Validity of Diabetes Self-Reports in the Saku Diabetes Study

被引:36
|
作者
Goto, Atsushi [1 ,2 ,4 ]
Morita, Akemi [2 ,3 ]
Goto, Maki [1 ,2 ,4 ]
Sasaki, Satoshi [5 ]
Miyachi, Motohiko [2 ]
Aiba, Naomi [6 ]
Kato, Masayuki [7 ]
Terauchi, Yasuo [4 ]
Noda, Mitsuhiko [1 ,8 ]
Watanabe, Shaw [2 ]
机构
[1] Natl Ctr Global Hlth & Med, Dept Diabet Res, Diabet Res Ctr, Tokyo 1628655, Japan
[2] Natl Inst Hlth & Nutr, Tokyo 162, Japan
[3] Koshien Univ, Coll Nutr, Dept Nutr, Takarazuka, Hyogo, Japan
[4] Yokohama City Univ, Grad Sch Med, Dept Endocrinol & Metab, Yokohama, Kanagawa 232, Japan
[5] Univ Tokyo, Sch Publ Hlth, Dept Social & Prevent Epidemiol, Tokyo, Japan
[6] Kanagawa Inst Technol, Dept Nutr & Life Sci, Atsugi, Kanagawa, Japan
[7] Japan Fdn Promot Int Med Res Cooperat, Tokyo, Japan
[8] Natl Ctr Global Hlth & Med, Dept Diabet & Metab Med, Ctr Hosp, Tokyo 1628655, Japan
关键词
diabetes; self-reported diabetes; validation study; undiagnosed diabetes; IMPAIRED GLUCOSE-TOLERANCE; MIDDLE-AGED JAPANESE; FASTING GLUCOSE; GREEN TEA; RISK; MELLITUS; CONSUMPTION; POPULATION; COFFEE; MEN;
D O I
10.2188/jea.JE20120221
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Diabetes is an important risk factor for cardiovascular disease, certain types of cancer, and death, and self-reports are one of the most convenient methods for ascertaining diabetes status. We evaluated the validity of diabetes self-reports among Japanese who participated in a health checkup. Methods: Self-reported diabetes was cross-sectionally compared with confirmed diabetes among 2535 participants aged 28 to 85 years in the Saku cohort study. Confirmed diabetes was defined as the presence of at least 1 of the following: fasting plasma glucose (FPG) level of 126 mg/dL or higher, 2-hour post-load glucose (2-hPG) level of 200 mg/dL or higher after a 75-gram oral glucose tolerance test, glycated hemoglobin (HbA1c) level of 6.5% or higher, or treatment with hypoglycemic medication(s). Results: Of the 251 participants with self-reported diabetes, 121 were taking hypoglycemic medication(s) and an additional 69 were classified as having diabetes. Of the 2284 participants who did not self-report diabetes, 80 were classified as having diabetes. These data yielded a sensitivity of 70.4%, a specificity of 97.3%, a positive predictive value of 75.7%, and a negative predictive value of 96.5%. The frequency of participants with undiagnosed diabetes was 3.0%. Of these, 64.2% had FPG within the normal range and were diagnosed by 2-hPG and/or HbA1c. Conclusions: Our findings provide additional support for the use of self-reported diabetes as a measure of diabetes in epidemiologic studies performed in similar settings in Japan if biomarker-based diagnosis is difficult.
引用
收藏
页码:295 / 300
页数:6
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