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KMID : 0388320150220040433
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Journal of Korean Academy of Fundamental Nursing
2015 Volume.22 No. 4 p.433 ~ p.441
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Factors Associated with Hemoglobin A1c among Patient Aged 40 years over with Diabetes Mellitus: 2012 Korea Health and Nutrition Examination Survey
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지은주:Ji Eun-Joo
저자없음:No authors listed
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Abstract
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Purpose : This study was done to identify factors associated with uncontrolled hemoglobin A1c among patient with diabetes mellitus.
Methods : The sample was 412 Koreans with diagnosed diabetes aged 40 years or older who participated in the Fifth Korea Health and Nutrition Examination survey, which was a nationwide, cross-sectional survey. Data was analyzed using logistic regression. Uncontrolled hemoglobin A1c rate was 55%.
Results : There was a difference between controlled and uncontrolled group in hemoglobin A1c as follows: duration of diabetes, BMI(Body Mass Index), hypertriglyceridemia, vitamin D, sleep duration. After adjusting for confounding factor, longer duration of diabetes (>7 years vs. ≤7)(Adjusted OR=2.277, 95% CI [1.277-4.060]), presence of hypertriglyceridemia (Adjusted OR=4.019, 95% CI [1.871-8.634]), lower vitamin D level (<20ng/mL vs. ≥20)(Adjusted OR=2.487, 95% CI[1.411-4.381]), longer sleep duration (6-8 hours vs >8 hours)(Adjusted OR=6.831, 95% CI [1.877-24.855]) were significantly associated with increased odds of uncontrolled hemoglobin A1c.
Conclusion : Results show that duration of diabetes, hypertriglyceridemia, vitamin D and sleep duration are significantly related to hemoglobin A1c. Therefore, considering these factors it would be helpful to develop strategies to improve blood glucose control in patients with diabetes.
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KEYWORD
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Diabetes mellitus, Vitamin D, Hemoglobin A1c, Hypertriglyceridemia
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