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Biomedical subjects

C J Everett

Publications and source records attributed to C J Everett.

4 recordsLinked to original sources
PubMed2006

Impact of the population at risk of diabetes on projections of diabetes burden in the United States: an epidemic on the way.

AIMS/HYPOTHESIS: The aim of this study was to make projections of the future diabetes burden for the adult US population based in part on the prevalence of individuals at high risk of developing diabetes. MATERIALS AND METHODS: Models were created from data in the nationally representative National Health and Nutrition Examination Survey (NHANES) II mortality survey (1976-1992), the NHANES III (1988-1994) and the NHANES 1999-2002. Population models for adults (>20 years of age) from NHANES III data were fitted to known diabetes prevalence in the NHANES 1999-2002 before making future projections. We used a multivariable diabetes risk score to estimate the likelihood of diabetes incidence in 10 years. Estimates of future diabetes (diagnosed and undiagnosed) prevalence in 2011, 2021, and 2031 were made under several assumptions. RESULTS: Based on the multivariable diabetes risk score, the number of adults at high risk of diabetes was 38.4 million in 1991 and 49.9 million in 2001. The total diabetes burden is anticipated to be 11.5% (25.4 million) in 2011, 13.5% (32.6 million) in 2021, and 14.5% (37.7 million) in 2031. Among individuals aged 30 to 39 years old who are not currently targeted for screening according to age, the prevalence of diabetes is expected to rise from 3.7% in 2001 to 5.2% in 2031. By 2031, 20.2% of adult Hispanic individuals are expected to have diabetes. CONCLUSIONS/INTERPRETATION: The prevalence of diabetes is projected to rise to substantially greater levels than previously estimated. Diabetes prevalence within the Hispanic community is projected to be potentially overwhelming.

Adult↗
PubMed2005

Having a regular physician and attempted weight loss after screening for hypertension or hypercholesterolemia.

OBJECTIVE: To examine the relationship between having a regular physician, results of screening tests for cardiovascular risk (hypertension, hypercholesterolemia) and efforts to lose weight among obese adults. DESIGN: Analysis of a population-based telephone survey (2002 Behavioral Risk Factor Surveillance System). SETTING: Four states (Iowa, South Carolina, South Dakota, Virginia) in the US. PARTICIPANTS: Adults (> or =18 y old) who were obese (body mass index > or =30 kg/m(2)) (unweighted n=1735). MAIN OUTCOME MEASURES: Currently attempting to lose weight; changes in diet or exercise as strategies to lose weight. RESULTS: Obese individuals with a personal physician were more likely to report attempts to lose weight in the face of screening normal for hypertension or hypercholesterolemia than those without a personal physician (75.6 vs 60.5% for hypercholesterolemia, P=0.03; 74.6 vs 57.7% for hypertension, P=0.01). In adjusted models, obese individuals screening normal for hypertension but having a personal physician were significantly more likely to attempt to lose weight than individuals without a personal physician (OR 1.71, 95% CI 1.12-2.60). CONCLUSIONS: Having a regular physician is associated with a higher likelihood of attempted weight loss among obese individuals who believe that they do not have hypertension or hypercholesterolemia, than their counterparts with no regular physician. This suggests a previously unrecognized benefit of having a personal physician.

Adolescent↗
PubMed1979

Radiologic features of inferior pulmonary ligament air collections in neonates with respiratory distress.

Radiologically characteristic extra-alveolar air collections in one or both inferior pulmonary ligaments developed in 14 neonates with respiratory distress on assisted ventilation. Eleven infants had radiographically visible pulmonary interstitial emphysema prior to or concurrent with the air collections. All infants subsequently exhibited pneumothorax. This variant of extra-alveolar air must be recognized because it has essentially the same pathogenesis and significance as the more commonly seen anterior pneumomediastinum.

Humans↗