标题：Impact of a diabetes screening program on a rural Chinese population: A 3-year follow-up study Health behavior, health promotion and society
作者：Zhang Y.; Ning F.; Sun J.; Pang Z.; Wang X.; Kapur A.; Sintonen H.; Qiao Q.
作者机构：[Zhang, Y] Department of Public Health, University of Helsinki, Mannerheimintie 172, PL41, Helsinki, 00014, Finland;[ Ning, F] Qingdao Municipal Centr 更多
通讯作者地址：[Zhang, Y] Department of Public Health, University of Helsinki, Mannerheimintie 172, PL41, Finland
来源：BMC Public Health
关键词：Depression; Health-related quality of life; Lifestyle; Pre-diabetes; Screening
摘要：Background: Screening for type 2 diabetes helps detect previously unknown diabetes and identify people with pre-diabetes, but the adverse impact of such screening on individuals labelled as pre-diabetes or classified as normal, is less known. In this study the health-related quality of life (HRQoL), depression and lifestyle changes in a rural Chinese population are assessed three years after a screening program. Methods: A total of 647 (39.1%) individuals with pre-diabetes and 1009 (60.9%) individuals with normoglycaemia from a population-based diabetes screening program in 2009 were re-examined in 2012-2013. Changes at the end of 3 years in HRQoL, depression, BMI, weight, frequency of physical activity and vegetable intake were assessed. Results: In men with normoglycaemia the mean (SD) 15D scores were 0.974 (0.04) at baseline and 0.973 (0.05) at follow-up; and 0.971 (0.05) and 0.966 (0.06) for men with pre-diabetes. In women the scores were 0.973 (0.05) and 0.963 (0.06) for normoglycaemia and 0.959 (0.06) and 0.954 (0.07) for pre-diabetes, respectively. Compared to baseline, the HRQoL was slightly lower at 3 years in all groups but the change was not considered to be clinically important, and was only statistically significant for women with normoglycaemia (p∈<∈0.05). The depression score was slightly elevated in women, but not in men. No significant changes in BMI were noticed, but weight increased slightly in the normoglycemia group (p∈<∈0.05). Screening had a significant positive impact on physical activity and vegetable intake. Conclusions: This population-based diabetes screening program generated long-term positive changes toward a healthy lifestyle as measured by physical activity and vegetable intake for all the participants without adverse effects on the HRQoL and depression. © 2015 Zhang et al.; licensee BioMed Central.