Diabetes-related behaviours among elderly people with pre-diabetes in rural communities of Hunan, China: a cross-sectional study DOI Creative Commons

Bang-An Luo,

Jianglin Zhang, Zhao Hu

et al.

BMJ Open, Journal Year: 2018, Volume and Issue: 8(1), P. e015747 - e015747

Published: Jan. 1, 2018

Objective To explore diabetes-related behaviours and their influencing factors among elderly individuals with pre-diabetes in rural areas of China. Design, setting participants A cross-sectional survey was conducted (≥60 years) communities Yiyang City Multistaged cluster random sampling carried out to select 42 areas, interviews were 434 (fasting plasma glucose 6.1–7.0 mmol/L and/or 2-hour post-glucose load 7.8–11.1 mmol/L) using questionnaires on behaviours. The included eight categories: average daily sedentary time; frequency physical activities per week; regular or irregular diet; whether paying attention diet control not; dietary preferences; examinations year; current smoking status; consumption alcohol. Each the risky scored −1 each healthy +1. individual’s score sum for all Main outcome measures Participants asked about general information (age, gender, marital status, history hyperglycaemia, family diabetes mellitus, presence other diseases, body mass index, waist-to-hip ratio education) Multivariate linear regression analysis performed identify risk behaviour pre-diabetes. Results China 2.7. prevalences as follows: <1 examination year (57.6%), insufficient (55.3%), lack paid (51.4%), high-salt high-fat diets (41.0%), lifestyle (35.9%), (22.8%), alcohol uptake (15.0%) (3.9%). Gender a hyperglycaemia found be score. Conclusions prevalence high pre-diabetic More effort should made promote prevention Future studies undertaken strategies tailored specially this population. Trial registration number ChiCTR-IOR-15007033; Results.

Language: Английский

Depressive symptoms and glycated hemoglobin A1c: a reciprocal relationship in a prospective cohort study DOI
Norbert Schmitz, Sonya S. Deschênes, Rachel J. Burns

et al.

Psychological Medicine, Journal Year: 2015, Volume and Issue: 46(5), P. 945 - 955

Published: Dec. 1, 2015

The aim of this study was to evaluate the dynamic association between depressive symptoms and glycated hemoglobin A1c (HbA1c) levels using data from English Longitudinal Study Ageing (ELSA).The sample comprised 2886 participants aged ⩾50 years who participated in three clinical assessments over an 8-year period (21% with prediabetes 7% diabetes at baseline). Structural equation models were used address reciprocal associations HbA1c mediating effects lifestyle-related behaviors cardiometabolic factors.We found a levels: one assessment point predicted next (standardized β = 0.052) which turn following 0.051). Mediation analysis suggested that both factors might mediate baseline assessment, 4 later. A similar observed for other direction: later.Our results suggest relationship be mediated by lifestyle factors. This has important implications investigating pathways could link increased risk diabetes.

Language: Английский

Citations

19
Prevalence of pre-diabetes and undiagnosed diabetes in the Mollerussa prospective observational cohort study in a semi-rural area of Catalonia DOI Creative Commons

Mireia Falguera,

María Belén Vilanova, Núria Alcubierre

et al.

BMJ Open, Journal Year: 2020, Volume and Issue: 10(1), P. e033332 - e033332

Published: Jan. 1, 2020

Objectives To assess the prevalence of undiagnosed diabetes and pre-diabetes in healthy population Mollerussa cohort. As a secondary objective, to identify variables associated with these conditions describe changes glycaemic status after 1 year follow-up subjects pre-diabetes. Design Prospective observational cohort study. Setting General from semi-rural area. Participants The study included 583 participants without diagnosis recruited between March 2011 July 2014. Results was 20, 3.4% (95% CI 2.6 4.2) that 229, 39.3% (37.3 41.3). Among those pre-diabetes, 18.3% had isolated impaired fasting plasma glucose (FPG) (FPG: 100 <126 mg/dL), 58.1% glycated haemoglobin (HbA1c) (HbA1c 5.7 <6.5) 23.6% fulfilled both criteria. Follow-up data were available for 166 subjects; 41.6%(37.8 45.4) returned normoglycaemia, 57.6% (57.8 61.4) persisted 0.6% (0 1.2) progressed diabetes. Individuals worse cardiometabolic risk profiles sociodemographic features than normoglycaemic subjects. In logistic regression model, significantly older age (OR; 95% CI) (1.033; 1.011 1.056), higher physical activity (0.546; 0.360 0.827), body mass index (1.121; 1.029 1.222) family history (1.543; 1.025 2.323). normalisation (0.948; 0.916 0.982) (0.779; 0.651 0.931). Conclusions adults our region, estimated 39.3%. After 1-year follow-up, small proportion (0.6%) diabetes, while high (41.6%) normoglycaemia. who normoglycaemia younger lower index.

Language: Английский

Citations

16
Evolutionary correlated gravitational search algorithm (ECGS) with genetic optimized Hopfield neural network (GHNN) – A hybrid expert system for diagnosis of diabetes DOI

J. Jayashree,

Ananda Kumar S

Measurement, Journal Year: 2019, Volume and Issue: 145, P. 551 - 558

Published: Jan. 8, 2019

Language: Английский

Citations

13
Progression to Type 2 Diabetes and Its Effect on Health Care Costs in Low-Income and Insured Patients with Prediabetes: A Retrospective Study Using Medicaid Claims Data DOI Open Access
Jun Wu, Eileen D. Ward, Tiffaney Threatt

et al.

Journal of Managed Care & Specialty Pharmacy, Journal Year: 2017, Volume and Issue: 23(3), P. 309 - 316

Published: Feb. 23, 2017

Prediabetes is a high-risk factor for progression to diabetes. Without lifestyle changes, such as weight loss and moderate physical activity, 15%-30% of people with prediabetes are projected develop type 2 diabetes within 5 years. Progression increases the financial burden significantly patients health care systems. Populations low socioeconomic status associated higher risk However, knowledge limited about effect transition on future costs incurred in low-income populations.To (a) describe characteristics insured (b) examine utilization costs.This study used South Carolina Medicaid claims data (2009-2014) identify (aged ≥18 years) newly diagnosed prediabetes. All were enrolled continuously at least 1 year before after diagnosis followed up 6 The time was measured by Kaplan Meier curve, factors onset identified Cox regression. Generalized linear models applied assess total during first 3-year period.A 7,650 met criteria. During follow-up period, 30.3% population developed 3 Older age, African-American race, fee-for-service plan, comorbid hypertension, obesity, dyslipidemia Compared who did not progress diabetes, increased 22.1% (P < 0.001), 39.1% 47.6% 0.001) years adjusting demographic conditions.Age, diabetes-related comorbidities Early detection intervention prevent or delay needed control funded Small Pharmacy Awards Research Collaboration, Presbyterian College. funding resource had no role design conduct study, analysis interpretation data, preparation final approval manuscript publication. authors declare conflicts interest. Study concept contributed Wu, Ward, Lu, along Threatt. Wu took lead collection, Ward assistance from Threat. Data provided Threatt, Lu. written revised

Language: Английский

Citations

12
Diabetes-related behaviours among elderly people with pre-diabetes in rural communities of Hunan, China: a cross-sectional study DOI Creative Commons

Bang-An Luo,

Jianglin Zhang, Zhao Hu

et al.

BMJ Open, Journal Year: 2018, Volume and Issue: 8(1), P. e015747 - e015747

Published: Jan. 1, 2018

Objective To explore diabetes-related behaviours and their influencing factors among elderly individuals with pre-diabetes in rural areas of China. Design, setting participants A cross-sectional survey was conducted (≥60 years) communities Yiyang City Multistaged cluster random sampling carried out to select 42 areas, interviews were 434 (fasting plasma glucose 6.1–7.0 mmol/L and/or 2-hour post-glucose load 7.8–11.1 mmol/L) using questionnaires on behaviours. The included eight categories: average daily sedentary time; frequency physical activities per week; regular or irregular diet; whether paying attention diet control not; dietary preferences; examinations year; current smoking status; consumption alcohol. Each the risky scored −1 each healthy +1. individual’s score sum for all Main outcome measures Participants asked about general information (age, gender, marital status, history hyperglycaemia, family diabetes mellitus, presence other diseases, body mass index, waist-to-hip ratio education) Multivariate linear regression analysis performed identify risk behaviour pre-diabetes. Results China 2.7. prevalences as follows: <1 examination year (57.6%), insufficient (55.3%), lack paid (51.4%), high-salt high-fat diets (41.0%), lifestyle (35.9%), (22.8%), alcohol uptake (15.0%) (3.9%). Gender a hyperglycaemia found be score. Conclusions prevalence high pre-diabetic More effort should made promote prevention Future studies undertaken strategies tailored specially this population. Trial registration number ChiCTR-IOR-15007033; Results.

Language: Английский

Citations

12