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dc.contributor.authorWee, Christina C.
dc.contributor.authorHamel, Mary Beth
dc.contributor.authorHuang, Annong
dc.contributor.authorDavis, Robert B.
dc.contributor.authorMittleman, Murray A.
dc.contributor.authorMcCarthy, Ellen Patricia
dc.date.accessioned2011-05-12T21:20:57Z
dc.date.issued2008
dc.identifier.citationWee, 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.issn0149-5992en_US
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:4888877
dc.description.abstractOBJECTIVE—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.isoen_USen_US
dc.publisherAmerican Diabetes Associationen_US
dc.relation.isversionofdoi:10.2337/dc07-1867en_US
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC2518350/pdf/en_US
dash.licenseLAA
dc.titleObesity and undiagnosed diabetes in the U.S.en_US
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden_US
dc.relation.journalDiabetes Careen_US
dash.depositing.authorHamel, Mary Beth
dc.date.available2011-05-12T21:20:57Z
dash.affiliation.otherHMS^Medicine- Beth Israel-Deaconessen_US
dash.affiliation.otherSPH^Biostatisticsen_US
dash.affiliation.otherSPH^Epidemiologyen_US
dash.affiliation.otherHMS^Medicine- Beth Israel-Deaconessen_US
dc.identifier.doi10.2337/dc07-1867*
dash.contributor.affiliatedMcCarthy, Ellen
dash.contributor.affiliatedHamel, Mary
dash.contributor.affiliatedMittleman, Murray


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