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DOI	10.1016/j.pcd.2020.11.013
	Seasonal variations in HbA1c among type 2 diabetes patients on a semi-arid climate between the years 2005-2015
	Raphael, Allon; Friger, Michael; Biderman, Aya
通讯作者	Biderman, A (corresponding author), Ben Gurion Univ Negev, Fac Hlth Sci, Siaal Res Ctr Family Med & Primary Care, POB 653, IL-84105 Beer Sheva, Israel.
来源期刊	PRIMARY CARE DIABETES
ISSN	1751-9918
EISSN	1878-0210
出版年	2021
卷号	15 期号:3 页码:502-506
英文摘要	Aims: To investigate the seasonal variations of HbA1c values in a semi-arid climate among type 2 diabetic patients throughout 11 years of care. Methods: A retrospective cohort study of 2860 patients with 61,187 HbA1c measures. We calculated the averages of HbA1c values of all patients and sub-groups defined by age, gender, BMI, ethnicity, insulin use, smoking status and region of residence, matched to the mean temperature and diurnal range over the 30 and 60 days prior to the HbA1c test date. Results: We found a sinusoidal seasonal pattern with statistically significant HbA1c levels gaps between the spring peak and the autumn trough (F = 18.4, P < 0.001). The lowest values were in October-November and the highest in March or August with a difference of 0.17-0.31% (2-4 mmol/mol). We found different relations between the mean temperature and HbA1c depending on season, gender, age, ethnicity and smoking habits. Conclusion: The study identified specific subgroups in which the seasonal influence is particularly marked. A possible explanation is that during hot periods people tend to change their diet and decrease their physical activity, effecting indirectly diabetic imbalance. Recognition of the seasonal variations of HbA1c levels in this geographical region could help physicians with diabetes care and HbA1c control. (c) 2020 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.
英文关键词	Diabetes mellitus type 2 HbA1c Hot climate Seasonal variation Temperature Desert
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000651379500014
WOS关键词	GLYCATED HEMOGLOBIN ; A1C ; POPULATION ; ADMISSIONS ; PNEUMONIA
WOS类目	Endocrinology & Metabolism ; Primary Health Care
WOS研究方向	Endocrinology & Metabolism ; General & Internal Medicine
来源机构	Ben-Gurion University of the Negev
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/351427
作者单位	[Raphael, Allon] Ben Gurion Univ Negev, Fac Hlth Sci, Beer Sheva, Israel; [Friger, Michael] Ben Gurion Univ Negev, Fac Hlth Sci, Dept Publ Hlth, Beer Sheva, Israel; [Biderman, Aya] Ben Gurion Univ Negev, Fac Hlth Sci, Dept Family Med, Beer Sheva, Israel; [Biderman, Aya] Ben Gurion Univ Negev, Fac Hlth Sci, Siaal Ctr Community Res, Div Community Hlth, Beer Sheva, Israel; [Biderman, Aya] Clalit Hlth Serv, Beer Sheva, Israel
推荐引用方式 GB/T 7714	Raphael, Allon,Friger, Michael,Biderman, Aya. Seasonal variations in HbA1c among type 2 diabetes patients on a semi-arid climate between the years 2005-2015[J]. Ben-Gurion University of the Negev,2021,15(3):502-506.
APA	Raphael, Allon,Friger, Michael,&Biderman, Aya.(2021).Seasonal variations in HbA1c among type 2 diabetes patients on a semi-arid climate between the years 2005-2015.PRIMARY CARE DIABETES,15(3),502-506.
MLA	Raphael, Allon,et al."Seasonal variations in HbA1c among type 2 diabetes patients on a semi-arid climate between the years 2005-2015".PRIMARY CARE DIABETES 15.3(2021):502-506.