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Decreases in diabetes-free life expectancy in the u.s. And the role of obesity.
MedLine Citation:
PMID:  21949220     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE With increasing life expectancy in the U.S., it is important to know whether a longer life expectancy means a longer healthy life span or a prolonged period of later-life morbidity. This study examines changes in lifetime without diabetes, a leading cause of morbidity in later life. RESEARCH DESIGN AND METHODS Using demographic methods and nationally representative data, we estimated changes in diabetes-free life expectancy between 1980-1989 and 2000-2004 for adult men and women in the U.S., estimated the contribution of changes in age-specific diabetes rates, and examined the changing effects of weight status on diabetes risks. RESULTS While life expectancy at age 18 for men and women increased between the 1980s and the 2000s, diabetes-free life expectancy at age 18 decreased by 1.7 years for men and 1.5 years for women. The proportion of 18-year-olds who would develop diabetes in their lifetimes increased by almost 50% among women and almost doubled among men. Obese individuals experienced the greatest losses in diabetes-free life expectancy during this period, estimated at 5.6 years for men and 2.5 years for women. CONCLUSIONS Diabetes-free life expectancy decreased for both men and women between 1980-1989 and 2000-2004, and these decreases are almost entirely attributable to large increases in diabetes incidence among obese individuals.
Authors:
Solveig A Cunningham; Fernando Riosmena; Jing Wang; James P Boyle; Deborah B Rolka; Linda S Geiss
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Diabetes care     Volume:  34     ISSN:  1935-5548     ISO Abbreviation:  Diabetes Care     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-09-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7805975     Medline TA:  Diabetes Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2225-30     Citation Subset:  IM    
Affiliation:
Corresponding author: Solveig A. Cunningham, sargese@sph.emory.edu.
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