A5021766389- Chronic Disease Management Strategies
- Health and Medical Studies
- Health Promotion and Cardiovascular Prevention
- Diabetes Management and Education
- Diabetes Management and Research
- Diabetes and associated disorders
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Nutritional Studies and Diet
- Clinical practice guidelines implementation
- Diet and metabolism studies
- Obesity and Health Practices
- COVID-19 and healthcare impacts
- Consumer Attitudes and Food Labeling
- Obesity, Physical Activity, Diet
- Nutrition, Genetics, and Disease
- Diabetes Treatment and Management
- Healthcare cost, quality, practices
- COVID-19 Clinical Research Studies
- Health, psychology, and well-being
- COVID-19 and Mental Health
- Health Literacy and Information Accessibility
- Metabolism, Diabetes, and Cancer
- Gestational Diabetes Research and Management
- Cardiovascular Health and Risk Factors
- Mobile Health and mHealth Applications
Robert Koch Institute
2016-2025
German Institute of Human Nutrition
2005-2022
German Center for Diabetes Research
2016-2022
Heinrich Heine University Düsseldorf
2016-2019
Deutsches Diabetes-Zentrum e.V.
2016-2019
Brigham and Women's Hospital
2005-2008
Harvard University
2005-2008
Massachusetts General Hospital
2005-2008
University of Bedfordshire
2008
Unilever (United Kingdom)
2008
The impact of overall dietary patterns that reflect actual eating behaviors on mortality caused by cardiovascular or other chronic diseases is largely unknown.We prospectively evaluated the relation between and risk cardiovascular, cancer, all-cause among 72,113 women who were free myocardial infarction, angina, coronary artery surgery, stroke, diabetes mellitus, cancer followed up from 1984 to 2002. Dietary derived factor analysis based validated food frequency questionnaires administered...
The German Health Interview and Examination Survey for Adults (DEGS) is part of the recently established national health monitoring conducted by Robert Koch Institute. DEGS combines a nationally representative periodic survey longitudinal study based on follow-up participants. Funding provided Ministry supplemented specific research topics from other sources. first wave data collection (DEGS1) extended November 2008 to December 2011. Overall, 8152 men women participated. Of these, 3959...
Abstract Aims To develop and validate a recalibrated prediction model (SCORE2-Diabetes) to estimate the 10-year risk of cardiovascular disease (CVD) in individuals with type 2 diabetes Europe. Methods results SCORE2-Diabetes was developed by extending SCORE2 algorithms using individual-participant data from four large-scale datasets comprising 229 460 participants (43 706 CVD events) without previous CVD. Sex-specific competing risk-adjusted models were used including conventional factors...
Diabetes can be detected at the primary health-care level, and effective treatments lower risk of complications. There are insufficient data on coverage treatment for diabetes how it has changed. We estimated trends from 1990 to 2022 in prevalence 200 countries territories.
Abstract Background Validation of a food frequency questionnaire (FFQ) is important as incorrect information may lead to biased associations. Therefore the relative validity an FFQ developed for use in German Health Examination Survey Adults 2008-2011 (DEGS) was examined. Methods Cross-sectional comparisons consumption data from and two 24-hour recalls were made sample 161 participants (aged 18 80 years) ongoing nationwide survey, National Nutrition Monitoring (NEMONIT). The collection took...
Adiponectin and resistin are recently discovered adipokines that may provide a molecular link between adiposity type 2 diabetes.To evaluate whether total high-molecular-weight adiponectin associated with future risk for diabetes, independent of obesity other known diabetes factors.Prospective, nested, case-control study.United States.1038 initially healthy women the Nurses' Health Study who developed after blood sampling (1989 to 1990) through 2002 1136 matched control participants.Plasma...
Nationally representative data on temporal changes in the prevalence of diagnosed diabetes, as well undiagnosed diabetes and prediabetes, have been lacking Germany most other European countries. We aimed to fill this gap using from nationwide examination surveys German adults.The study population comprised 18-79-year-old participants Health Interview Examination Surveys 1997-1999 (GNHIES98, n = 6655) 2008-2011 (DEGS1, 7017). Participants were classified having based self-reported...
To project the number of people with Type 2 diabetes in Germany between 2015 and 2040.Based on data from 65 million insurees German statutory health insurance, we projected age-specific prevalence using mathematical relations prevalence, incidence rate mortality. We compared several scenarios regarding temporal trends mortality rate. The was applied to age structure population 2040 calculate diabetes.Application current estimates 2040, although ignoring mortality, yielded an increase cases...
Obesity is a well-established risk factor for type 2 diabetes (1–3). However, while several studies (4–10) suggest that anthropometric measurements describe central fat distribution are superior in predicting compared with of general adiposity, this issue remains controversial (11–14). The aim study was to compare different and derived estimates body composition, particular BMI, waist-to-height ratio, waist-to-hip ratio (WHR), metric index, percentage fat, their ability predict large...
It remains unclear what long-term effects of substituting carbohydrates at the expense protein or fat may have with regard to diabetes risk. Our objective was evaluate carbohydrate intake in predicting type 2 using substitution models for and protein. We conducted a prospective cohort study 9,702 men 15,365 women aged 35-65 years free baseline (1994-8) who were followed incident until 2005. Dietary macronutrients estimated validated FFQ. relative risk (RR) Cox proportional hazards analysis....
Studies that investigated complex actual eating behaviours of the general population and their relation to cardiometabolic risk markers are sparse. We aimed identify dietary patterns within a nationally representative sample 4025 German adults by factor analysis based on validated history interviews. Furthermore, we evaluated associations derived with abnormalities clustered metabolic syndrome related logistic regression models ANCOVA. A high adherence ‘processed foods’ pattern reflected...
The aim of this study was to identify dietary patterns among a representative sample German adolescents and their associations with energy nutrient intake, socioeconomic lifestyle characteristics, overweight status. In the analysis, data from Health Interview Examination Survey for Children Adolescents were used. survey included comprehensive history interview conducted 1272 aged 12 17 years. Dietary determined principal component analysis (PCA) based on 48 food groups, boys girls...
Objective There is increasing evidence that prevention programmes for type 2 diabetes mellitus (T2DM) and obesity need to consider individual regional risk factors. Our objective assess the independent association of area level deprivation with T2DM controlling factors in a large study covering whole Germany. Methods We combined data from two consecutive waves national health interview survey 'GEDA' conducted by Robert Koch Institute 2009 2010. Data collection was based on computer-assisted...
During the COVID-19 pandemic in Germany, non-pharmaceutical interventions were imposed to contain spread of virus. Based on cross-sectional waves March, July and December 2020 Snapshot Monitoring (COSMO), present study investigated impact introduced measures perceived access health care. Additionally, for wave December, treatment occasion as well utilization satisfaction regarding telemedicine analysed. For 18–74-year-old participants requiring medical care, descriptive logistic regression...
Diabetes mellitus (DM) is a major risk factor for complications of pregnancy. Based on information all inpatient births in Germany, we assessed the risks selected pregnancy women with pregestational diabetes (preDM) or gestational (GDM).
Objectives To investigate changes in type 2 diabetes care indicators over time Germany. Methods Adults aged 45–79 years with were identified from two national health examination surveys conducted 1997–1999 (GNHIES98, n=333) and 2008–2011 (DEGS1, n=526). We examined including treatment preventive targets (glycemic control, blood pressure (BP), total cholesterol (TC), smoking, weight reduction, sports activity), self-management process measures (glucose self-monitoring, holding a passport,...
Objective To compare the association between different anthropometric measurements and incident type 2 diabetes mellitus (T2DM) to assess their predictive ability in regions of Germany. Methods Data 10 258 participants from 4 prospective population-based cohorts were pooled body weight, mass index (BMI), waist circumference (WC), waist-to-hip-ratio (WHR) waist-to-height-ratio (WHtR) with T2DM by calculating HRs crude, adjusted standardised markers, as well providing receiver operator...
Data from three representative health examination surveys in Germany were analyzed to examine secular trends the prevalence and magnitude of cardiometabolic risk factors.The target variables following factors: lack exercise, smoking, obesity, systolic blood pressure, total cholesterol, serum glucose, self-reported high hyperlipidemia, diabetes, use antihypertensive, cholesterol-lowering, antidiabetic drugs. 9347 data sets men 10 068 women analyzed. The calculated means prevalences...
In this article, we examine selected health indicators for the adult population aged 18 years and older in Germany (n=22,708) from German Health Update (GEDA 2019/2020-EHIS) conducted between April 2019 September 2020. These include those of self-assessed depressive symptoms as well chronic physical diseases conditions. young adulthood (18 to 44 years), over 80% participants report good or very subjective health. During phase life, most conditions are rare, although allergies frequent,...