : 2023-12-01 DOI:10.1016/j.pcd.2023.10.007

Rodrigo M. Carrillo-Larco , Wilmer Cristobal Guzman-Vilca , Antonio Bernabe-Ortiz

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引用次数: 0

摘要

目的：比较年轻和老年糖尿病患者的心脏代谢危险因素水平。方法：对42项STEPS调查（n=133717）进行汇总分析。糖尿病定义为自我报告的诊断或空腹血糖≥126 mg/dl。有两个年龄组：结果：在11个国家（男性）和7个国家（女性），年轻人的平均BMI似乎高于老年人；卡塔尔男性的差异最大（～6 kg/m2）。在腰围方面，两个国家（男性）和三个国家（女性）观察到了这种模式；图瓦卢男性差异最大（~7厘米）。关于收缩压，在一个国家（缅甸），年轻男性的平均值较高，差异为~8毫米汞柱。年龄最大的一组女性的平均收缩压总是较高。就总胆固醇而言，在13个国家（男性）和5个国家（女性），年轻人的平均值更高（差异始终存在）。

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Cardiometabolic risk profile of young and old adults with diabetes: Pooled, cross-sectional analysis of 42 national health surveys

Aims

To compare levels of cardiometabolic risk factors in young and old adults with diabetes.

Methods

Pooled analysis of 42 STEPS Surveys (n = 133,717). Diabetes was defined as self-reported diagnosis or fasting plasma glucose ≥ 126 mg/dl. There were two age groups: < 40 and ≥ 40 years. We summarized the mean levels of four cardiometabolic risk factors by country, sex and age group.

Results

In 11 (men) and seven countries (women), the mean BMI seemed higher in young versus old adults; largest difference was found in men in Qatar (∼6 kg/m²). For waist circumference, such pattern was observed in two (men) and in three (women) countries; largest difference in men in Tuvalu (∼7 cm). Regarding systolic blood pressure, in one country (Myanmar) the mean was higher in young men with ∼8 mmHg difference. Women in the oldest group always had higher mean systolic blood pressure. For total cholesterol, in 13 (men) and five (women) countries the mean was higher in young adults (difference was always <1 mmol/l).

Conclusions

Levels of cardiometabolic risk factors in young versus old adults with diabetes were heterogenous across 42 countries and depended on the risk factor. This calls to monitor cardiometabolic risk factors in young adults with diabetes.

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来源期刊

Primary Care Diabetes ENDOCRINOLOGY & METABOLISM-PRIMARY HEALTH CARE

CiteScore

5.00

自引率

3.40%

发文量

134

审稿时长

47 days

期刊介绍： The journal publishes original research articles and high quality reviews in the fields of clinical care, diabetes education, nutrition, health services, psychosocial research and epidemiology and other areas as far as is relevant for diabetology in a primary-care setting. The purpose of the journal is to encourage interdisciplinary research and discussion between all those who are involved in primary diabetes care on an international level. The Journal also publishes news and articles concerning the policies and activities of Primary Care Diabetes Europe and reflects the society''s aim of improving the care for people with diabetes mellitus within the primary-care setting.