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美国确诊糖尿病发病率正在上升
经年龄调整，糖尿病发病率在非西班牙裔白种人中上升显著。改类人群具有高学历、吸烟率低和肥胖症发病率高的特点。并且，不论男、女性或体力活动强弱人群存在相同趋势。2003年的新发病例中，60％为肥胖，30％为超重。
近年来的研究发现，中等程度地改变生活方式可有效预防或延迟糖尿病地发病，包括降低体重和增加体力活动。关注高危人群和有针对性地健康教育将有助于阻止该上升趋势。
15-JUN-2005
Incidence Of Diagnosed Diabetes Rising In Us
NEW YORK (Reuters Health) - Between 1997 and 2003, the incidence of diabetes among US adults jumped 41%, investigators from the Centers for Disease Control and Prevention reported Saturday at the American Diabetes Association's 65th Annual Scientific Sessions in San Diego, California.
Although it is not clear whether some of the increase could be due to changing diagnostic criteria or enhanced detection, "we've certainly seen an increase in obesity over the last few years, so we would expect to see an increase in diabetes," Dr. Linda S. Geiss told Reuters Health.
Dr. Geiss, along with her colleagues in Atlanta, evaluated data from the 1997-2003 National Health Interview Surveys to clarify the trends in diabetes incidence.
Among individuals age 18 to 79 years, the incidence rose from 4.9 to 6.9 per 1000 population, with the increase following a linear trend over time in most age groups, Dr. Geiss said.
After adjusting for age, the researchers found that diabetes incidence increased significantly among non-Hispanic whites, those with at least a high school education, nonsmokers, and obese persons, the investigators reported. The researchers saw increases among both men and women, and among those physically active and inactive.
In 2003 alone, nearly 60% of new cases were obese, and an additional 30% were overweight.
"We thought that if there was extreme enhanced case detection going on that we would identify people with diabetes at a younger, healthier stage," Dr. Geiss noted. "We didn't find much evidence for that."
"Recent research has shown that diabetes can be prevented or delayed through moderate lifestyle changes, like increasing weight loss and increasing exercise," she continued. Her group's data suggest that "we need to focus on high risk folks and develop and deliver good lifestyle interventions to help stop the increasing incidence of diabetes."
2005 Reuters Health [标签:content1][标签:content2]
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作者:admin@医学,生命科学 2011-04-07 18:17
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