Prevalence of diabetes, obesity, hypertension and hyperlipidemia in the central area of Argentina
Prevalence of diabetes, obesity, hypertension and hyperlipidemia in the central area of Argentina
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DOI：
10.1016/s1262-3636(07)70125-8
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发表时间：
2004-09-01
影响因子：
7.2
通讯作者：
Tesone, C
中科院分区：
文献类型：
--
作者：
de Sereday, MS;Gonzalez, C;Tesone, C
目的：关于慢性代谢性疾病在许多拉丁美洲国家的流行情况，可获得的信息很少。1995至1998年间，在阿根廷中部的四个城市：迪恩·富内斯、昂卡蒂沃、佩瓦霍和维纳多·图埃托，对肥胖、高血压、高脂血症和糖尿病的患病率进行了研究。对这些调查提供的数据进行重新分析，以确定肥胖、高血压、高脂血症和糖尿病的患病率。方法：采用多阶段随机抽样设计，从四个城市中每一个城市抽取具有代表性的人群样本。计算了样本量，以获得4%的患病率评估精度。受试者年龄在20岁及以上。结果：城市居民肥胖标化患病率在22.4%~30.8%之间，高血压在27.9%~43.6%之间，高脂血症在24.2%~36.4%之间，糖尿病在6.5%~7.7%之间。所有这些患病率都随着年龄的增长而增加。58.1%的肥胖者和51.2%的糖尿病者患有高血压，43.2%的肥胖者和52.8%的糖尿病者患有高脂血症。结论：糖尿病的患病率在6%~8%之间，肥胖症的患病率接近26%，高血压和高脂血症影响三分之一的人口。这些数据可以被认为表明这四种疾病在阿根廷中部地区20岁及以上人口中的流行情况。
Objectives: There is little information available about the prevalence of chronic metabolic diseases in many Latin American countries. Between 1995 and 1998, studies on the prevalence of obesity, hypertension, hyperlipidemia and diabetes were carried out in four cities located in central Argentina: Dean Funes, Oncativo, Pehuajo and Venado Tuerto. The data provided by these surveys are reanalysed here in order to determine prevalence of obesity, hypertension, hyperlipidemia and diabetes using new epidemiological criteria.Methods: Representative samples of the population, based on a multistage probabilistic sampling design, were taken from each of the four cities. The sample size was calculated to obtain a precision of 4% for the prevalence assessment. The subjects included were aged 20 years and over. Standardization of the prevalence rates used the entire study sample as the reference population.Results: Age-standardised prevalence rates for the cities ranged between 22.4% and 30.8% for obesity, 27.9% and 43.6% for hypertension, 24.2% and 36.4% for hyperlipidemia, and 6.5% and 7.7% for diabetes mellitus. All these prevalences increased with age. 58.1% of the obese subjects and 51.2% of the diabetic subjects had hypertension, while 43.2% of the obese subjects and 52.8% of the diabetic subjects had hyperlipidemia.Conclusions: While the prevalence of diabetes mellitus was between 6% and 8%, the prevalence of obesity was close to 26% and hypertension and hyperlipidemia affected one third of the population. These data can be considered as indicative of the prevalences of these four diseases in the population aged 20 years and over, in the central region of Argentina.