کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3003229 1180778 2008 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Changes over time in the prevalence and quality of care of type 2 diabetes in Italy: The Casale Monferrato Surveys, 1988 and 2000
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Changes over time in the prevalence and quality of care of type 2 diabetes in Italy: The Casale Monferrato Surveys, 1988 and 2000
چکیده انگلیسی

Background and aimsIn this study we assessed the prevalence of diagnosed type 2 diabetes and the quality of care during the period 1988–2000 in an Italian population.Methods and resultsTwo population-based surveys, using similar methods and centralized measurements, were conducted in 1988 and 2000 in a representative Italian area to identify people with known diabetes. The adjusted prevalence (reference, 2001 Italian population) was computed. The age- and sex-adjusted prevalence rates of diabetes in the population of Casale Monferrato were 2.13% (2.05–2.22) in 1988 and 3.07% (2.97–3.17) in 2000. In comparison with diabetic persons recruited in 1988 and independently of age and sex, persons recruited in 2000 had a lower likelihood of having HbA1c ≥7.0% (OR = 0.48; 0.42–0.56), diastolic blood pressure ≥80 mmHg (OR = 0.61; 0.49–0.75), LDL cholesterol ≥2.59 mmol/l (OR = 0.77; 0.63–0.93) and AER ≥20 μg/min (OR = 0.53; 0.45–0.61; they had a higher likelihood of having BMI ≥25 kg/m2 (OR = 1.49; 1.2–1.74). However, 45.4% of patients still had HbA1c ≥7.0%, 80% blood pressure ≥130/80 mmHg and 79% LDL-cholesterol values ≥2.59 mmol/l.ConclusionMore than two-thirds of Italians with diabetes are now aged 65 years and more. The quality of control of glycemia, lipids and blood pressure improved and the prevalence of diabetic nephropathy decreased over time, although complete adherence to international guidelines has not yet been achieved.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Nutrition, Metabolism and Cardiovascular Diseases - Volume 18, Issue 1, January 2008, Pages 39–45
نویسندگان
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