Type

Journal Article

Authors

P M Kearney
I J Perry
J Harrington
L Fahy
S Barron
K Balanda
J Madden
C M Buckley

Subjects

Physiotherapy & Sport

Topics
irish adults multivariate analysis poor diet prevalence rates logistic regression diet and lifestyle ireland attitudes physical inactivity

Pre-diabetes in adults 45 years and over in Ireland: the Survey of Lifestyle, Attitudes and Nutrition in Ireland 2007. (2012)

Abstract Pre-diabetes is an important indicator of future diabetes burden and many countries are reporting prevalence estimates of pre-diabetes. To date in Ireland, estimates of the prevalence of pre-diabetes were unavailable. Our objectives were to estimate the prevalence of pre-diabetes in a nationally representative sample of Irish adults and to explore determinants of pre-diabetes. The Survey of Lifestyle Attitudes and Nutrition 2007 was a cross-sectional survey on health and lifestyle in a nationally representative sample of Irish adults. Analysis was performed on a subsample of 1132 participants ≥ 45 years who provided blood samples. Determination of pre-diabetes was based on American Diabetes Association HbA1c cut points of 39-46 mmol/mol (5.7-6.4%). To explore determinants, we modelled pre-diabetes prevalence as a function of a set of health system and socio-demographic variables using logistic regression. The overall weighted prevalence estimate of pre-diabetes in participants ≥ 45 years was 19.8% (95% CI 16.4-23.9). There was no significant difference between age or gender-specific prevalence rates. Obesity was significantly associated with pre-diabetes on univariate and multivariate analysis. Population attributable fraction estimates for excess BMI, physical inactivity and poor diet as causes of pre-diabetes were 31.3% (95% CI -3.9 to 54.5), 10.0% (95% CI -2.7 to 21.3) and 6.1% (95% CI -4.9 to 15.9), respectively. The high levels of pre-diabetes detected in this study are worrying. Population level interventions to address diet and lifestyle factors are needed urgently to prevent progression to diabetes in high-risk individuals.
Collections Ireland -> University College Cork -> PubMed

Full list of authors on original publication

P M Kearney, I J Perry, J Harrington, L Fahy, S Barron, K Balanda, J Madden, C M Buckley

Experts in our system

1
Ivan J Perry
University College Cork
Total Publications: 188
 
2
Janas Harrington
University College Cork
Total Publications: 59
 
3
Jamie M. Madden
University College Cork
Total Publications: 12
 
4
Claire M. Buckley
University College Cork
Total Publications: 30