https://scholars.lib.ntu.edu.tw/handle/123456789/112675
標題: | UNDIAGNOSED DIABETES MELLITUS IN TAIWANESE SUBJECTS WITH IMPAIRED FASTING GLYCEMIA: IMPACT OF FEMALE SEX, CENTRAL OBESITY, AND SHORT STATURE | 作者: | PAN, WEN-HAM YEH, WEN-TING HWU, CHII-MIN HO, LO-TONE |
關鍵字: | undiagnosed diabetes mellitus;impaired fasting glycemia;women;central obesity;height | 公開日期: | 2001 | 卷: | v.44 | 期: | n.1 | 起(迄)頁: | 44-51 | 來源出版物: | CHINESE JOURNAL OF PHYSIOLOGY | 摘要: | AIMS - To study the extent and determinants of undiagnosed diabetes mellitus (DM) in Taiwanese subjects with impaired fasting glycemia (IFG) defined by the newly proposed WHO criteria. METHODS - Oral glucose tolerance tests were carried out for 306 IFG subjects identified from 6632 adult participants of two large scale community-based studies: Nutrition and Health Survey in Taiwan (1993-1996) and the Cardiovascular Disease Two-township Study (1994-1997), Similar protocols mere used in these two studies to collect data on glycemic status, anthropometric measurements, and other data used in the present study. RESULTS - Subjects with IFG had a non-trivial undiagnosed diabetes mellitus rate (304 in men and 42% in women) and a high rate of glucose intolerance and undiagnosed DM combined (75 % in men and 86 % in women), Women with IFG had a 1.6 fold higher risk (p = 0.04) for undiagnosed DM and a 2.1 fold higher risk (p = 0.01) for glucose intolerance and DM when compared to men. There were more women than men with an elevated body mass index in undiagnosed DM patients. Among IFG subjects, undiagnosed DM patients were significantly (p < 0. 05) older, more centrally obese and shorter than their normal IFG counterparts, irrespective of gender. In men, height was independent of age and waist circumference in predicting undiagnosed DM (p = 0.037), CONCLUSIONS - A high proportion of impaired glucose tolerance and undiagnosed DM was found in subjects with IFG. Its public health impact should not be overlooked. Central obesity, female sex, and short stature mere associated with undiagnosed DM status in IFG subjects. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/82102 |
顯示於: | 流行病學與預防醫學研究所 |
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