Diabetes Care,
Год журнала:
2017,
Номер
41(Supplement_1), С. S38 - S50
Опубликована: Ноя. 24, 2017
The
American
Diabetes
Association
(ADA)
“Standards
of
Medical
Care
in
Diabetes”
includes
ADA’s
current
clinical
practice
recommendations
and
is
intended
to
provide
the
components
diabetes
care,
general
treatment
goals
guidelines,
tools
evaluate
quality
care.
Members
ADA
Professional
Practice
Committee,
a
multidisciplinary
expert
committee,
are
responsible
for
updating
Standards
annually,
or
more
frequently
as
warranted.
For
detailed
description
standards,
statements,
reports,
well
evidence-grading
system
recommendations,
please
refer
Introduction.
Readers
who
wish
comment
on
invited
do
so
at
professional.diabetes.org/SOC.
New England Journal of Medicine,
Год журнала:
2016,
Номер
375(24), С. 2349 - 2358
Опубликована: Ноя. 13, 2016
Both
genetic
and
lifestyle
factors
contribute
to
individual-level
risk
of
coronary
artery
disease.
The
extent
which
increased
can
be
offset
by
a
healthy
is
unknown.
JAMA,
Год журнала:
2017,
Номер
317(9), С. 912 - 912
Опубликована: Март 7, 2017
Importance
In
the
United
States,
national
associations
of
individual
dietary
factors
with
specific
cardiometabolic
diseases
are
not
well
established.
Objective
To
estimate
intake
10
mortality
due
to
heart
disease,
stroke,
and
type
2
diabetes
(cardiometabolic
mortality)
among
US
adults.
Design,
Setting,
Participants
A
comparative
risk
assessment
model
incorporated
data
corresponding
uncertainty
on
population
demographics
habits
from
National
Health
Nutrition
Examination
Surveys
(1999-2002:
n
=
8104;
2009-2012:
8516);
estimated
diet
disease
meta-analyses
prospective
studies
clinical
trials
validity
analyses
assess
potential
bias;
disease-specific
Center
for
Statistics.
Estimated
absolute
percentage
in
2012.
Disease-specific
demographic-specific
(age,
sex,
race,
education)
trends
between
2002
2012
were
also
evaluated.
Results
2012,
702
308
deaths
occurred
adults,
including
506
100
(371
266
coronary
35
019
hypertensive
99
815
other
cardiovascular
disease),
128
294
stroke
(16
125
ischemic,
32
591
hemorrhagic,
79
578
other),
67
914
diabetes.
Of
these,
an
318
656
(95%
interval
[UI],
306
064-329
755;
45.4%)
per
year
suboptimal
intakes—48.6%
UI,
46.2%-50.9%)
men
41.8%
39.3%-44.2%)
women;
64.2%
60.6%-67.9%)
at
younger
ages
(25-34
years)
35.7%
33.1%-38.1%)
older
(≥75
years);
53.1%
51.6%-54.8%)
blacks,
50.0%
48.2%-51.8%)
Hispanics,
42.8%
40.9%-44.5%)
whites;
46.8%
44.9%-48.7%)
lower-,
45.7%
44.2%-47.4%)
medium-,
39.1%
37.2%-41.2%)
higher-educated
individuals.
The
largest
numbers
diet-related
related
high
sodium
(66
508
2012;
9.5%
all
deaths),
low
nuts/seeds
(59
374;
8.5%),
meats
(57
766;
8.2%),
fats
(54
626;
7.8%),
vegetables
(53
410;
7.6%),
fruits
(52
547;
7.5%),
SSBs
(51
694;
7.4%).
Between
population-adjusted
decreased
by
26.5%.
greatest
decline
was
insufficient
(−20.8%
relative
change
[95%
−18.5%
−22.8%]),
(−18.0%
−14.6%
−21.0%]),
excess
(−14.5%
−12.0%
−16.9%]).
increase
(+14.4%
9.1%-19.5%]).
Conclusions
Relevance
Dietary
be
a
substantial
proportion
These
results
should
help
identify
priorities,
guide
public
health
planning,
inform
strategies
alter
improve
health.
Circulation Research,
Год журнала:
2017,
Номер
121(6), С. 677 - 694
Опубликована: Авг. 31, 2017
Current
global
health
policy
goals
include
a
25%
reduction
in
premature
mortality
from
noncommunicable
diseases
by
2025.
In
this
2-part
review,
we
provide
an
overview
of
the
current
epidemiological
data
on
cardiovascular
(CVD),
its
risk
factors,
and
describe
strategies
aimed
at
reducing
burden.
part
1,
examine
epidemiology
cardiac
conditions
that
have
greatest
impact
CVD
mortality;
predominant
factors;
upstream,
societal
determinants
(eg,
environmental
policy,
systems)
CVD.
Although
age-standardized
has
decreased
many
regions
world,
absolute
number
deaths
continues
to
increase,
with
majority
now
occurring
middle-
low-income
countries.
It
is
evident
multiple
factors
are
causally
related
CVD,
including
traditional
individual
level
(mainly
tobacco
use,
lipids,
elevated
blood
pressure)
systems,
policies,
barriers
prevention
care).
Both
vary
considerably
between
different
world
economic
settings.
However,
reliable
estimate
burden
lacking
which
hampers
establishment
nationwide
management
strategies.
A
globally
feasible
but
will
require
better
implementation
evidence-based
policies
(particularly
control)
integrated
systems
improve
management.
addition,
there
need
for
information
monitor
progress
guide
decisions.
