Income-Related Disparities in Mortality Among Young Adults With Type 2 Diabetes

JAMA Network Open, Journal Year: 2024, Volume and Issue: 7(11), P. e2443918 - e2443918

Published: Nov. 12, 2024

Previous studies have indicated an inverse association between income and mortality. However, differences in health outcomes according to the level of young adults with type 2 diabetes (T2D) compared older T2D not been elucidated.

Language: Английский

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Diabetes screening in South Korea: a new estimate of the number needed to screen to detect diabetes

The Korean Journal of Internal Medicine, Journal Year: 2022, Volume and Issue: 38(1), P. 93 - 100

Published: Nov. 24, 2022

The Korean Diabetes Association (KDA) guidelines recommend adults aged ≥ 40 years and 30 with diabetes risk factors for screening. This study aimed to determine the age threshold screening in adults.This was based on analyses of 20 using Korea National Health Nutrition Examination Survey (KNHANES) Insurance Service-National Sample Cohort (NHIS-NSC). To evaluate effectiveness, we calculated number needed screen (NNS).NNS detect decreased from 63 34 KNHANES 71 42 NHIS-NSC between ages 30-34 35-39. When universal applied 35, NNS similar that 40. Compared KDA guidelines, rate missed positive 4.0% 0.2% when newly suggested criteria were applied.Universal 35 selective 34, considering factors, may be appropriate detecting prediabetes South Korea.

Language: Английский

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Revisiting the Diabetes Crisis in Korea: Call for Urgent Action

Journal of Korean Diabetes, Journal Year: 2023, Volume and Issue: 24(1), P. 1 - 4

Published: March 30, 2023

The prevalence of diabetes in Korea is increasing and presents significant challenges to the healthcare system, economy, society. Some experts had predicted that number patients with would exceed 6 million by 2050, but this has been reached three decades earlier than expected Korea. This tremendous increase due accumulation diabetic as population ages obesity rapidly increases. According Diabetes Fact Sheet 2022, percentage people was more 30% older 65 years. To address these challenges, preemptive strategies such rigorous screening risk stratifications are necessary. Korean Association lowered age for from 45 35 In support this, young-onset threatening higher glucose level at diagnosis, greater obesity, poor adherence. prevent diabetes, appropriate education publicity programs proper eating habits increased physical activity needed. Awareness must be on importance care diabetes. conclusion, a health issue requires urgent attention.

Language: Английский

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Association of prediabetes with death and diabetic complications in older adults: the pros and cons of active screening for prediabetes

Age and Ageing, Journal Year: 2022, Volume and Issue: 51(6)

Published: May 4, 2022

active screening can improve health outcomes for people with prediabetes. However, its efficacy in older adults remains uncertain.the study aimed to analyse the progression from prediabetes diabetes adults, including associated complications and mortality rates, determine benefits of screening.retrospective cohort study.Korean National Health Insurance Service claims database.a total 36,946 aged ≥65 years who underwent national examinations 2006 2008.follow-up was until 31 December 2015. Cox's proportional hazards models estimated hazard ratios (HRs) 95% confidence intervals (CIs) death diabetic complications.over a median follow-up 8.2 years, 19.3% progressed diabetes. Compared normoglycaemic multivariable-adjusted HRs (95% CI) major adverse cardiovascular events were 1.01 (0.95-1.07), 1.08 (0.95-1.23), 1.14 (1.05-1.23) 1.50 (1.35-1.68) prediabetes, newly diagnosed diabetes, not on insulin insulin, respectively. The corresponding retinopathy risk 1.28 (1.15-1.43), 3.16 (2.71-3.69), 6.58 (6.02-7.19) 9.17 (8.21-10.24). Diabetic nephropathy also significantly increased.progression is an important concern among adults. Prediabetes microvascular complications, but mortality. Therefore, regular necessary prevent complications.

Language: Английский

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Do Type 1 and Type 2 Diabetes Have the Same Vascular Complications?

Journal of Korean Diabetes, Journal Year: 2024, Volume and Issue: 25(2), P. 62 - 68

Published: June 28, 2024

Both type 1 and 2 diabetes can lead to cardiovascular disease (CVD) high mortality rates. The differing risks vascular outcomes associated with these two types of are subjects ongoing debate, necessitating further research. recent increase in prevalence presents a significant challenge global health due its strong link CVD. elevated CVD risk individuals compared those without is influenced by various factors. These include common factors such as low-density lipoprotein cholesterol, hypertension, smoking, well diabetes-specific like HbA1c level micro- or macroalbuminuria. Some modifiable, while others, age, sex, diabetes, not. Notably, older well-managed often achieve levels similar that the general population. Conversely, younger generally struggle reach levels, likely prolonged cumulative effects hyperglycemia. comparison between complex variety This statement aims provide thorough overview current knowledge regarding diabetes-related risks, special focus on differences diabetes.

Language: Английский

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Epidemiological Association of Current Smoking Status with Hypertension and Obesity among Adults Including the Elderly in Korea: Multivariate Analysis of a Nationwide Cross-Sectional Study Excluding Grades 2–3 Hypertension Cases

Journal of Cardiovascular Development and Disease, Journal Year: 2024, Volume and Issue: 11(7), P. 212 - 212

Published: July 5, 2024

Smoking is a major global health issue that contributes to various chronic diseases, while hypertension and obesity are considered significant concerns due their associated complications, such as cardiovascular diseases metabolic disorders. In this study, we investigated the associations between current smoking status, hypertension, among Korean population, excluding individuals with high blood pressure (systolic ≥ 160 mmHg or diastolic 100 mmHg) those taking antihypertensive medications. Data from 2015 Korea National Fitness Assessment, encompassing 3457 individuals, were analyzed. Logistic regression analysis was used examine effects of other variables on obesity. The results showed that, population excludes specific criteria, status not significantly However, sex body mass index age, sex, Future research should utilize larger sample sizes longitudinal designs confirm these findings include broader range hypertensive participants better control for potential confounding variables.

Language: Английский

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Development and validation of machine learning models to predict prediabetes using dietary intake data in young adults in Korea: a cross-sectional study

Journal of Korean Biological Nursing Science, Journal Year: 2024, Volume and Issue: unknown

Published: Nov. 24, 2024

Purpose This study aimed to develop and compare machine learning models for predicting prediabetes in young adults Korea using dietary intake data identify the most effective model. Methods Data from ninth National Health Nutrition Examination Survey were used, with 823 participants aged 19-35 years selected after excluding those missing data. Logistic regression, k-nearest neighbors, random forest applied predict prediabetes, analysis was conducted Orange 3.5 program. Five-fold cross-validation performed reduce performance variability, test used final model validation. Results In dataset, 14%-15% of classified as having prediabetes. The showed highest terms classification accuracy, harmonic mean precision recall, precision. regression had regarding model's ability distinguish between individuals without Age, thiamine intake, water emerged important predictors. Conclusion demonstrated utility adults. provided prediction supporting early detection intervention, which could help unnecessary treatment. highlights nurses' role educating patients about lifestyle changes implementing preventive care. Future studies should incorporate additional factors, such psychological variables, improve performance. Key Words: Prediabetic state; Machine learning; Diet surveys; Young adult

Language: Английский

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Prevalence, Awareness, Treatment, and Control of Type 2 Diabetes in South Korea (1998 to 2022): Nationwide Cross-Sectional Study (Preprint)

Published: April 16, 2024

Type 2 diabetes poses an increasing disease burden in South Korea. The development and management of type are closely related to lifestyle socioeconomic factors, which have undergone substantial changes over the past few decades, including during COVID-19 pandemic. This study aimed investigate long-term trends prevalence, awareness, treatment, control. It also determine whether there were alterations pandemic these more pronounced within specific demographic groups. examined control a representative sample 139,786 Koreans aged >30 years, using data from National Health Nutrition Examination Survey covering period 1998 2022. Weighted linear regression binary logistic performed calculate weighted β coefficients or odds ratios. Stratified analyses based on sex, age, region residence, obesity status, educational background, household income, smoking status. (difference) was calculated analyze trend difference between prepandemic To identify groups susceptible diabetes, we estimated interaction terms for each factor From 2022, consistent increase prevalence observed among Koreans, with notable rise 15.61% (95% CI 14.83-16.38) Awareness followed U-shaped curve, bottoming out at 64.37% 61.79-66.96) 2013 2015 before 72.56% 70.39-74.72) Treatment increased time, peaking 68.33% 65.95-70.71) Control participants showed no change, maintaining rate 29.14% 26.82-31.47) 2020 while treated improved 30.68% 27.88-33.48). During pandemic, steepening curves awareness treatment. However, slope being increased, change Older populations individuals lower level exhibited less improvement than younger educated individuals. People income experienced deceleration Over recent decade, has been steeper observed. heterogeneous across different population groups, underscoring need targeted interventions address disparities improve populations.

Language: Английский

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Position Statement on the Appropriateness and Significance of Adding the Glycated Hemoglobin Test to the National Health Examination

Journal of Korean Diabetes, Journal Year: 2023, Volume and Issue: 24(4), P. 178 - 189

Published: Dec. 31, 2023

The recent increase in the number of people with diabetes and high incidence complications carry a significant socioeconomic burden addition to disease impact on personal health. Therefore, Korean Diabetes Association government have been making efforts prevent progression from pre-diabetes through screening tests reduce associated mortality diabetic patients. Several studies Korea shown that glycated hemoglobin (HbA1c) provides complementary information fasting plasma glucose (FPG) improves clinical utility for screening. We hope this consensus meeting will serve as an opportunity identify additional patients who not diagnosed combination FPG HbA1c during medical check-up. Our study is aimed significantly lead time between onset diagnosis initiation treatment.

Language: Английский

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젊은 2형 당뇨병 환자의 관리

Public Health Weekly Report, Journal Year: 2022, Volume and Issue: 15(35), P. 2474 - 2481

Published: Sept. 1, 2022

전 세계적으로 40대 이전에 발병하는 2형 당뇨병(이하 젊은 당뇨병)의 발생률과 유병률이 증가하고 있다.젊은 당뇨병 환자들 은 늦은 나이에 당뇨병이나 1형 환자들에 비해 이른 미세혈관 합병증과 대혈관 합병증이 발생하고 조기 사 망의 위험이 증가한다.젊은 환자들은 인슐린 저항성과 함께 췌장의 베타세포 기능이 빠르게 악화되는 것이 특징이다.

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