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 & PLUSMN; SD) 45.7 & PLUSMN; 15.9 years and 509 youths 16.6 & 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.& COPY; 2023 AACE. Published by Elsevier Inc. All rights reserved.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30202 - Endocrinology and metabolism (including diabetes, hormones)
Result continuities
Project
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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
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