2007, Number 4
<< Back Next >>
Rev Invest Clin 2007; 59 (4)
Diabetes Mellitus within low socioeconomic strata in Mexico City: A relevant problem
Ávila-Curiel A, Shamah-Levy T, Galindo-Gómez C, Cuevas-Nasu L, Moreno-Macias H, Chávez-Villasana A
Language: Spanish
References: 51
Page: 246-255
PDF size: 86.21 Kb.
ABSTRACT
Objective. To evaluate the feeding and nutrition conditions and its relation with diabetes mellitus (DM-2) in adult population (› 30 years) a sample belonging to the low socioeconomic stratum of the Mexico City metropolitan area was studied. They were participants in the Second Feeding and Nutrition Survey in the Mexico City metropolitan area. (ENURBAL-2002).
Material and Methods. Information collected by the ENURBAL 2002 was used in order to evaluate the relationship between some risk factors and diabetes mellitus in adult population of low economical level. Logistical regression analysis was applied.
Results. A complete set of 1,279 individuals with ages over 30 years was studied. The 9.9% (IC 95% 7.9, 12.4) had been previously diagnosed as diabetics and 3.9% (IC 95% 2.9, 5.4) were not been diagnosed but their glycemia reached diabetic levels. Total diabetes prevalence observed in this study was 13.8% (IC 95% 11.7, 16.3). People with good score on its knowledge about nutrition, as well as high total fat intake, are significant and positively associated with DM-2 (RM = 2.41, IC 95% 1.09, 5.35 and RM = 2.14 IC 95% 1.24, 3.69, respectively).
Conclusions. Diabetes mellitus was highly prevalent among adult (› 30 years population) mainly on the lower socioeconomic stratum of Mexico City. This result is important to promote changes in life style that allow to prevent its appearance by modifying the obesigenic environment and changes in the feeding patterns.
REFERENCES
World Health Organization, Department of Noncommunicable Disease Surveillance. Definition, diagnosis and classification of diabetes mellitus and its complications. Geneva: WHO, 1999.
World Health Organization, International Diabetes Federation. Actuemos contra la diabetes, ya. (NMH/MNC/DIA). En: www.who.int/diabetes, Ginebra, Suiza. 31 de enero de 2004.
http://www.ssa.gob.mx/apps/htdocs/estadisticas/estadisticas/mortalidad/ morbilidad.htm. Página electrónica del SINAIS (Sistema Nacional de información en salud). Secretaría de Salud.
Rendón SG. http://www.cronica.com.mx/nota.php?idc=189822. (2005-07-02).
Olaiz G, Rojas R, Barquera S, Shamah T, Sepúlveda J. Encuesta Nacional de Salud 2002. La Salud de los Adultos. Instituto Nacional de Salud Pública, Secretaría de Salud, Academia Nacional de Medicina. Junio 2003. ISBN-968-6502-72-6.
Knowler WC, Barrett-Connor E, Fowler SE, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J 2002; 346: 393-403.
Tuomilehto J, Lindstrom J, Eriksson JG, et al. Finnish Diabetes Prevention Study Group. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med 2001; 344: 1343-50.
Ávila C, Shamah T, Chávez A. Encuesta Urbana de Alimentación y Nutrición en la Zona Metropolitana de la Ciudad de México 1994-95. Subdirección General de Nutrición de Comunidad. Instituto Nacional de la Nutrición Salvador Zubirán, 1995.
Ávila A, Shamah T, Chávez A, Galindo C. Encuesta Urbana de Alimentación y Nutrición en la Zona Metropolitana de la Ciudad de México (ENURBAL-2002). Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. Abril 2003. ISBN-970-93662-0-3.
Lohman TG, Roche AF, Martorell R, (ed.). Anthropometric standardization reference manual. Champaign, Illinois: Human Kinetics Books; 1988.
Habitch JP. Estandarización de métodos epidemiológicos cuantitativos sobre el terreno. Bol Oficina Sanit Panam 1974; 76: 375-84.
WHO. Energy and protein requeriments. Report of a joint FAO/WHO/UNU. Expert consultation. Technical Report, Series 724. Geneva: World Health Organization, p. 206.
American Diabetes Association. Diagnosis and Classification of Diabetes Mellitus. Diabetes Care 2005; 28(Suppl 1).
World Health Organization: prevention of diabetes mellitus. WHO Technical Report Series. Geneva: World Health Organization; 1994, p. 844.
Hernández-Ávila M, Romieu I, Parra S, Hernández-Ávila J, Madrigal H, Willett W. Validity and reproducibility of a food frequency questionnaire to assess dietary intake of women living in Mexico City. Salud Pública Méx 1998; 39: 133-40.
Ávila A, Ávila S. Sistema para el Cálculo del Valor Nutritivo de los Alimentos (SCVAN). Instituto Nacional de la Nutrición Salvador Zubirán INNSZ, México, 1998.
National Research Council. Recommended Dietary Allowances. 10th ed. Washington, D. C.: National Academy Press; 1989.
Willet WC, Sampon L, Stampfer MJ, et al. Total energy intake: implications for epidemiologic analyses. Am J Epidemiol 1986; 124: 17-27.
Willet WC, Howe GR, Kushi LH. Adjustment for total energy intake in epidemiologic studies. Am J Clin Nutr 1997; 65(Suppl): 1220S-1228S.
Teruel G, Rubalcava L, Santana A. Escalas de equivalencia para México. Serie de Documentos de Investigación (23). Secretaría de Desarrollo Social. Abril 2005, p. 7-9.
Bronfman M, Guiscafré H, Castro V, Castro R, Gutiérrez G. La medición de la desigualdad: una estrategia metodológica, análisis de las características socioeconómicas de la muestra. Arch Invest Med 1988; 19: 351-60.
WHO, Obesity. Preventing and managing the global epidemic. Report of a WHO Consultation on Obesity. Geneva: WHO, 1997.
Hosmer DW, Lemeshow MS. Applied Logistic Regression. New York (NY): John Wiley & Sons; 1989.
Stata Corporation. “Stata Statistical Software: Release 7.0”. College Station*. Version 7.0 Texas http://www.stata.com* ISBN 1-891228-49-5.
SPSS for Windows, Rel. 10.0. 1999. Chicago: SPSS Inc. http://www.spss.com/terms.htm.
Secretaría de Salud. Encuesta Nacional de Enfermedades Crónicas. Dirección General de Epidemiología. SSA. México, D.F., 1993.
Ávila CA, Shamah LT. Diagnóstico de la magnitud de la desnutrición infantil en México. En: Zúñiga E. (ed.). México ante los desafíos de desarrollo del milenio. 1ra. Ed. México: Ed. CONAPO. Secretaría de Gobernación. ISBN 970-6288457; 2005, p. 99-125.
Norma Técnica 157 del Sistema Nacional de Salud. En: Instituto Mexicano del Seguro Social. Normas técnicas en materia de salubridad general. México: Subdirección General Médica, IMSS; 1990, p. 142-9.
http://www.conapo.gob.mx/00cifras/proy/RM.xls. (Consultado el 20 de noviembre de 2006).
Davey-Smith G. Socioeconomic differentials. In: Kuh D, Ben- Shlomo Y, (eds.). A life course approach to chronic disease epidemiology. Oxford: Oxford University Press; 1997, p. 242-73.
Hu FB, Manson JE, Stampfer MJ, Colditz G, Liu S, Solomon CG, Willett WC. Diet, Lifestyle, and the Risk of Type 2 Diabetes Mellitus in Women. N Engl J Med 2001; 345: 790-7.
Peña M, Bacallao J. La obesidad en la pobreza: un problema emergente en las Américas. En: La obesidad en la pobreza: un nuevo reto para la salud pública. Organización Panamericana de la Salud. Washington, DC: OPS; 2000, xii, p. 132.
Medicine and sciences in sports and exercise. American College of Sports Medicine. MSSE 1998; 29: 12 p. i-vi.
World Health Organization. Diet, nutrition, and the prevention of chronic diseases. Report of a WHO Study Group. Geneva: World Health Organization 1990 (WHO Technical Report Series, No. 797).
Subar AF, Thompson FE, Kipnis V, Midthune D, Hurwitz P, McNutt S, et al. Comparative Validation of the Block, Willett, and National Cancer Institute Food Frequency Questionnaires. J Epidemiol 2001; 154: 1089-99.
Alberti G, Zimmet P, Shaw J, Bloomgarden Z, Kaufman F, Silink M. Type 2 diabetes in the young: the evolving epidemic: the international diabetes federation consensus workshop. Diabetes Care 2004; 27(7): 1798-1811.
Kleins, Serrad N, Pi-Sunyer X, Daly A, Wylie-Rosett J, Karmeen KK, Clark N. Weight management through lifestyle modification for the prevention and management of type 2 diabetes: rationale and strategies. A statement of the American Diabetes Association, the North American Association for the Study of Obesity, and the American Society for Clinical Nutrition. Am J Clin Nutr 2004; 80: 257-63.
Franz MJ, Bantle JP, Beebe CA, et al. Evidence-based nutrition principles and recommendations for the treatment and prevention of diabetes and related complications. Diabetes Care 2003; 26(Suppl): S51-S61.
Krauss RM, Eckel RH, Howard B, et al. AHA dietary guidelines: revision 2000. A statement for healthcare professionals from the Nutrition Committee of the American Heart Association. Circulation 2000; 102: 2284-99.
Grundy S, Benjamin IJ, Burke GL, Chait A, Eckel RH, et al. Diabetes and Cardiovascular Disease. A Statement for Healthcare Professionals from the American Heart Association. American Heart Association 1999; 100: 1134-46.
Hu FB, Stampfer MJ, Haffner SM, Solomon CG, Willett WC, Manson JE. Elevated risk of cardiovascular disease prior to clinical diagnosis of type 2 diabetes. Diabetes Care 2002; 25: 1129-34.
Peck P. Greater Risk Identified Between Diabetes and Heart Disease: Awareness Is Key. Medscape Cardiology 2002; 6(2).
Diabetes Prevention Program Research Group. Reduction in the incidence of type II diabetes with lifestyle intervention or metformin. New Engl J Med 2002; 346: 343-403.
Tuomilehto J, Lindstrom J, Eriksson JG, Valle TT, et al. The Finish Diabetes Prevention Study Group. Prevention of type II diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. New Engl J Med 2001; 344: 1343-50.
Parrillo M, Riccardi G. Diet composition and the risk of type 2 diabetes: epidemiological and clinical evidence. Br J Nutr 2004; 92(1): 7-19.
Dowse GK, Gareebo H, Alberti KGMM, Zimmet P, et al. Changes in population cholesterol concentration and other cardiovascular risk factor levels after five years of non-communicable disease intervention program in Mauritius. BMJ 1995; 311: 1255-9.
Barceló A, Aedo C, Rajpathak S, Robles S. The cost of diabetes in Latin America and the Caribbean. Bulletin of the World Health Organization 2003; 81: 19-27.
Stampfer MJ, Hu FB, Manson JE, Rimm EB, Willett WC. Primary prevention of coronary heart disease in women through diet and lifestyle. N Engl J Med 2000, 343: 16-22.
Key TJ, Allen NE, Spencer EA, Travis RC. The effect of diet on risk of cancer. Lancet 2002; 360: 861-8.
Barceló A, Karkashian CD, Duarte de Muñoz E. Atlas de Educación en Diabetes en América Latina y el Caribe. Inventario de programas para personas con diabetes tipo 2. Washington DC: Organización Panamericana de la Salud. División de Prevención y Control de Enfermedades. Programa de Enfermedades no Transmisibles; 2002, p. 5-7.
Brown SA. Studies of educational interventions in diabetes care: a meta-analysis of findings. Nurs Res; 37: 222-30.