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Revised Case Finding Protocol for Dysglycemia in Chile: A Call for Action in Other Populations

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F23%3A00079684" target="_blank" >RIV/00159816:_____/23:00079684 - isvavai.cz</a>

  • Result on the web

    <a href="https://www.sciencedirect.com/science/article/abs/pii/S1530891X23003993?via%3Dihub" target="_blank" >https://www.sciencedirect.com/science/article/abs/pii/S1530891X23003993?via%3Dihub</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1016/j.eprac.2023.04.010" target="_blank" >10.1016/j.eprac.2023.04.010</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Revised Case Finding Protocol for Dysglycemia in Chile: A Call for Action in Other Populations

  • Original language description

    Objective: Guidelines recommend case finding for dysglycemia (prediabetes and type 2 diabetes [T2D]) in adults or youth older than 10 years with overweight/obesity, but increased adiposity has not been associated with dysglycemia in some Hispanic populations. This study aims to determine the prevalence of dysglycemia in this population using simplified criteria independent of body mass index and age to request an oral glucose tolerance test (OGTT).Methods: Cross-sectional retrospective analysis of medical records from a clinical center in Chile (2000-20 07). OGTT was obtained from any patient with 1 cardiometabolic risk factor (CMRF) independent of age and body mass index.Results: In total, 4969 adults (mean age &amp; PLUSMN; SD) 45.7 &amp; PLUSMN; 15.9 years and 509 youths 16.6 &amp; PLUSMN; 3.0 years were included. The prevalence (%, 95% CI) of prediabetes doubled that of T2D in youths (14.1%, 1.4-17.4 vs 6.3%, 4.5-8.7) and tripled it in adults (36.0%, 34.7-37.4 vs 10.7%, 9.8-11.5). In underweight and normal-weight adults, 22% (12.0-36.7) and 29.2% (26.4-32.1) had prediabetes, whereas 4.9% (1.316.1) and 8.8% (7.2-10.7) had T2D, respectively. In normal weight youths, 10.5% (6.7-15.9) and 2.9% (1.2-6.6) had prediabetes and T2D, respectively. In adults, but not in youths, most dysglycemia categories were related to overweight/obesity.Conclusion: This study supports a public health policy to identify more people at risk for cardiovascular disease by implementing a revised case finding protocol for dysglycemia using OGTT in even normal weight patients over 6 years of age when there is at least 1 CMRF. Reanalysis of case finding protocols for cardiometabolic risk in other populations is warranted.&amp; COPY; 2023 AACE. Published by Elsevier Inc. All rights reserved.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30202 - Endocrinology and metabolism (including diabetes, hormones)

Result continuities

  • Project

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2023

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Endocrine Practice

  • ISSN

    1530-891X

  • e-ISSN

    1934-2403

  • Volume of the periodical

    29

  • Issue of the periodical within the volume

    8

  • Country of publishing house

    US - UNITED STATES

  • Number of pages

    7

  • Pages from-to

    637-643

  • UT code for WoS article

    001052827100001

  • EID of the result in the Scopus database