We have located links that may give you full text access.
Identifying a Potential Screening Tool for Prediabetes: The Association of Hemoglobin A1c and a Test of Physical Fitness.
Military Medicine 2018 August 29
Introduction: The purpose of this study is to correlate HbA1c values with data points in the Air Force Physical Fitness Test (AFPT) in our active duty population.
Materials and Methods: This study looks at 489 active duty U.S. Air Force members who performed the AFPT within 1 month of study participation at Nellis Air Force Base, Las Vegas, NV from July 2011 to August 2013. This cross-sectional study included a demographic survey, examination of AFPT results, and lab values, including Hemoglobin A1c and fasting lipid panel.
Results: A statistically significant association was detected between the prevalence of prediabetes or diabetes (HbA1c≥5.7%) and fitness level (16.98% in Unsatisfactory, 12.12% in Satisfactory, and 6.72% in Excellent; p = 0.0352). Prediabetes and diabetes were more prevalent among subjects who had an exemption for the AFPT (25.67% vs 7.23%; p < 0.0001). Among known risk factors, the prevalence of prediabetes and diabetes was higher with subjects that had an abdominal circumference >35 inches (19.78% vs 7.56%; p = 0.0004), a body mass index of ≥30 (20.0% vs 8.35%, p = 0.0026), and among individuals with a first degree relative with diabetes (15.70% vs. 8.15%; p = 0.0164). The prevalence of prediabetes and diabetes was lower in subjects with HDL ≥40 than HDL <40 (22.22% vs 8.40%; p = 0.0073).
Conclusions: Exemptions taken on the AFPT, increased abdominal circumference, and elevated body mass index are strongly associated with prediabetes in this military population. HbA1c could be a screening tool for these at-risk personnel to identify diabetes in its early stages.
Materials and Methods: This study looks at 489 active duty U.S. Air Force members who performed the AFPT within 1 month of study participation at Nellis Air Force Base, Las Vegas, NV from July 2011 to August 2013. This cross-sectional study included a demographic survey, examination of AFPT results, and lab values, including Hemoglobin A1c and fasting lipid panel.
Results: A statistically significant association was detected between the prevalence of prediabetes or diabetes (HbA1c≥5.7%) and fitness level (16.98% in Unsatisfactory, 12.12% in Satisfactory, and 6.72% in Excellent; p = 0.0352). Prediabetes and diabetes were more prevalent among subjects who had an exemption for the AFPT (25.67% vs 7.23%; p < 0.0001). Among known risk factors, the prevalence of prediabetes and diabetes was higher with subjects that had an abdominal circumference >35 inches (19.78% vs 7.56%; p = 0.0004), a body mass index of ≥30 (20.0% vs 8.35%, p = 0.0026), and among individuals with a first degree relative with diabetes (15.70% vs. 8.15%; p = 0.0164). The prevalence of prediabetes and diabetes was lower in subjects with HDL ≥40 than HDL <40 (22.22% vs 8.40%; p = 0.0073).
Conclusions: Exemptions taken on the AFPT, increased abdominal circumference, and elevated body mass index are strongly associated with prediabetes in this military population. HbA1c could be a screening tool for these at-risk personnel to identify diabetes in its early stages.
Full text links
Related Resources
Trending Papers
Heart failure with preserved ejection fraction: diagnosis, risk assessment, and treatment.Clinical Research in Cardiology : Official Journal of the German Cardiac Society 2024 April 12
Proximal versus distal diuretics in congestive heart failure.Nephrology, Dialysis, Transplantation 2024 Februrary 30
Efficacy and safety of pharmacotherapy in chronic insomnia: A review of clinical guidelines and case reports.Mental Health Clinician 2023 October
World Health Organization and International Consensus Classification of eosinophilic disorders: 2024 update on diagnosis, risk stratification, and management.American Journal of Hematology 2024 March 30
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app