2015, Number 3
Identification of individuals at risk of developing type 2 diabetes
Language: Spanish
References: 22
Page: 148-160
PDF size: 703.25 Kb.
ABSTRACT
Background: to prevent type 2 diabetes, it is necessary to identify at-risk individuals and implement standardized screening methods that can be applied in different population segments anywhere in the world.Objective: to identify individuals at risk for type 2 diabetes in the general population.
Methods: a cross-sectional study was conducted in nondiabetic individuals served by the family doctor-and-nurse offices No. 32 and 33 of the "Cecilio Ruiz de Zárate" Polyclinic in Cienfuegos between October 1st, 2011 and May 31st, 2013. The study population consisted of 2032 people aged 15 and over distributed by sex and age groups and the stratified sample included 670 people. The variables were: age, sex, body mass index, waist circumference and nutritional assessment. The Finnish Diabetes Risk Score was used and a glucose tolerance test was applied to those at high and very high risk.
Results: females and normal weight individuals predominated. Mean age was 46.57 years and the mean waist circumference was 90.37 cm. Eleven participants had an abnormal glucose tolerance test. Ninety-one percent had low to moderate risk and 66.2 % performed physical exercises daily. Only 13 % were taking antihypertensive drugs and 4 % of the total has had high blood sugar levels at some point.
Conclusions: low and slightly elevated risk of developing type 2 diabetes predominated in the study population according to the results of the score applied. Overweight and abnormal waist circumferences were the most common risk factors.
REFERENCES
Alvear MG. Una propuesta para el manejo de la diabetes mellitus tipo 2 en unidades del primer nivel de atención. Rev Facult Nac Salud Pública [revista en Internet]. 2013 [ cited 16 May 2014 ] ; 31 (1): [aprox. 10p]. Available from: http://search.ebscohost.com/login.aspx?direct=tr ue&db=lth&AN=92621774=es&site=ehost-live.
Corona AJ, Aguilar CA, Rojas R, Hernández M. Diabetes mellitus tipo 2 y frecuencia de acciones para su prevención y control. Salud Pública Méx [revista en Internet]. 2013 [ cited 16 May 2014 ] ; 55 Suppl 2: [aprox. 8p]. Available from: http://www.scielo.org.mx/scielo.php?pid=S0036- 36342013000800010&script=sci_arttext.
Waddingham S. Making sense of FINDRISC: The Finnish Diabetes Risk Score and how to use it. BJPCN [revista en Internet]. 2008 [ cited 12 Ene 2013 ] ; 5 (5): [aprox. 15p]. Available from: http://www.bjpcn-cardiovascular.com/pdf/3142/V ol5_Num5_September-October_2008_p243-245.p df?sid=993cb0533750adb7.
Tuomilehto J. Identification of people at high risk for CVD or diabetes [Internet]. Helsinki: Diabetes Unit, National Public Health Institute; 2008. [ cited 12 Ene 2013 ] Available from: http://www.escardio.org/guidelines-surveys/esc-g uidelines/implementation/Documents/guidelines_i mpmeetingdiabetes_004tuomilehto.pdf.
Costa B, Barrio F, Piñol JL, Cabré JJ, Mundet X, Sagarra R, et al. Shifting from glucose diagnosis to the new HbA1c diagnosis reduces the capability of the Finnish Diabetes Risk Score (FINDRISC) to screen for glucose abnormalities within a real-life primary healthcare preventive strategy. BMC Medicine [revista en Internet]. 2013 [ cited 20 May 2013 ] ; 11 (45): [aprox. 15p]. Available from: http://www.biomedcentral.com/1741-7015/11/45.
González RM, Perich P, Arranz C. Trastornos metabólicos asociados con la evolución hacia la diabetes mellitus tipo 2 en una población en riesgo. Rev Cubana Endocrinol [revista en Internet]. 2010 [ cited 12 Jun 2013 ] ; 21 (2): [aprox. 14p]. Available from: http://content.ebscohost.com/pdf25_26/pdf/2010/ HBC/01May10/54855278.pdf?T=P&P=AN&K=548 55278&S=R&D=lth&EbscoContent=dGJyMMvl7E SeqLA4zOX0OLCmr0iep65Srqq4SLSWxWXS&Con tentCustomer=dGJyMPGnr06vr7JJuePfgeyx44Dt6f IA.
Tamez HE, Quintanilla DL, Hernández MI, Ceja L, Gómez M. Tendencias en el diagnóstico y seguimiento de pacientes con diabetes mellitus tipo 2. Visión del especialista. Med Int Mex [revista en Internet]. 2011 [ cited 25 Jun 2013 ] ; 27 (6): [aprox. 7p]. Available from: http://web.ebscohost.com/ehost/pdfviewer/pdfvie wer?vid=11&sid=404f6a05-3a16-42ab-8e88-45c 47a2a741e@sessionmgr14&hid=8.
Benet M, Morejón AF, Espinosa AD, Landrove OO, Peraza D, Ordúñez PO. Factores de Riesgo para Enfermedades Crónicas en Cienfuegos, Cuba 2010. Resultados preliminares de CARMEN II. Medisur [revista en Internet]. 2010 [ cited 26 May 2013 ] ; 8 (2): [aprox. 12p]. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S1727-897X2010000200010&lng=es.
Baena JM, Bermúdez N, Mundet X, del Val JL, Muñoz MA, Schroder H. Glucemia basal alterada y riesgo de diabetes mellitus a los 10 años. Estudio de cohorte. Med Clin (Barc) [revista en Internet]. 2011 [ cited 9 Abr 2014 ] ; 136 (9): [aprox. 11p]. Available from: http://zl.elsevier.es/es/revista/medicina-clinica-2/l inkresolver/glucemia-basal-alterada-riesgo-diabet es-90002213http://dx.doi.org/10.1016/j.medcli.20 10.05.033.
Águila Y, Vicente B, Llaguno GA, Sánchez JF, Costa M. Efecto del ejercicio físico en el control metabólico y en factores de riesgo de pacientes con diabetes mellitus tipo 2: estudio cuasi experimental. Medwave [revista en Internet]. 2012 [ cited 7 Ene 2013 ] ; 12 (10): [aprox. 13p]. Available from: http://www.mednet.cl/link.cgi/Medwave/Estudios/I nvestigacion/5547.
Valdés E, Camps MC. Características clínicas y frecuencia de complicaciones crónicas en personas con diabetes mellitus tipo 2 de diagnóstico reciente. Rev Cubana Med Gen Int [revista en Internet]. 2013 [ cited 28 Ene 2014 ] ; 29 (1): [aprox. 10p]. Available from: http://www.bvs.sld.cu/revistas/mgi/vol29_2_13/m gi03213.htm.