title: Prevalence of abdominal aortic aneurysms in men with diabetes.
abstract: OBJECTIVE
  To assess the prevalence of abdominal aortic aneurysm (AAA) in men with diabetes aged 60 years and over.
  
  
  METHODS
  Prospective screening study.
  
  
  METHODS
  303 eligible participants among the first 1000 recruited to a large, community-based study of diabetes.
  
  
  METHODS
  Aortic diameter > or = 30 mm on screening ultrasonography, or previous surgery for AAA.
  
  
  RESULTS
  AAA was diagnosed in three of the 303 men screened, and four others had previously had surgery for AAA. The aorta was not visualised in three obese men. Only one AAA required surgery (> or = 50 mm diameter). The overall prevalence of AAA was 2.3% (7/300), lower than that reported previously in the general population. Multivariate logistic regression analysis showed statistically significant associations with fasting triglyceride levels, and a history of intermittent claudication.
  
  
  CONCLUSIONS
  Although a small number of men with diabetes aged 60 or more have undiagnosed AAA, the prevalence does not appear to be high enough to warrant targeted ultrasound screening.
authors.affiliation: Department of Surgery, University of Western Australia, Fremantle Hospital, WA. emattes@cyllene.uwa.edu.au
authors.forename: E
authors.initials: E
authors.lastname: Mattes
authors.forename: T M
authors.initials: TM
authors.lastname: Davis
authors.forename: D
authors.initials: D
authors.lastname: Yang
authors.forename: D
authors.initials: D
authors.lastname: Ridley
authors.forename: H
authors.initials: H
authors.lastname: Lund
authors.forename: P E
authors.initials: PE
authors.lastname: Norman
mesh_terms: D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000453:epidemiology*; D001315:Australia / Q000453:epidemiology; D003925:Diabetic Angiopathies / Q000000981:diagnostic imaging / Q000453:epidemiology*; D006801:Humans; D016015:Logistic Models; D008297:Male; D015995:Prevalence; D011446:Prospective Studies; D014463:Ultrasonography