Nutr Res Pract.  2019 Jun;13(3):240-246. 10.4162/nrp.2019.13.3.240.

Relationships between the diabetes awareness and clinical indices/nutrient intakes in Korean adults: Based on the 2012–2013 Korea National Health and Nutrition Examination Survey Data

• Lee S
• Park H
• Lee Y
• Choi O
• Kim J
• Gray HL
• Song K

• KMID: 2453288
• DOI: http://doi.org/10.4162/nrp.2019.13.3.240

Abstract

BACKGROUND/OBJECTIVES
Diabetes is diagnosed after an average of 10-12 years of diabetic development. Strict glycemic control in diabetic patients promotes the normalization of blood glucose and reduces cardiovascular diseases (CVDs) and diabetic complications. Therefore, early diagnosis in non-aware individuals is very important.
SUBJECTS/METHODS
Clinical indices and nutrient intakes in Korean diabetic adults aged 19-64 years were examined according to the awareness of diabetes, using 2012 and 2013 Korea National Health and Nutrition Examination Survey (KNHANES) data. The aware group was defined as individuals who were aware of having diabetes from diagnosis by physician before the survey and the non-aware group as individuals who were not aware of having diabetes.
RESULTS
The average age was higher in the aware group compared to the non-aware group in both men (P = 0.002) and women (P = 0.004). The prevalences of hypertension and dyslipidemia were not different between the two groups, but the diagnosis rate was significantly lower in the non-aware group. In the non-aware group, total and LDL-cholesterol were significantly higher (P < 0.001), the risk for total cholesterol over 240 mg/dL was 3.4 times (95% CI: 1.58-7.52) higher (P = 0.002) and the risk for LDL-cholesterol over 160 mg/dL was 4.59 times (95% CI: 2.07-10.17) higher (P < 0.001). The calorie intake of the female non-aware group was significantly higher compared to the female aware group (P = 0.033).
CONCLUSION
The results suggested that the recommendation of screening test is necessary even for young adults. Studies on the methodology for early diagnosis of diabetes are also needed.

Keyword

Diabetes; aware; clinical indices; nutrient intake

MeSH Terms

Adult*
Blood Glucose
Cardiovascular Diseases
Cholesterol
Diabetes Complications
Diagnosis
Dyslipidemias
Early Diagnosis
Female
Humans
Hypertension
Korea*
Male
Mass Screening
Nutrition Surveys*
Prevalence
Young Adult
Blood Glucose
Cholesterol

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