Control of Risk Factors Among People With Diagnosed Diabetes, by Lower Extremity Disease Status

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Dorsey, Rashida R. ; Eberhardt, Mark S. ; Gregg, Edward W. ; Geiss, Linda S.
• Description:
  Introduction
  
  We examined the control of modifiable risk factors among a national sample of diabetic people with and without lower extremity disease (LED).
  
  Methods
  
  The sample from the 1999-2004 National Health and Nutrition Examination Survey consisted of 948 adults aged 40 years or older with diagnosed diabetes and who had been assessed for LED. LED was defined as peripheral arterial disease (ankle-brachial index <0.9), peripheral neuropathy (≥1 insensate area), or presence of foot ulcer. Good control of modifiable risk factors, based on American Diabetes Association recommendations, included being a nonsmoker and having the following measurements: HbA1c less than 7%, systolic blood pressure less than or equal to 130 mm Hg, diastolic blood pressure less than or equal to 80 mm Hg, high density lipoprotein (HDL) cholesterol greater than 50 mg/dL, and body mass index (BMI) between 18.5 kg/m2 and 24.9 kg/m2.
  
  Results
  
  Diabetic people with LED were less likely than were people without LED to have recommended levels of HbA1c (39.3% vs 53.5%) and HDL cholesterol (29.7% vs 41.1%), but there were no differences in systolic or diastolic blood pressure, BMI classification, or smoking status between people with and without LED. Control of some risk factors differed among population subgroups. Notably, among diabetic people with LED, non-Hispanic blacks were more likely to have improper control of HbA1c (adjusted odds ratio [AOR] = 2.0; 95% confidence interval [CI], 1.1-3.9), systolic blood pressure (AOR = 1.9; 95% CI, 1.1-3.2), and diastolic blood pressure (AOR = 2.6; 95% CI, 1.1-5.8), compared with non-Hispanic whites.
  
  Conclusion
  
  Control of 2 of 6 modifiable risk factors was worse in diabetic adults with LED compared with diabetic adults without LED. Among diabetic people with LED, non-Hispanic blacks had worse control of 3 of 6 risk factors compared with non-Hispanic whites.
  
  
• Subjects:
  Adult Aged Diabetic Neuropathies Ethnicity Female Humans Lower Extremity Male Middle Aged Nutrition Surveys Risk Factors

  More +
• Source:
  Prev Chronic Dis. 6(4).
• ISSN:
  1545-1151
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Location:
  North America
• Volume:
  6
• Issue:
  4
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:3fdf6cc354afa0b5469fd3ea89f80c39e80c1eb1801410a25adffbfbbeb50ce1314f25cfb22e6e2eb6d19433585895af6b3936db48ea79754b066e7857122421
• Download URL:
  https://stacks.cdc.gov/view/cdc/4163/cdc_4163_DS1.pdf
• File Type:
  [PDF - 572.89 KB ]