Characteristics of patients with type 2 diabetes in Mexico -: Results from a large population-based nationwide survey

Characteristics of patients with type 2 diabetes in Mexico -: Results from a large population-based nationwide survey
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DOI:
10.2337/diacare.26.7.2021
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发表时间:
2003-07-01
期刊:
影响因子:
16.2
通讯作者:
Conyer, RT
Conyer, RT
中科院分区:
医学1区
文献类型:
--
作者:
Aguilar-Salinas, CA;Monroy, OV;Conyer, RT

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目的-描述糖尿病人群的临床特征,形成了一个以人口为基础的调查在Mexico.Research设计和方法的一部分,在2000年,从42,886名年龄:20岁的受试者使用多级抽样程序获得的信息。采用标准化问卷调查。人体测量,血压,毛细血管葡萄糖concentration.Results -2型糖尿病被发现在3,597名受试者(年龄调整患病率8.18%),其中2,878(80%)以前被诊断。糖尿病参与者的平均年龄为55.2 ± 13.5岁; 13%为10岁。平均BMI为29.2 +/- 5.7 kg/m2;四分之三的病例BMI >25 kg/m2。平均腰围为102 +/- 13.4厘米,腰围增加在女性中更为常见。在一半的病例中发现了动脉高血压,在接受治疗的病例中,只有三分之一的血压< 140/90 mmHg。糖尿病组中有34%的人报告吸烟,这一比例高于非糖尿病受试者。在67.6%的病例中至少有一个可改变的冠状动脉危险因素。很少有人遵循运动或饮食养生法和一小部分使用insulin.CONCLUSIONS -糖尿病影响很大比例的墨西哥成年人(8.18%)。这个数字可能被低估了。大多数受试者存在糖尿病慢性并发症的可改变风险因素。只有少数人达到了适当的血压控制和其他治疗目标。
OBJECTIVE - To describe the clinical characteristics of the diabetic population that formed part of a population-based survey conducted in Mexico.RESEARCH DESIGN AND METHODS - in 2000, information was obtained from 42,886 Subjects aged :20 years using a multistage sampling procedure. Standardized questionnaires were used. Anthropometric measurements, blood pressure, and capillary glucose concentrations were taken.RESULTS - Type 2 diabetes was found in 3,597 subjects (age-adjusted prevalence 8.18%), of which 2,878 (80%) had previously been diagnosed. The average age of the diabetic participants was 55.2 +/- 13.5 years; 13% were 10 years. The average BMI was 29.2 +/- 5.7 kg/m(2); three-quarters of the cases had BMI >25 kg/m(2). The average waist circumference was 102 +/- 13.4 cm, and increased waist circumference was more common among women. Arterial hypertension was found in half Of the cases and, of those on treatment, only one-third had a blood pressure < 140/90 mmHg. Smoking was reported in 34% of the diabetic group, a higher rate than in the nondiabetic subjects. There was at least one modifiable coronary risk factor in 67.6% of the cases. Very few followed an exercise or dietary regimen and a small percentage used insulin.CONCLUSIONS - Diabetes affects a large proportion of Mexican adults (8.18%). This figure may be underestimated. The majority of the subjects had modifiable risk factors for the chronic complications of diabetes. Only a few achieved adequate blood pressure control and other treatment goals.