Prevalence and trends of type 2 diabetes mellitus and prediabetes among community-dwelling heart failure patients in the United States

•Over 85% of American adults with heart failure (HF) showed signs of hyperglycemia.•1 in 10 American adults with HF had undiagnosed type 2 diabetes mellitus (T2DM).•3 in 10 American adults with HF had prediabetes.•6 in 10 Hispanic American adults with HF had T2DM.•Prevalence estimates of T2DM in HF...

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Veröffentlicht in:Diabetes research and clinical practice 2022-02, Vol.184, p.109191-109191, Article 109191
Hauptverfasser: Ishikawa, Yuta, Lewis, Richard D., Laing, Emma M., Anderson, Alex K., Zhang, Donglan, Quyyumi, Arshed A., Dunbar, Sandra B., Trivedi-Kapoor, Rupal, Sattler, Elisabeth L.P.
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container_title Diabetes research and clinical practice
container_volume 184
creator Ishikawa, Yuta
Lewis, Richard D.
Laing, Emma M.
Anderson, Alex K.
Zhang, Donglan
Quyyumi, Arshed A.
Dunbar, Sandra B.
Trivedi-Kapoor, Rupal
Sattler, Elisabeth L.P.
description •Over 85% of American adults with heart failure (HF) showed signs of hyperglycemia.•1 in 10 American adults with HF had undiagnosed type 2 diabetes mellitus (T2DM).•3 in 10 American adults with HF had prediabetes.•6 in 10 Hispanic American adults with HF had T2DM.•Prevalence estimates of T2DM in HF remained at a high level between 2005 and 2016. This study estimated national prevalence and trends of diagnosed and undiagnosed type 2 diabetes mellitus (T2DM) and prediabetes among heart failure (HF) patients in the U.S. This cross-sectional study included 527 participants aged 20+ years with a diagnosis of HF, using data from the National Health and Nutrition Examination Survey 2005–2016. We assessed prevalence estimates of diagnosed and undiagnosed T2DM and prediabetes stratified by age-standardized sociodemographic and health characteristics. Trends of T2DM and prediabetes prevalence were examined using logistic regressions. Prevalence rates of diagnosed and undiagnosed T2DM among HF patients were 34.7% (95% confidence interval (CI), 29.2–40.3%) and 12.8% (95% CI, 9.2–16.9%), respectively. Prediabetes affected 39.1% (95% CI, 33.6–44.9%) of HF patients. Prevalence estimates of diagnosed T2DM were significantly different between non-Hispanic White (20.1% [95% CI, 13.5–27.6%]) and Hispanic participants (52.1% [95% CI, 35.9–68.0%]) (P 
doi_str_mv 10.1016/j.diabres.2022.109191
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This study estimated national prevalence and trends of diagnosed and undiagnosed type 2 diabetes mellitus (T2DM) and prediabetes among heart failure (HF) patients in the U.S. This cross-sectional study included 527 participants aged 20+ years with a diagnosis of HF, using data from the National Health and Nutrition Examination Survey 2005–2016. We assessed prevalence estimates of diagnosed and undiagnosed T2DM and prediabetes stratified by age-standardized sociodemographic and health characteristics. Trends of T2DM and prediabetes prevalence were examined using logistic regressions. Prevalence rates of diagnosed and undiagnosed T2DM among HF patients were 34.7% (95% confidence interval (CI), 29.2–40.3%) and 12.8% (95% CI, 9.2–16.9%), respectively. Prediabetes affected 39.1% (95% CI, 33.6–44.9%) of HF patients. Prevalence estimates of diagnosed T2DM were significantly different between non-Hispanic White (20.1% [95% CI, 13.5–27.6%]) and Hispanic participants (52.1% [95% CI, 35.9–68.0%]) (P &lt; 0.001). The prevalence of T2DM and prediabetes did not significantly change between 2005 and 2016. Prevalence rates of T2DM and prediabetes among community-dwelling HF patients in the U.S. remained high between 2005 and 2016. 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This study estimated national prevalence and trends of diagnosed and undiagnosed type 2 diabetes mellitus (T2DM) and prediabetes among heart failure (HF) patients in the U.S. This cross-sectional study included 527 participants aged 20+ years with a diagnosis of HF, using data from the National Health and Nutrition Examination Survey 2005–2016. We assessed prevalence estimates of diagnosed and undiagnosed T2DM and prediabetes stratified by age-standardized sociodemographic and health characteristics. Trends of T2DM and prediabetes prevalence were examined using logistic regressions. Prevalence rates of diagnosed and undiagnosed T2DM among HF patients were 34.7% (95% confidence interval (CI), 29.2–40.3%) and 12.8% (95% CI, 9.2–16.9%), respectively. Prediabetes affected 39.1% (95% CI, 33.6–44.9%) of HF patients. Prevalence estimates of diagnosed T2DM were significantly different between non-Hispanic White (20.1% [95% CI, 13.5–27.6%]) and Hispanic participants (52.1% [95% CI, 35.9–68.0%]) (P &lt; 0.001). The prevalence of T2DM and prediabetes did not significantly change between 2005 and 2016. Prevalence rates of T2DM and prediabetes among community-dwelling HF patients in the U.S. remained high between 2005 and 2016. Prevention of and targeted intervention for T2DM among at-risk HF patients is needed, particularly among those of Hispanic origin.</description><subject>Adult</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes Mellitus - epidemiology</subject><subject>Diabetes Mellitus, Type 2 - diagnosis</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Heart failure</subject><subject>Heart Failure - diagnosis</subject><subject>Heart Failure - epidemiology</subject><subject>Humans</subject><subject>Independent Living</subject><subject>National Health and Nutrition Examination Survey</subject><subject>Nutrition Surveys</subject><subject>Prediabetes</subject><subject>Prediabetic State - diagnosis</subject><subject>Prediabetic State - epidemiology</subject><subject>Prevalence</subject><subject>Trends</subject><subject>Type 2 diabetes mellitus</subject><subject>United States - epidemiology</subject><subject>Young Adult</subject><issn>0168-8227</issn><issn>1872-8227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc9O3DAQxi1UxC60j9DKx16ytR0ncU4IIWiRVgIJOFuOPS5e5V9tB7QvwHPjkIVrTzMa_2a-8XwIfadkQwktf-02xqnGQ9gwwliq1bSmR2hNRcUywVj1Ba0TJ97zFToNYUcIKXNenKBVXhBORUnX6PXOw7NqodeAVW9w9NCbgAeL434EzPCsAhEC7qBtXZzCOzZ6-HxQ3dD_xXrouql3cZ-Zl5lMpSdQPmKrXDt5wKOKDvoYsOtxfAL8mGAw-D6qNOQrOraqDfDtEM_Q4_XVw-WfbHv7--byYpvpvCxiBk2T18IWghttG6MIL2pSqaph2hQlqdINci502VhqQRmueFkwSnSumLCCmPwM_Vzmjn74N0GIsnNBp31VD8MUJCsZZbzmhCe0WFDthxA8WDl61ym_l5TI2QK5kwcL5GyBXCxIfT8OElPTgfns-rh5As4XANJHnx14GbSbDTDOg47SDO4_Em8lKZyg</recordid><startdate>202202</startdate><enddate>202202</enddate><creator>Ishikawa, Yuta</creator><creator>Lewis, Richard D.</creator><creator>Laing, Emma M.</creator><creator>Anderson, Alex K.</creator><creator>Zhang, Donglan</creator><creator>Quyyumi, Arshed A.</creator><creator>Dunbar, Sandra B.</creator><creator>Trivedi-Kapoor, Rupal</creator><creator>Sattler, Elisabeth L.P.</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202202</creationdate><title>Prevalence and trends of type 2 diabetes mellitus and prediabetes among community-dwelling heart failure patients in the United States</title><author>Ishikawa, Yuta ; Lewis, Richard D. ; Laing, Emma M. ; Anderson, Alex K. ; Zhang, Donglan ; Quyyumi, Arshed A. ; Dunbar, Sandra B. ; Trivedi-Kapoor, Rupal ; Sattler, Elisabeth L.P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-ebb398f584dcfbda045907a7b2cd5607919348c6bf1fead4a465210c3a28f80d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adult</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes Mellitus - epidemiology</topic><topic>Diabetes Mellitus, Type 2 - diagnosis</topic><topic>Diabetes Mellitus, Type 2 - epidemiology</topic><topic>Heart failure</topic><topic>Heart Failure - diagnosis</topic><topic>Heart Failure - epidemiology</topic><topic>Humans</topic><topic>Independent Living</topic><topic>National Health and Nutrition Examination Survey</topic><topic>Nutrition Surveys</topic><topic>Prediabetes</topic><topic>Prediabetic State - diagnosis</topic><topic>Prediabetic State - epidemiology</topic><topic>Prevalence</topic><topic>Trends</topic><topic>Type 2 diabetes mellitus</topic><topic>United States - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ishikawa, Yuta</creatorcontrib><creatorcontrib>Lewis, Richard D.</creatorcontrib><creatorcontrib>Laing, Emma M.</creatorcontrib><creatorcontrib>Anderson, Alex K.</creatorcontrib><creatorcontrib>Zhang, Donglan</creatorcontrib><creatorcontrib>Quyyumi, Arshed A.</creatorcontrib><creatorcontrib>Dunbar, Sandra B.</creatorcontrib><creatorcontrib>Trivedi-Kapoor, Rupal</creatorcontrib><creatorcontrib>Sattler, Elisabeth L.P.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Diabetes research and clinical practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ishikawa, Yuta</au><au>Lewis, Richard D.</au><au>Laing, Emma M.</au><au>Anderson, Alex K.</au><au>Zhang, Donglan</au><au>Quyyumi, Arshed A.</au><au>Dunbar, Sandra B.</au><au>Trivedi-Kapoor, Rupal</au><au>Sattler, Elisabeth L.P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence and trends of type 2 diabetes mellitus and prediabetes among community-dwelling heart failure patients in the United States</atitle><jtitle>Diabetes research and clinical practice</jtitle><addtitle>Diabetes Res Clin Pract</addtitle><date>2022-02</date><risdate>2022</risdate><volume>184</volume><spage>109191</spage><epage>109191</epage><pages>109191-109191</pages><artnum>109191</artnum><issn>0168-8227</issn><eissn>1872-8227</eissn><abstract>•Over 85% of American adults with heart failure (HF) showed signs of hyperglycemia.•1 in 10 American adults with HF had undiagnosed type 2 diabetes mellitus (T2DM).•3 in 10 American adults with HF had prediabetes.•6 in 10 Hispanic American adults with HF had T2DM.•Prevalence estimates of T2DM in HF remained at a high level between 2005 and 2016. This study estimated national prevalence and trends of diagnosed and undiagnosed type 2 diabetes mellitus (T2DM) and prediabetes among heart failure (HF) patients in the U.S. This cross-sectional study included 527 participants aged 20+ years with a diagnosis of HF, using data from the National Health and Nutrition Examination Survey 2005–2016. We assessed prevalence estimates of diagnosed and undiagnosed T2DM and prediabetes stratified by age-standardized sociodemographic and health characteristics. Trends of T2DM and prediabetes prevalence were examined using logistic regressions. Prevalence rates of diagnosed and undiagnosed T2DM among HF patients were 34.7% (95% confidence interval (CI), 29.2–40.3%) and 12.8% (95% CI, 9.2–16.9%), respectively. Prediabetes affected 39.1% (95% CI, 33.6–44.9%) of HF patients. Prevalence estimates of diagnosed T2DM were significantly different between non-Hispanic White (20.1% [95% CI, 13.5–27.6%]) and Hispanic participants (52.1% [95% CI, 35.9–68.0%]) (P &lt; 0.001). The prevalence of T2DM and prediabetes did not significantly change between 2005 and 2016. Prevalence rates of T2DM and prediabetes among community-dwelling HF patients in the U.S. remained high between 2005 and 2016. Prevention of and targeted intervention for T2DM among at-risk HF patients is needed, particularly among those of Hispanic origin.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>35041861</pmid><doi>10.1016/j.diabres.2022.109191</doi><tpages>1</tpages></addata></record>
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subjects Adult
Cross-Sectional Studies
Diabetes Mellitus - epidemiology
Diabetes Mellitus, Type 2 - diagnosis
Diabetes Mellitus, Type 2 - epidemiology
Heart failure
Heart Failure - diagnosis
Heart Failure - epidemiology
Humans
Independent Living
National Health and Nutrition Examination Survey
Nutrition Surveys
Prediabetes
Prediabetic State - diagnosis
Prediabetic State - epidemiology
Prevalence
Trends
Type 2 diabetes mellitus
United States - epidemiology
Young Adult
title Prevalence and trends of type 2 diabetes mellitus and prediabetes among community-dwelling heart failure patients in the United States
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