A5018646912- Diabetes Management and Research
- Diabetes and associated disorders
- Diabetes Treatment and Management
- Health and Medical Studies
- Adolescent and Pediatric Healthcare
- Obesity, Physical Activity, Diet
- COVID-19 and Mental Health
- Diabetes Management and Education
- Health disparities and outcomes
- Pancreatic function and diabetes
- SARS-CoV-2 and COVID-19 Research
- Childhood Cancer Survivors' Quality of Life
- Mobile Health and mHealth Applications
- Metabolism, Diabetes, and Cancer
- Physical Activity and Health
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Nutritional Studies and Diet
- Diet and metabolism studies
- Child and Adolescent Health
- Body Composition Measurement Techniques
- Long-Term Effects of COVID-19
- Obesity and Health Practices
- Health, Environment, Cognitive Aging
- Migration, Health and Trauma
- Cardiovascular Health and Risk Factors
Institut für Medizinische Biometrie, Informatik und Epidemiologie
2016-2024
Universität Ulm
2015-2024
Zimmer Biomet (Germany)
2014-2024
Deutsches Diabetes-Zentrum e.V.
2015-2018
German Center for Diabetes Research
2016-2018
Heinrich Heine University Düsseldorf
2015-2018
Zimmer Biomet (United States)
2017
Fulda University of Applied Sciences
2015
Physical activity (PA) can improve cardiovascular risk in the general population and patients with type 2 diabetes. Studies also indicate an HbA(1c)-lowering effect Since reports 1 diabetes are scarce, this analysis aimed to investigate whether there is association between PA glycemic control or subjects diabetes.A total of 18,028 adults (≥18 <80 years age) from Germany Austria Diabetes-Patienten-Verlaufsdokumentation (DPV) database were included. Patients stratified according their...
The German National Cohort (NAKO) is a multidisciplinary, population-based prospective cohort study that aims to investigate the causes of widespread diseases, identify risk factors and improve early detection prevention disease. Specifically, NAKO designed novel better characterize established protection for development cardiovascular cancer, diabetes, neurodegenerative psychiatric musculoskeletal respiratory infectious diseases in random sample general population. Between 2014 2019, total...
Numerous studies have reported an increase in mental disorders during the COVID-19 pandemic, but exact reasons for this development are not well understood. In study we investigate whether pandemic-related occupational and financial changes (e.g., reduced working hours, from home, losses) were associated with increased symptoms of depression anxiety compared situation before pandemic.We analyzed data German National Cohort (NAKO) Study. Between May November 2020, 161 849 participants...
The aim of this study was to identify the occupational risk for a SARS-CoV-2 infection in nationwide sample German workers during first wave COVID-19 pandemic (1 February-31 August 2020).We used data 108 960 who participated COVID follow-up survey National Cohort (NAKO). Occupational characteristics were derived from Classification Occupations 2010 (Klassifikation der Berufe 2010). PCR-confirmed infections assessed self-reports. Incidence rates (IR) and incidence rate ratios (IRR) estimated...
Background To investigate changes in diabetes treatment over the last two decades three age-groups of children and adolescents with type 1 (T1D) from Germany Austria. Methods 63,967 subjects (<18yr) T1D documented between 1995 2014 DPV-database were included stratified according to age (0.5-<6, 6-<12, 12-<18yr). Regression models applied for insulin regimens (<3 ≥4 injection time points/day, or continuous subcutaneous infusion (CSII)), use rapid- long acting analogues, NPH insulin, frequency...
Abstract Background The COVID-19 pandemic restrictions posed challenges to maintaining healthy lifestyles and physical well-being. During the first mobility from March mid-July 2020, German population was advised stay home, except for work, exercise, essential shopping. Our objective comprehensively assess impact of these on changes in activity sedentary behavior identify most affected groups. Methods Between April 30, May 12, we distributed a COVID-19-specific questionnaire participants...
This study analyzed whether area deprivation is associated with disparities in health care of pediatric type 1 diabetes Germany.We selected patients <20 years age and German residence documented the "diabetes patient follow-up" (Diabetes-Patienten-Verlaufsdokumentation [DPV]) registry for 2015/2016. Area was assessed by quintiles Index Multiple Deprivation (GIMD 2010) at district level assigned to patients. To investigate associations between GIMD 2010 indicators care, we used multivariable...
To analyze whether medical care is in accordance with guidelines for secondary prevention of myocardial infarction (MI), or stroke patients type 2 diabetes from Germany and Austria. 29,325 (≥20 years age) MI, stroke, documented between 2006 2015 were selected the Diabetes-Patienten-Verlaufsdokumentation database. We analyzed medication, clinical characteristics, lifestyle factors according to national separately. HbA1C <7.5 % was achieved 64.9 61.1 (stroke) patients. LDL <100 mg/dl 56.2 42.2...
<b><i>Background: </i></b>Body fat (BF) percentiles for German children and adolescents have recently been published. This study aims to evaluate the association between bioelectrical impedance analysis(BIA)-derived BF cardiovascular risk factors investigate whether is better suited than BMI in adolescents. <b><i>Methods: </i></b>Data of 3,327 (BMI > 90th percentile) were included. Spearman's correlation receiver operating characteristics...
Background Using data from the largest German cohort study, we aimed to investigate sex differences in relationship of socioeconomic position (SEP) with cardiovascular disease (CVD), CVD risk factors, and estimated risk. Methods Results A total 204 780 (50.5% women) participants baseline examination population‐based NAKO (German National Cohort) were included. Logistic, multinomial, linear regression models used estimate sex‐specific odds ratios (ORs) β coefficients 95% CIs CVD, very...
Objectives: We analyze whether the prevalence of depressive symptoms differs among various migrant and non-migrant populations in Germany to what extent these differences can be attributed socioeconomic position (SEP) social relations. Methods: The German National Cohort health study (NAKO) is a prospective multicenter cohort (N = 204,878). Migration background (assessed based on citizenship country birth both participant parents) was used as independent variable, age, sex, Social Network...
Abstract Aims The diabetic foot syndrome (DFS) is a serious complication in patients with diabetes increasing the risk for minor/major amputations. This analysis aimed to examine differences or without DFS stratified by type 1 (T1D) 2 (T2D). Material and Methods Adult (≥20y of age) from German/Austrian follow‐up registry (DPV) were included. cross‐sectional study comprised 45 722 subjects T1D (n = 2966) 313 264 T2D 30 904). In DFS, amputations analysed. To compare HbA 1C , neuropathy,...
Zusammenfassung Übergewicht und Adipositas sind bedeutende Risikofaktoren für verschiedene Erkrankungen. Als Maß zu ihrer Bestimmung wurde in früheren Studien meist nur der Body-Mass-Index (BMI) verwendet. Der BMI ist allerdings ein Marker, den Einfluss auf das Krankheitsrisiko unzureichend erfasst. In groß angelegten, bevölkerungsbasierten besteht daher vordringlicher Bedarf, verbesserte Messmethoden Körperzusammensetzung -fettverteilung einzusetzen. vorliegende Beitrag stellt die NAKO...
Abstract Objective For dietary assessment, mobile devices with a camera can be used as an alternative to hand-written paper records. The Nutritional Tracking Information Smartphone (Nutris-Phone) study aimed examine relative validity and feasibility of photo-based record in everyday life. Design Parallel the technique, weighed was performed. Participant satisfaction assessed by questionnaire. A trained nutrition scientist evaluated portion sizes nutrient content calculated (DGExpert)....
<b>Background:</b> Data on regional differences in the quality of medical care Germany are scarce. This study aimed to compare outcome and treatment pediatric patients with type 1 diabetes between federal states Germany. <b>Methods:</b> 24 928 (< 18 years age) German residence were selected from Diabetes-Patienten-Verlaufsdokumentation database. Indicators HbA<sub>1C</sub>, overweight prevalence, rate severe hypoglycemia. To reflect treatment, use insulin pumps rapid-acting or long-acting...
<b><i>Objective:</i></b> To examine whether characteristics of children and adolescents who start lifestyle intervention (LI) for obesity in Germany changed over the last decade. <b><i>Methods: </i></b>65,453 subjects (<21 years) from APV database (Adiposity Patients Registry) with a BMI ≥ 90th percentile were included (years 2005-2015). Logistic regression models (confounders: age, sex, migration background) created overweight, obesity,...
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Objective: To compare health service use (HSU) between migrants and non-migrants in Germany. Methods: Using data from the population-based German National Cohort (NAKO), we compared HSU of general practitioners, medical specialists, psychologists/psychiatrists six migrant groups different origins with utilization non-migrants. A latent profile analysis (LPA) a subsequent multinomial regression was conducted to characterize groups. Additionally, separate models were calculated. Both analyses...
Objective To compare the chance of hospital admissions in children and adolescents with type 1 diabetes (T1D) to that without T1D from Germany. Methods Data were provided by German information system for health care data which contains on all patients a statutory insurance. The years 2009 2011 considered. Children (0 ≤19 age; n = 12 030 242) included. Unadjusted odds ratios (ORs) 95% confidence interval (95% CI) used hospitalization rate (n 26 444) or (12 003 798). was identified documented...