Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
DIABETES IN OLDER ADULTS - COMPARISON OF 1997 AMERICAN-DIABETES-ASSOCIATION CLASSIFICATION OF DIABETES-MELLITUS WITH 1985 WHO CLASSIFICATION
Autore:
WAHL PW; SAVAGE PJ; PSATY BM; ORCHARD TJ; ROBBINS JA; TRACY RP;
Indirizzi:
CARDIOVASC HLTH STUDY COORDINATING CTR,CENTURY SQ,SUITE 2025 SEATTLE WA 98101 UNIV WASHINGTON,SCH PUBL HLTH & COMMUNITY MED,DEPT BIOSTAT SEATTLE WA98195 UNIV WASHINGTON,SCH PUBL HLTH & COMMUNITY MED,DEPT MED & EPIDEMIOL SEATTLE WA 98195 NHLBI,DIV EPIDEMIOL & CLIN APPLICAT BETHESDA MD 20892 UNIV PITTSBURGH,GRAD SCH PUBL HLTH,DEPT EPIDEMIOL PITTSBURGH PA 00000 UNIV CALIF,SCH MED,DEPT MED SACRAMENTO CA 00000 UNIV VERMONT,SCH MED,DEPT PATHOL BURLINGTON VT 05405 UNIV VERMONT,SCH MED,DEPT BIOCHEM BURLINGTON VT 05405
Titolo Testata:
Lancet
fascicolo: 9133, volume: 352, anno: 1998,
pagine: 1012 - 1015
SICI:
0140-6736(1998)352:9133<1012:DIOA-C>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
GLUCOSE-TOLERANCE; POPULATION; INSULIN; HEALTH; NEED;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
17
Recensione:
Indirizzi per estratti:
Citazione:
P.W. Wahl et al., "DIABETES IN OLDER ADULTS - COMPARISON OF 1997 AMERICAN-DIABETES-ASSOCIATION CLASSIFICATION OF DIABETES-MELLITUS WITH 1985 WHO CLASSIFICATION", Lancet, 352(9133), 1998, pp. 1012-1015

Abstract

Background We aimed to compare the prevalence of abnormal glucose tolerance identified by the 1985 WHO and the 1997 American Diabetes Association (ADA) diagnostic categories based on information collected in the Cardiovascular Health Study, an epidemiological study of elderly people. Methods We measured glucose concentrations during fasting and 2 h after a 75 g oral glucose-tolerance test in participants aged 65-100years in the Cardiovascular Health Study. From a 1989 cohort, we analysed the glucose measurements of 4515 individuals without a previous diagnosis of diabetes and of 262 additional measurements from an African-American cohort recruited in 1992-93. Findings In the 1989 cohort, the prevalence of untreated diabetes with ADA diagnostic fasting criteria was 7.7% versus a prevalence of 14.8% by the WHO criteria. In the African-American cohort, the prevalence of untreated diabetes was 2.7% with ADA criteria and 11.8% with WHO criteria. 3509 (77.7%) of the 4515 participants in the 1989 cohort had normal glucose concentrations according to ADA fasting criteria, compared with 2401 (53.2%) according to WHO criteria. In the African-American cohort, the corresponding numbers were 239 (91.2%) versus 153 (58.4%). All differences in prevalence of abnormal glucose tolerance between ADA and WHO classifications were significant (p<0.0001). Interpretation Among elderly individuals, there was a significant difference in the prevalence of diabetes identified by the WHO diagnostic criteria based on oral glucose tolerance test and the ADA fasting criteria. Consequently, many individuals currently classified as non-diabetic according to ADA criteria would previously have had a diagnosis of diabetes according to WHO criteria. Longitudinal studies are needed to assess the value of the criteria in the identification of individuals at increased risk of diabetes-associated chronic complications.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/12/20 alle ore 03:55:22