Friday, 11 July 2014

British Pre-Diabetes Prevalence Up to 30%!

英国糖尿病前期患病率高达30%
06-29-14, 22:40hrs
最新一项研究表明现在超过1/3的英国成年人处于糖尿病前期,患病率率较8年前翻了3倍。
该研究作者警告称,如果不采取措施制止糖尿病前期患病率的快速增加,英国糖尿病患病率也将快速增加。该研究发现英国每年有大约5%-10%糖尿病前期患者进展为糖尿病,并且,血糖高于正常患者血管、肾脏及视网膜疾病的风险增加。
本研究发表在线发表在BMJ Open杂志上,数据来源于对2万例参加健康体检英国人分析所得,结果显示糖尿病前期患病率从2003年11.6%上升至2011年35.5%,此外,糖尿病患病率也从2003年3.6%上升至2011年5.6%。
糖尿病前期是指糖化血红蛋白水平在5.7%-6.4%之间,且尚未被诊断为糖尿病的患者。这也是美国糖尿病学会诊断糖尿病前期的组成条件之一。而糖尿病通常定义为糖化血红蛋白6.5%以上。
该研究发现,高龄、超重、肥胖、高血压、高胆固醇血症都是糖尿病前期的危险因素。截止到2011年,约一半(50.6%)年龄大于40岁肥胖患者(即体重指数≥25)处于糖尿病前期,且性别上并没有显著差异。
该研究还发现,尽管在不考虑体重指数的情况下,所有成年人糖尿病前期患病率都超过20%,但是糖尿病前期患病率因种族不同而有差异。在2003年和2006年,英国最贫穷地区的人群更容易出现糖尿病前期,但是在,2009年和2011年两者间则不再有明显关系。
同时,本文的第一作者,来自美国佛罗里达大学的Arch Mainous教授及其同事也认识到,他们无法得知参与此次调查的患者是否筛查或治疗过。
但是,他们警告称,短期之内糖尿病前期患病率的快速增加令人担忧,因为它提示糖尿病前期患者例数会在相对短的时间发生巨大变化。如果我们没有采取相应的干预措施,糖尿病患者例数也会随着增加,最终导致医疗经费支出、糖尿病患病率及心血管患病率也相应增加。
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British prediabetes prevalence up to 30%
06-29-14, 22:40hrs
Now a new study shows that more than 1/3 of adults in the UK pre-diabetes, the prevalence rate than tripled eight years ago.
The study authors warned that if no measures are taken to stop the rapid increase in the prevalence of pre-diabetes, the prevalence of diabetes in the UK will also increase rapidly. The study found that the UK each year approximately 5% -10% of patients progressed to diabetes, pre-diabetes, and patients with normal blood sugar is higher than the risk of vascular, renal and retinal disease increases.
The study is published online, published in the journal BMJ Open, drawn from data on 20,000 cases the analysis proceeds to participate in healthy Britons showed that the prevalence of pre-diabetes increased from 11.6% in 2003 to 35.5% in 2011, in addition, the prevalence of diabetes rate rose to 5.6% in 2011 from 3.6% in 2003.
Pre-diabetes is the glycated hemoglobin levels between 5.7% -6.4%, and has not been diagnosed with diabetes. This is one of the conditions of the American Diabetes Association diagnostic composition of pre-diabetes. And diabetes is usually defined as more than 6.5 percent of glycated hemoglobin.
The study found that age, overweight, obesity, hypertension, high cholesterol are risk factors for pre-diabetes. As of 2011, about half (50.6%) obese patients older than 40 years (ie, BMI ≥ 25) in the pre-diabetes, and no significant gender differences.
The study also found that, although in the case without considering the body mass index, all adults have pre-diabetes prevalence rate of more than 20%, but the prevalence of pre-diabetes differ by race. In 2003 and 2006, the population of the poorest regions of the UK are more prone to pre-diabetes, but in 2009 and 2011 between the two is no longer a significant relationship.
Meanwhile, the first author of the paper, Professor Arch Mainous from the University of Florida and his colleagues also recognize that they can not know whether the patients participating in the survey screened or treated.
However, they warned that the rapid increase in the prevalence of pre-diabetes cause short term concern because it suggests the number of cases occur in patients with pre-diabetes tremendous changes in a relatively short period of time. If we do not take appropriate interventions, the number of patients with diabetes also increases, resulting in health care expenditures, the prevalence of diabetes and cardiovascular prevalence also increased.
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