Diabetes mellitus 2 risk factors in a mexican city semi urban community
Keywords:
Diabetes Mellitus Type 2, Risky Factors, PrevalenceAbstract
Introduction: Diabetes Mellitus constitutes a major health public problem. Due to the rising figure of people with this problem, more health professionals are required to recognize high risk population and do early detection. To build health educational programs to promote healthier lifestyles.
Objectives: To identify people from 20 to 69 year olds with low and high risk of Diabetes Mellitus type 2 of a semi-urban community.
Methods: A population of 395 people was visited door to door who accepted previously to participate in this program. Our staff used a standardized process for the application of Family Interview Card (CEF-Cédula de Entrevista Familiar), and the standardized clinical parameters. It was considered the reference perimeters established by World Health Organization (WHO), American Diabetes Association (ADA), Expert Committee of diagnosis and classification of Diabetes Mellitus, and the National Union of Prevention and Detection of Hypertension.
Results: 395 persons were studied, between 20 and 69. Average age: 38. 67% were women and 33% men. Diabetes is prevalent in 5.0% (≥ 200mg/dl casual Glucose) moreover 14.2% in 111 at 199 mg/ dl of glycemia. 45% of people with diabetes were men and 55% women. There's an increasing prevalence in the 40-49 group of 8.8% and in the 60-69 group of 16%. According to the sex, body mass index average in females was 28.9 and 38.8% of them had obesity in varying degrees. For males body mass index average was 27.0 and 19.7% of them had also obesity in varying degrees.
Conclusions: Women presented higher predisposition to overweight and obesity. A relevant data was waist: hip ratio of risk (0.84 women, 0.93 men) For both sexes in younger groups. The risk factors that were associated to diabetes mellitus were people older than 45, with more than 140 mmHg in Systolic Arterial Tension with diabetic relatives.
References
Asociación Latinoamericana de Diabetes. Epidemiología de la Diabetes
tipo 2 en Latinoamérica. Rev Asoc Latinoam Diab 2000. Supl. 1. Cap. 1. Ed. Extraordinaria.
Secretaría de Salud. Programa de Acción: Diabetes Mellitus. México 2001
Secretaría de Salud, Dirección General de Epidemiología. Instituto Nacional de la Nutrición Salvador Zubirán. Encuesta Nacional de Enfermedades Crónicas. México 1993.
Barceló A; Swapnil Rajpathak. Incidencia y prevalencia de diabetes mellitus en América. Revista Panamericana de Salud Pública. http://publications. Paho.org/English/
Ramachandran A; Snehalatha C; Latha E; Satyavani K; Vijay V. Clustering of cardiovascular risk factors in urban asian indians. Diabetes Care. 1998. Jun 21(6): 967-71
Castro-Sánchez H, Escobedo-de la Peña. La prevalencia de diabetes mellitus no dependiente y factores de riesgo asociados, en población mazateca del Estado de Oaxaca. Gac Méd. Méx 1996. Vol. 133 (6): 527-534.
Castro V, Gómez-Dantés H, Negrete-Sánchez, Tapia-Conyer R. Las enfermedades crónicas en las personas de 60 a 69 años. Salud Publica de México 1996. Nov-Dic Vol. 38 (6): 438-447.
Guerrero-Romero F, Rodríguez-Morán M. La historia familiar de diabetes se asocia al incremento de la respuesta temprana de insulina en sujetos hispano-mexicano sanos. Gac Méd Méx 2001. Vol. 137 (6): 529 - 534.
Rodríguez MM, Guerrero RJF. Estudio comparativo de pacientes con diabetes tipo 2 habitantes de comunidades urbanas y rurales. Rev Med Inst Mex Seguro Soc. 1998. 36 (3): 191-197.
Estilos de Vida en Diabetes Mellitus (ESVIDIM-2) Manual para la estandarización de procedimientos de glucosa capilar, peso, talla, presión arterial y circunferencia de cintura-cadera. México 2001.
World Health Organization. Guidelines for the Management of Hypertension
The Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC VI). Arch Intern Med. 1997. (157): 2413-2446
World Health Organization. Obesity. Preventing and Managing the Global Epidemic, Report of WHO. Consultation on Obesity, Geneva 3-5 June 1997.
Tanita. ¿Porqué es importante tomar medidas contra el exceso de grasa? Ultimate Scale. 2000/2001. Pág. 2.
Casanueva E, Kaufer-Horwitz M, Pérez-Lizaur AB; Arroyo P. Nutriología Médica. 2a edición. México1995. FUNSALUD-Panamericana
Organización Mundial de la Salud El estado físico: Uso e interpretación de la antropometría. Informe de expertos de la OMS. Serie de informes técnicos No.854 Ginebra 1995
SPSS Base 10.0. Manual del Usuario 1999.
Quibrera IR, Hernández RHG, Aradillas GC, González RS, Calles-Escandón J. Prevalencia de diabetes, intolerancia a la glucosa, hiperlipidemias y factores de riesgo en función del nivel socioeconómico. Rev Invest Clín. 1994. (46): 25-36.
Alvarado-Osuna C, Milian-Sauzo F, Valles-Sánchez V. Prevalence of diabetes mellitus and hyperlipidemias in otomi Indians. Salud Pública de México Septiembre-Octubre 2001. Vol. 43 (5).
Secretaría de Salud, Dirección General de Epidemiología. Instituto Nacional de la Nutrición Salvador Zubirán. Encuesta Nacional de Salud. México 2000.
The Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Follow-up Report on the Diagnosis of Diabetes Mellitus. Diabetes Care 2003. Noviembre. Vol. 26 (11).
