Diabetes in older adults : comparison of 1997 American Diabetes Association classification of diabetes mellitus with 1985 WHO classification.
Background We aimed to compare the prevalence of abnormal glucose tolerance identified by the 1985 WHO and the 1997 American Diabetes Association (ADA) diagnostic categories based on information collected in the Cardiovascular Health Study, an epidemiological study of elderly people.
Methods We measured glucose concentrations during fasting and 2 h after a 75 g oral glucose-tolerance test in participants aged 65-100 years in the Cardiovascular Health Study.
From a 1989 cohort, we analysed the glucose measurements of 4515 individuals without a previous diagnosis of diabetes and of 262 additional measurements from an African-American cohort recruited in 1992-93.
Findings In the 1989 cohort, the prevalence of untreated diabetes with ADA diagnostic fasting criteria was 7.7% versus a prevalence of 14.8% by the WHO criteria.
In the African-American cohort, the prevalence of untreated diabetes was 2.7% with ADA criteria and 11.8% with WHO criteria. 3509 (77.7%) of the 4515 participants in the 1989 cohort had normal glucose concentrations according to ADA fasting criteria, compared with 2401 (53.2%) according to WHO criteria.
In the African-American cohort, the corresponding numbers were 239 (91.2%) versus 153 (58.4%). All differences in prevalence of abnormal glucose tolerance between ADA and WHO classifications were significant (P<0.0001). (...)
Mots-clés Pascal : Diabète, Epidémiologie, Etude comparative, Classification, Américain, OMS, Facteur risque, Prévalence, Vieillard, Homme, Etude cohorte, Endocrinopathie, Organisation santé
Mots-clés Pascal anglais : Diabetes mellitus, Epidemiology, Comparative study, Classification, American, WHO, Risk factor, Prevalence, Elderly, Human, Cohort study, Endocrinopathy, Public health organization
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0457499
Code Inist : 002B21E01A. Création : 25/01/1999.