科研之友
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摘要
Background: No previous study has reported a comprehensive assessment of the attainment of cardiometabolic goals in the diabetic population of a European country. We examined the achievement of cardiometabolic goals among diabetics in Spain. %26lt;br%26gt;Methods and Findings: A cross-sectional survey was performed in 2008-2010 among 12,077 individuals representative of the Spanish population aged %26gt;= 18 years. Information on cardiometabolic characteristics was collected at the participants%26apos; homes through structured questionnaires, physical examination, and fasting blood samples. Attainment of cardiometabolic goals was evaluated according to the most well-known guidelines. A total of 834 individuals had diabetes (fasting serum glucose %26gt;= 126 mg/dl, or glycosylated hemoglobin %26gt;= 6.5%,) or were being treated with oral antidiabetic drugs or insulin). Among diabetic patients, 661 (79.2%) were aware of their condition. Among the aware diabetic patients, only 11.4% had neither general (body mass index %26lt;25 kg/m(2)) nor abdominal obesity (waist circumference %26lt;= 102 cm in men and %26lt;= 88 cm in women), 8.6% consumed %26lt;7% of calories daily from saturated fats, and 41.1% achieved the recommendation on weekly physical activity. About 71% had glycosylated hemoglobin %26lt;7%, 22% had blood pressure %26lt;130/80 mmHg, and 36% reached the LDL-cholesterol goal of %26lt;100 mg/dl. Although a large proportion of aware diabetic individuals received lifestyle medical advice, only 38% of overweight individuals and 20% of daily smokers were offered a specific strategy for weight loss or quitting smoking, respectively. %26lt;br%26gt;Conclusions: In a European country with universal healthcare coverage, achievement of many cardiometabolic goals, in particular lifestyle, among aware diabetic individuals is poor. This suggests a need for improvement in both clinical guidelines%26apos; implementation and patients%26apos; adherence.
- 出版日期2013-4-18
