Obesity and undiagnosed diabetes in the U.S.

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Obesity and undiagnosed diabetes in the U.S.

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dc.contributor.author Wee, Christina C.
dc.contributor.author Huang, Annong
dc.contributor.author Hamel, Mary Beth
dc.contributor.author Mittleman, Murray A.
dc.contributor.author McCarthy, Ellen Patricia
dc.contributor.author Davis, Robert B.
dc.date.accessioned 2011-05-12T21:20:57Z
dc.date.issued 2008
dc.identifier.citation Wee, Christina C., Mary Beth Hamel, Annong Huang, Roger B. Davis, Murray A. Mittleman, and Ellen P. McCarthy. 2008. Obesity and undiagnosed diabetes in the U.S. Diabetes Care 31(9): 1813-1815. en_US
dc.identifier.issn 0149-5992 en_US
dc.identifier.uri http://nrs.harvard.edu/urn-3:HUL.InstRepos:4888877
dc.description.abstract OBJECTIVE—To study whether obese individuals, who are at higher risk for diabetes and disparities in care than nonobese individuals, are more likely to have undiagnosed diabetes. RESEARCH DESIGN AND METHODS—We performed an analysis of 5,514 adult participants in the 1999–2004 National Health and Nutrition Examination Survey. Particpants were interviewed about sociodemographic and medical data, including whether they had been diagnosed with diabetes, and were examined for height, weight, and fasting plasma glucose level ≥126 mg/dl or by previous physician diagnosis. After categorizing participants into normal weight, overweight, and obese according to BMI, the prevalance and diagnosis of diabetes across BMI categories was compared using χ2. RESULTS—Of the 9.8% (weighted sample) of participants who had diabetes, based on fasting glucose levels and self-reported diagnosis, 28.1% were undiagnosed, translating to an estimated 5.2 million people in the U.S. population. The proportion undiagnosed was not significantly different among normal-weight (22.2%), overweight (32.5%), or obese adults (27.4%). Nevertheless, obese adults comprise more than half of the undiagnosed diabetes cases (2.7 million). Relative to normal-weight adults, the adjusted odds ratio (OR) for having undiagnosed diabetes was 1.50 (0.73–3.08) in overweight and 1.37 (0.72–2.63) in obese adults. CONCLUSIONS—Despite a higher underlying risk of diabetes and widespread clinical recognition of this higher risk, obesity does not increase the likelihood that an individual's diabetes will be diagnosed. en_US
dc.language.iso en_US en_US
dc.publisher American Diabetes Association en_US
dc.relation.isversionof doi:10.2337/dc07-1867 en_US
dc.relation.hasversion http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2518350/pdf/ en_US
dash.license LAA
dc.title Obesity and undiagnosed diabetes in the U.S. en_US
dc.type Journal Article en_US
dc.description.version Version of Record en_US
dc.relation.journal Diabetes Care en_US
dash.depositing.author Hamel, Mary Beth
dc.date.available 2011-05-12T21:20:57Z
dash.affiliation.other HMS^Medicine- Beth Israel-Deaconess en_US
dash.affiliation.other SPH^Biostatistics en_US
dash.affiliation.other SPH^Epidemiology en_US
dash.affiliation.other HMS^Medicine- Beth Israel-Deaconess en_US

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