title: Changes in age at diagnosis of type 2 diabetes mellitus in the United States, 1988 to 2000.
abstract: OBJECTIVE
  The prevalence of diabetes in the United States is increasing. There is also concern that diabetes may be occurring at a greater frequency in youth and in young adults. We describe US population trends in self-reported age at diagnosis of type 2 diabetes mellitus.
  
  
  METHODS
  We undertook a secondary analysis of data from the National Health and Nutrition Examination Survey (NHANES) 1999-2000 and NHANES III (1988-1994). Both surveys are stratified, multistage probability samples targeting the civilian, noninstitutionalized US population, which allow calculation of population estimates. We included adults aged 20 years and older. We compared self-reported age at diagnosis of type 2 diabetes between the 2 survey periods.
  
  
  RESULTS
  The mean age at diagnosis decreased from 52.0 to 46.0 years (P <.05). Racial and ethnic differences in age at diagnosis found in 1988 to 1994 are no longer found in 1999 to 2000.
  
  
  CONCLUSIONS
  The age at diagnosis of type 2 diabetes mellitus has decreased with time. This finding likely represents a combination of changing diagnostic criteria, improved physician recognition of diabetes, and increased public awareness. Younger age at diagnosis may also reflect a true population trend of earlier onset of type 2 diabetes.
authors.affiliation: Department of Family Medicine, Medical University of South Carolina, 295 Calhoun Street, PO Box 250192, Charleston, SC 29425, USA. koopmanr@musc.edu
authors.forename: Richelle J
authors.initials: RJ
authors.lastname: Koopman
authors.forename: Arch G
authors.initials: AG
authors.lastname: Mainous
authors.forename: Vanessa A
authors.initials: VA
authors.lastname: Diaz
authors.forename: Mark E
authors.initials: ME
authors.lastname: Geesey
mesh_terms: D000367:Age Factors; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis* / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D014481:United States