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Lower Screening age for prediabetes and diabetes to 35 years, recommends USPSTF
![Lower Screening age for prediabetes and diabetes to 35 years, recommends USPSTF Lower Screening age for prediabetes and diabetes to 35 years, recommends USPSTF](https://medicaldialogues.in/h-upload/uid/250x150_2369091InyA8XXScUQtMSLG09K7MwLS5HYdu85910510.jpg)
USA: The US Preventive Services Task Force (USPSTF) has released an updated recommendation statement that lowered recommended age for screening of type 2 diabetes from 40 to 35 years in obese or overweight people. This screening age was lowered in response to the ballooning rates of prediabetes and type 2 diabetes.
The USPSTF recommends screening for prediabetes and type 2 diabetes in adults aged 35 to 70 years who have overweight or obesity. Clinicians should offer or refer patients with prediabetes to effective preventive interventions.
This recommendation applies to nonpregnant adults aged 35 to 70 years seen in primary care settings who have overweight or obesity (defined as a BMI ≥25 [calculated as weight in kilograms divided by height in meters squared] and ≥30, respectively) and no symptoms of diabetes.
"Screening asymptomatic adults for prediabetes and type 2 diabetes may allow earlier detection, diagnosis, and treatment, with the ultimate goal of improving health outcomes," the authors wrote in the Journal of the American Medical Association (JAMA).
To update its 2015 recommendation, the USPSTF commissioned a systematic review to evaluate screening for prediabetes and type 2 diabetes in asymptomatic, nonpregnant adults and preventive interventions for those with prediabetes.
The review included 89 publications with a patient population of 68,882 participants. Publications were selected for inclusion if investigators determined they answered any of the 9 key questions posed within the review. These 9 questions included inquiries related to direct evidence of screening on improving health outcomes, potential harms of screening, benefits of interventions, potential influence of age, race, sex, and ethnicity, and more.
Data points highlighted in the published review article included:
- reductions in all-cause mortality seen with screening at a younger age,
- improvements in health outcomes seen among overweight persons with intensive glucose control,
- and improvements associated with lifestyle interventions, such as weight loss, reduced BMI, and blood pressure reductions.
In the recommendation statement, the authors also underlined the increased risks of cardiovascular disease, NAFLD, and nonalcoholic steatohepatitis associated with diabetes.
The USPSTF concludes with moderate certainty that screening for prediabetes and type 2 diabetes and offering or referring patients with prediabetes to effective preventive interventions has a moderate net benefit.
Reference:
"Screening for Prediabetes and Type 2 Diabetes: US Preventive Services Task Force Recommendation Statement," is published in JAMA.
DOI: https://jamanetwork.com/journals/jama/fullarticle/2783414
MSc. Biotechnology
Medha Baranwal joined Medical Dialogues as an Editor in 2018 for Speciality Medical Dialogues. She covers several medical specialties including Cardiac Sciences, Dentistry, Diabetes and Endo, Diagnostics, ENT, Gastroenterology, Neurosciences, and Radiology. She has completed her Bachelors in Biomedical Sciences from DU and then pursued Masters in Biotechnology from Amity University. She has a working experience of 5 years in the field of medical research writing, scientific writing, content writing, and content management. She can be contacted at  editorial@medicaldialogues.in. Contact no. 011-43720751
Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: editorial@medicaldialogues.in. Contact no. 011-43720751