دورية أكاديمية

Higher burden of cardiometabolic and socioeconomic risk factors in women with type 2 diabetes: an analysis of the Glycemic Reduction Approaches in Diabetes (GRADE) baseline cohort

التفاصيل البيبلوغرافية
العنوان: Higher burden of cardiometabolic and socioeconomic risk factors in women with type 2 diabetes: an analysis of the Glycemic Reduction Approaches in Diabetes (GRADE) baseline cohort
المؤلفون: Gulanski, Barbara I, Butera, Nicole M, Krause-Steinrauf, Heidi, Lichtman, Judith H, Harindhanavudhi, Tasma, Green, Jennifer B, Suratt, Colleen E, AbouAssi, Hiba, Desouza, Cyrus, Ahmann, Andrew J, Wexler, Deborah J, Aroda, Vanita R
المساهمون: National Heart, Lung, and Blood Institute, National Institute of Diabetes and Digestive and Kidney Diseases, Centers for Disease Control and Prevention, American Diabetes Association
المصدر: BMJ Open Diabetes Research & Care ; volume 11, issue 2, page e003159 ; ISSN 2052-4897
بيانات النشر: BMJ
سنة النشر: 2023
مصطلحات موضوعية: Endocrinology, Diabetes and Metabolism
الوصف: Introduction Type 2 diabetes mellitus (T2DM) is a powerful risk factor for cardiovascular disease (CVD), conferring a greater relative risk in women than men. We sought to examine sex differences in cardiometabolic risk factors and management in the contemporary cohort represented by the Glycemia Reduction Approaches in Diabetes: A Comparative Effectiveness Study (GRADE). Research design and methods GRADE enrolled 5047 participants (1837 women, 3210 men) with T2DM on metformin monotherapy at baseline. The current report is a cross-sectional analysis of baseline data collected July 2013 to August 2017. Results Compared with men, women had a higher mean body mass index (BMI), greater prevalence of severe obesity (BMI≥40 kg/m 2 ), higher mean LDL cholesterol, greater prevalence of low HDL cholesterol, and were less likely to receive statin treatment and achieve target LDL, with a generally greater prevalence of these risk factors in younger women. Women with hypertension were equally likely to achieve blood pressure targets as men; however, women were less likely to receive ACE inhibitors or angiotensin receptor blockers. Women were more likely to be divorced, separated or widowed, and had fewer years of education and lower incomes. Conclusions This contemporary cohort demonstrates that women with T2DM continue to have a greater burden of cardiometabolic and socioeconomic risk factors than men, particularly younger women. Attention to these persisting disparities is needed to reduce the burden of CVD in women. Trial registration number ClinicalTrials.gov ( NCT01794143 )
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1136/bmjdrc-2022-003159
الإتاحة: https://doi.org/10.1136/bmjdrc-2022-003159Test
حقوق: http://creativecommons.org/licenses/by-nc/4.0Test/
رقم الانضمام: edsbas.6CD1EBDD
قاعدة البيانات: BASE