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Prevalence of diabetes and impaired glucose metabolism in younger 'at risk' UK adults: insights from the STAND programme of research.
- Source :
-
Diabetic Medicine . Jun2013, Vol. 30 Issue 6, p671-675. 5p. 1 Chart. - Publication Year :
- 2013
-
Abstract
- Aims Rising rates of obesity have led to an increasing prevalence of Type 2 diabetes mellitus in young people. Uncertainty exists over the utility of screening younger adults for Type 2 diabetes, as existing data sets have focused on mature (> 40 years) cohorts. The aim of this study was to determine the prevalence of impaired glucose metabolism in higher risk younger adults. Methods Overweight (with an additional risk factor) or obese adults (18-40 years) were recruited for the Sedentary Time And Diabetes ( STAND) randomized controlled trial. Measures included an oral glucose tolerance test, HbA1c, biochemical and anthropometric data. Results One hundred and ninety-three individuals (68% female; median age 33.8 years; median BMI 33.9 kg/m2) were recruited. Forty-three per cent had a first-degree family history of Type 2 diabetes. Previously undiagnosed Type 2 diabetes was present in 4.7% ( n = 9). Of participants, 18.1% ( n = 35) had impaired glucose metabolism: 4.7% ( n = 9) HbA1c ≥ 48 mmol/mol (6.5%); 9.3% ( n = 18) HbA1c 42-46 mmol/mol (6.0-6.4%); 3.1% ( n = 6) Type 2 diabetes on oral glucose tolerance test; 6.2% ( n = 12) isolated impaired glucose tolerance; 2.1% ( n = 4) isolated impaired fasting glucose; 1% ( n = 2) both impaired fasting glucose and impaired glucose tolerance. Of participants, 58.5% ( n = 113) had dyslipidaemia, 28.0% ( n = 54) had hypertension, 31.1% ( n = 60) were vitamin D deficient and 7.3% ( n = 14) had abnormal liver function. Conclusions This study identified a high prevalence of Type 2 diabetes and impaired glucose regulation in overweight and obese younger adults. These findings require confirmation in a larger, representative, population. [ABSTRACT FROM AUTHOR]
- Subjects :
- *DIABETES complications
*DIABETES risk factors
*GLUCOSE metabolism
*OBESITY complications
*ASPARTATE aminotransferase
*DIABETES
*PEOPLE with diabetes
*EPIDEMIOLOGY
*GLYCOSYLATED hemoglobin
*LIPOPROTEINS
*METABOLIC regulation
*VITAMIN D deficiency
*DATA analysis
*HUMAN beings
*ALANINE aminotransferase
*BODY mass index
*DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 07423071
- Volume :
- 30
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- Diabetic Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 87662253
- Full Text :
- https://doi.org/10.1111/dme.12173