Lifetime Risk for Diabetes Mellitus in the United States
K.M. Venkat Narayan,James P. Boyle,Theodore J. Thompson,Stephen W. Sorensen,David F. Williamson +4 more
TLDR
For individuals born in the United States in 2000, the lifetime probability of being diagnosed with diabetes mellitus is substantial and primary prevention of diabetes and its complications are important public health priorities.Abstract:
ContextAlthough diabetes mellitus is one of the most prevalent and costly chronic
diseases in the United States, no estimates have been published of individuals'
average lifetime risk of developing diabetes.ObjectiveTo estimate age-, sex-, and race/ethnicity-specific lifetime risk of
diabetes in the cohort born in 2000 in the United States.Design, Setting, and ParticipantsData from the National Health Interview Survey (1984-2000) were used
to estimate age-, sex-, and race/ethnicity-specific prevalence and incidence
in 2000. US Census Bureau data and data from a previous study of diabetes
as a cause of death were used to estimate age-, sex-, and race/ethnicity-specific
mortality rates for diabetic and nondiabetic populations.Main Outcome MeasuresResidual (remaining) lifetime risk of diabetes (from birth to 80 years
in 1-year intervals), duration with diabetes, and life-years and quality-adjusted
life-years lost from diabetes.ResultsThe estimated lifetime risk of developing diabetes for individuals born
in 2000 is 32.8% for males and 38.5% for females. Females have higher residual
lifetime risks at all ages. The highest estimated lifetime risk for diabetes
is among Hispanics (males, 45.4% and females, 52.5%). Individuals diagnosed
as having diabetes have large reductions in life expectancy. For example,
we estimate that if an individual is diagnosed at age 40 years, men will lose
11.6 life-years and 18.6 quality-adjusted life-years and women will lose 14.3
life-years and 22.0 quality-adjusted life-years.ConclusionsFor individuals born in the United States in 2000, the lifetime probability
of being diagnosed with diabetes mellitus is substantial. Primary prevention
of diabetes and its complications are important public health priorities.read more
Citations
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Heart Disease and Stroke Statistics—2007 Update A Report From the American Heart Association Statistics Committee and Stroke Statistics Subcommittee
Wayne D. Rosamond,Katherine M. Flegal,Gary Friday,Karen L. Furie,Alan S. Go,Kurt J. Greenlund,Nancy Haase,Michael Ho,Virginia J. Howard,Bret Kissela,Steven J. Kittner,Donald M. Lloyd-Jones,Mary M. McDermott,James B. Meigs,Claudia S. Moy,Graham Nichol,Christopher J. O'Donnell,Véronique L. Roger,John S. Rumsfeld,Paul D. Sorlie,Julia Steinberger,Thomas Thom,Sylvia Wasserthiel-Smoller,Yuling Hong +23 more
TL;DR: This chapter describes the most important sources and the types of data the AHA uses from them and other government agencies to derive the annual statistics in this Update.
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Heart Disease and Stroke Statistics—2014 Update A Report From the American Heart Association
Alan S. Go,Dariush Mozaffarian,Véronique L. Roger,Emelia J. Benjamin,Jarett D. Berry,Michael J. Blaha,Shifan Dai,Earl S. Ford,Caroline S. Fox,Sheila Franco,Heather J. Fullerton,Cathleen Gillespie,Susan M. Hailpern,John A. Heit,Virginia J. Howard,Mark D. Huffman,Suzanne E. Judd,Brett M. Kissela,Steven J. Kittner,Daniel T. Lackland,Judith H. Lichtman,Lynda D. Lisabeth,Rachel H. Mackey,David J. Magid,Gregory M. Marcus,Ariane Marelli,David B. Matchar,Darren K. McGuire,Emile R. Mohler,Claudia S. Moy,Michael E. Mussolino,Robert W. Neumar,Graham Nichol,Dilip K. Pandey,Nina P. Paynter,Matthew J. Reeves,Paul D. Sorlie,Joel Stein,Amytis Towfighi,Tanya N. Turan,Salim S. Virani,Nathan D. Wong,Daniel Woo,Melanie B. Turner +43 more
TL;DR: Author(s): Go, Alan S; Mozaffarian, Dariush; Roger, Veronique L; Benjamin, Emelia J; Berry, Jarett D; Blaha, Michael J; Dai, Shifan; Ford, Earl S; Fox, Caroline S; Franco, Sheila; Fullerton, Heather J; Gillespie, Cathleen; Hailpern, Susan M; Heit, John A; Howard, Virginia J; Huffman, Mark D; Judd
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Lack of exercise is a major cause of chronic diseases
TL;DR: Physical inactivity is a primary cause of most chronic diseases as discussed by the authors, and the body rapidly maladapts to insufficient physical activity, and if continued, results in substantial decreases in both total and quality years of life.
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Exercise and type 2 diabetes: the American College of Sports Medicine and the American Diabetes Association: joint position statement.
Sheri R. Colberg,Ronald J. Sigal,Bo Fernhall,Judith G. Regensteiner,Bryan Blissmer,Richard R. Rubin,Lisa Chasan-Taber,Ann L. Albright,Barry Braun +8 more
TL;DR: The benefits of physical training are discussed, along with recommendations for varying activities, PA-associated blood glucose management, diabetes prevention, gestational diabetes mellitus, and safe and effective practices for PA with diabetes-related complications.
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Primary Prevention of Cardiovascular Diseases in People With Diabetes Mellitus A scientific statement from the American Heart Association and the American Diabetes Association
John B. Buse,Henry N. Ginsberg,George L. Bakris,Nathaniel G. Clark,Fernando Costa,Robert H. Eckel,Vivian Fonseca,Hertzel C. Gerstein,Scott M. Grundy,Richard W. Nesto,Michael Pignone,Jorge Plutzky,Daniel Porte,Rita F. Redberg,Kimberly F. Stitzel,Neil J. Stone +15 more
TL;DR: This statement will attempt to harmonize the recommendations of both organizations where possible but will recognize areas in which AHA and ADA recommendations differ.
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