Prevalence of undiagnosed diabetes and abnormalities of carbohydrate metabolism in a U.S. Army population.

Chapin, Barrett L.; Medina, Sonsoles Gutiérrez; Le, Dzung; Bussell, Norman E.; Bussell, Kristin

doi:10.2337/diacare.22.3.426

Cited by 10 publications

(8 citation statements)

References 3 publications

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“…8 It is conceivable that those with a family history of diabetes choose to screen for diabetes because of their family history, leading to improved detection of diabetes. 26 SES factors, including education and employment, were found to be inversely associated with diabetes mellitus in the current study. Regarding education, one explanation is that higher education influences diabetes-related knowledge, healthy lifestyle, and dietary choices.…”

Section: Discussionmentioning

confidence: 60%

Prevalence of Diabetes Mellitus, Glycemic Control, and Associated Factors in a Malay Population in Singapore

Sabanayagam

Shankar

Saw

et al. 2009

Asia Pac J Public Health

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There is substantial heterogeneity regarding diabetes mellitus prevalence and glycemic control in Asian populations. The authors examined a population-based sample of 3000 adults (52% women) of Malay ethnicity (40-80 years) in Singapore. The age-standardized prevalence of diabetes mellitus was 18.4% (95% confidence interval = 17.0% to 19.8%). Being overweight, presence of hypertension, presence of cardiovascular disease, and family history of diabetes were found to be positively associated with diabetes mellitus. Higher education, employment status, and current smoking were found to be inversely associated with diabetes mellitus. Among those treated for diabetes, 29% achieved the optimal glycemic goal (glycosylated hemoglobin <7%). Lower levels of low-density lipoprotein cholesterol, total cholesterol, and systolic and diastolic blood pressure were associated with good glycemic control. Nearly 1 in 5 middle-aged Malay adults living in a developed Asian society had diabetes mellitus and a substantial proportion had suboptimal glycemic control.

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Section: Discussionmentioning

confidence: 60%

Prevalence of Diabetes Mellitus, Glycemic Control, and Associated Factors in a Malay Population in Singapore

Sabanayagam

Shankar

Saw

et al. 2009

Asia Pac J Public Health

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“…6,8,16 The regular exercise training is also could be associated with cardiac alterations 17 such as left ventricular hypertrophy (LVH) and increased stroke volume, however as a physiologic and adaptive mechanism 10 and the practicing physician should be aware of the range of cardiovascular fi ndings in the healthy athlete in order to avoid the erroneous diagnosis for the continuation of an athlete's career.…”

Section: Discussionmentioning

confidence: 99%

Echocardiographic Findings of Iranian Military Parachutists, in Comparison to Normal Population

Abtahi¹,

Heydari

Jafari³

et al. 2014

J. Cardiovasc. Dis. Res.

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Background:Occupation related stress such as military parachuting has been considered to be a potentially important cardiovascular risk factor. The present study was performed to determine structural and functional changes of the left ventricle (LV), right ventricle (RV) and aorta by echocardiographic assessment of Iranian military parachutists compared to the normal population. Materials and Methods: This is a cross-sectional study on the echocardiographic fi ndings of 95 military parachutists, compared to 92 healthy workers with normal range of activities and no previous history of heart and other diseases. Information regarding demographic and lifestyle were obtained from each subject. Arterial blood pressure (BP), weight, height, body mass index, waist circumference, and hip circumference were measured by standard methods. Then transthoracic echocardiography was performed for two groups. Results: Systolic BP, diastolic BP, LV end systolic diameter, septal wall thickness, posterior wall thickness, left ventricular mass (LVM), LVM index, ascending aorta systolic and diastolic diameter and aortic stiffness were signifi cantly higher in parachutists whereas, pulse pressure, LV ejection fraction, RV tricuspid annular plane systolic excursion, aortic distensibility and pulmonary acceleration time were signifi cantly lower in parachutists. Conclusion: War-related stressors and high intensity physical activities are associated with cardiac events and morphologic and functional alteration. Echocardiographic evaluations could clarify these differences.

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“…Los estudios realizados en los EE.UU. ponen de manifiesto una incidencia similar de FRCV entre la población civil y la militar de forma global aunque entre los soldados la incidencia de diabetes, intolerancia a la glucosa o la glucosa basal alta es significativamente inferior que en la población civil de similar edad 39 . La mayor preocupación es que, en cualquier caso, está aumentando la incidencia de diabetes en individuos cada vez más jóvenes, que son los que presumiblemente deben estar en las mejores condiciones físicas.…”

Section: Intervención Sobre Los Factores De Riesgo Vascularunclassified

Eficacia de la Sanidad Militar en la prevención cardiovascular del contingente de Melilla: relevancia de la Telemedicina

Guerrero¹,

Caballero²,

Urbano³

2014

Sanid. Mil.

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RESUMEN Antecedentes y Objetivos:La IGESAN (Inspección General de Sanidad) establece el protocolo del reconocimiento médico previo a la realización del test general de condición física que deben realizar los componentes del Ejército de Tierra. La Clínica Militar de Melilla participa en estos reconocimientos. Pretendemos estudiar el estado de salud cardiovascular del militar en Melilla; compararlo con otras muestras similares y valorar la eficiencia y eficacia de la telemedicina en la prevención de eventos cardiovasculares durante dicho test. Material y métodos: Historia clínica, exploración física, electrocardiograma, uso de telemedicina, recogida de datos y tratamiento estadístico. Resultados. Se estudiaron 634 varones entre 39 y 61 años con � = 47,8. En Melilla se consideraron patológicos 58 electrocardiogramas que tras remisión por telemedicina y estudio en Cardiología de Hospital Central de la Defensa se determinó que 20 no eran aptos para el test. La hipertensión arterial se asoció (p<0.005) con la no aptitud para las pruebas físicas. Se detectaron numerosos patrones electrocardiográficos propios de deportistas. El hábito de fumar fue el factor de riesgo prevalente. Más del 95% de los afectados por factores de riesgo vascular cumplen con el tratamiento farmacológico. Conclusiones: La guarnición militar de Melilla presenta una baja prevalencia de factores de riesgo vascular comparado con estudios similares probablemente por su alto nivel de actividad deportiva. La telemedicina es un instrumento eficiente para la valoración cardiológica previa a las pruebas físicas. La prevención cardiovascular y la formación en Medicina Deportiva son fundamentales para optimizar la eficiencia del test de condición física.PALABRAS CLAVE: Test general de condición física, Electrocardiograma, Prevención de enfermedades cardiovasculares, Guarnición de Melilla, Telemedicina, Medicina deportiva.Military health effectiveness in cardiovascular prevention of contingent in Melilla. Relevance of Telemedicine SUMMARY: Background and aims: The IGESAN (General Inspectorate of the Military Health Service) sets the protocol of the medical examination prior to the annual performing of the General Test of Physical Condition that all the military members of the Army must undergo. Melilla Military Clinic participates in the carrying out of these medicals. We intend to study the cardiovascular health condition of the military in Melilla garrison; to compare it with other similar samples and evaluate the efficiency of the use of telemedicine concerning the improvement in cardiovascular event prevention during the performing of the test. Material and methods: Medical history; physical examination; electrocardiogram; telemedicine; data collecting and statistical study. Results: 634 male adults with an age range from 39 to 61 ( � =47.8) were studied in Melilla. 58 electrocardiograms were considered pathological and they were sent, via telemedicine, to the Cardiology Department of the Armed Forces Central Hospital where 20 out of the 58 electrocardio...

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Prevalence of undiagnosed diabetes and abnormalities of carbohydrate metabolism in a U.S. Army population.

Abstract: In this low-diabetes risk U.S. Army population, the prevalence of undiagnosed diabetes, impaired glucose tolerance, and impaired fasting glucose were 0.5, 1.8, and 1.0%, respectively. The prevalence rates found in this study are approximately one-tenth of those found in NHANES III.

Cited by 10 publications

References 3 publications

Prevalence of Diabetes Mellitus, Glycemic Control, and Associated Factors in a Malay Population in Singapore

Prevalence of Diabetes Mellitus, Glycemic Control, and Associated Factors in a Malay Population in Singapore

Echocardiographic Findings of Iranian Military Parachutists, in Comparison to Normal Population

Eficacia de la Sanidad Militar en la prevención cardiovascular del contingente de Melilla: relevancia de la Telemedicina

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