Epidemiology of Diabetes-Status of a Pandemic and Issues Around Metabolic Surgery
| Autor: | Paul Zimmet, K. George M. M. Alberti |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Gerontology
Adult Male medicine.medical_specialty Adolescent Endocrinology Diabetes and Metabolism MEDLINE Bariatric Surgery 030209 endocrinology & metabolism Type 2 diabetes 03 medical and health sciences Young Adult 0302 clinical medicine Risk Factors Diabetes mellitus Epidemiology Pandemic Internal Medicine medicine Global health Humans 030212 general & internal medicine Young adult Child Developing Countries Life Style Pandemics Aged Advanced and Specialized Nursing business.industry Metabolic surgery Middle Aged medicine.disease Diabetes Mellitus Type 2 Female business |
| Zdroj: | Diabetes care. 39(6) |
| ISSN: | 1935-5548 |
| Popis: | The number of people with diabetes worldwide has more than doubled during the past 20 years. One of the most worrying features of this rapid increase is the emergence of type 2 diabetes in children, adolescents, and young adults. Although the role of traditional risk factors for type 2 diabetes, such as genetic, lifestyle, and behavioral risk factors, has been given attention, recent research has focused on identifying the contributions of epigenetic mechanisms and the effect of the intrauterine environment. Epidemiological data predict an inexorable and unsustainable increase in global health expenditure attributable to diabetes, so disease prevention should be given high priority. An integrated approach is needed to prevent type 2 diabetes and must recognize its heterogeneity. Future research needs to be directed at improved understanding of the potential role of determinants, such as the maternal environment and other early life factors, as well as changing trends in global demography, to help shape disease prevention programs. Equally important is a better understanding of the role of metabolic surgery in helping to address the management both of persons with type 2 diabetes and of those persons in the community who are at higher risk for type 2 diabetes, particularly in emerging nations where the diabetes epidemic is in full flight. |
| Databáze: | OpenAIRE |
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