Prevalence Of Self-reported Diabetes Mellitus Research Articles

The assessment of geriatric malnutrition, geriatric depression and associated co-morbidities among forcibly displaced Myanmar nationals in Bangladesh.

To assess the nutritional status and depression of the elderly forcibly displaced Myanmar nationals (FDMN) in Bangladesh and determine the associated factors of geriatric depression (GD). This was a community-based, cross-sectional study among elderly FDMN. The Mini Nutritional Assessment Short-Form (MNA@-SF) and Geriatric Depression Scale Short-Form (GDS-15 SF) were used to determine malnutrition and GD, respectively. The study was conducted between November 2021 and March 2022 in Kutupalong Refugee Camp, Cox's Bazar, Bangladesh. The study participants were elderly FDMN aged ≥ 60 years (n 430). The mean age and BMI were 71·7(±7·8) years and 21·94(±2·6) kg/m2, respectively. There was a high prevalence of self-reported diabetes mellitus (32·1 %), hypertension (26·7 %), hypotension (20 %), skin diseases (28·4 %) and chronic obstructive pulmonary disease (16·5 %). The prevalence of malnutrition was 25·3 %, and another 29·1 % were at risk. The prevalence of GD was 57·9 %, and co-occurrences of GD and malnutrition were seen in 17·5 % of participants. GD was significantly higher among elderly people with malnutrition (adjusted OR, AOR = 1·71, 95 % CI: 1·01, 2·89). FDMN aged ≥ 80 years were at higher risk of GD (AOR = 1·84, 95 % CI: 1·01, 3·37), and having fewer than five members in the household was an independent predictor of GD. Diabetes mellitus (AOR = 1·95, 95 % CI: 1·24, 3·08) and hypotension (AOR = 2·17, 95 % CI: 1·25, 2·78) were also significantly associated with an increased risk of GD. A high prevalence of GD and malnutrition was observed among elderly FDMN in Bangladesh. The agencies working in Cox's Bazar should focus on geriatric malnutrition and GD for the improvement of the health situation of FDMN in Bangladesh.

Spatial Patterns and Determinants of Diabetes Mellitus in Indian AdultPopulation: a Secondary Data Analysis from Nationally Representative Surveys.

Diabetes mellitus (DM) is a major public health challenge around the world. It is crucial to understand the geographic distribution of the disease in order to pinpoint high-priority locations and focus intervention on the target populations. Hence, this study was carried out to determine the spatial pattern and determinants of type-2 DM in an Indian population using National Family Health Survey-4 (NFHS-4) and Longitudinal Aging Survey in India (LASI). We have adopted an ecological approach, wherein geospatial analysis was performed using aggregated district-level data from NFHS-4 (613 districts) and LASI survey datasets (632 districts). Moran's I statistic was determined and Local Indicators of Spatial Association (LISA) maps were created to understand the spatial clustering pattern of DM. Spatial regression models were run to determine the spatial factors associated with DM. Prevalence of self-reported DM among males (15-50years) and females (15-49years) was 2.1% [95% confidence interval (CI) 2.0-2.3%] and 1.7% (95% CI 1.6-1.8%), respectively. Prevalence of self-reported DM among males and females aged 45years and above was 12.5% (95% CI 11.5-13.5%) and 10.9% (95% CI 9.8-12%). Positive spatial autocorrelation with significant Moran's I was found for both males and females in both NFHS-4 and LASI data. High-prevalence clustering (hotspots) was maximum among the districts belonging to southern states such as Kerala, Tamil Nadu, Karnataka, and Andhra Pradesh. Northern and central states like Madhya Pradesh, Chhattisgarh, and Haryana mostly had clustering of cold spots (i.e., lower prevalence clustered in the neighboring regions). DM burden in India is spatially clustered. Southern states had the highest level of spatial clustering. Targeted interventions with intersectoral coordination are necessary across the geographically clustered hotspots of DM.

Comparison of Diabetes Mellitus Risk Factors in Mexico in 2003 and 2014.

ObjectiveThe prevalence of diabetes mellitus in Mexico is very high. This study aimed to compare the risk factors of diabetes mellitus in Mexican adults in 2003 and in 2014.MethodsThis study had a repeated cross-sectional design. Data from the World Health Organization (WHO) Study on global AGEing and adult health (SAGE) from Mexico (Wave 0, 2003, and Wave 2, 2014) were compared. Self-reported diabetes mellitus (outcome) was evaluated with the yes/no question: “Have you ever been diagnosed with diabetes mellitus (high blood sugar)?” Bivariate analyses and multivariable logistic regression analyses adjusted for potential risk factors were conducted.ResultsIn 11 years (2003–2014), the prevalence of self-reported diabetes mellitus in Mexican adults increased by 2.6 times in those younger than 50 years (2003: 2.1%; 2014: 5.5%) and by 1.9 times in those ≥50 years (2003: 12.7%; 2014: 24.2%). In 2003, the risk factors associated with diabetes mellitus were female sex (OR 1.344, 95% CI 1.176–1.536), age ≥50 years (OR 6.734, 95% CI 5.843–7.760), being overweight (OR 1.359, 95% CI 1.175–1.571), obesity (OR 1.871, 95% CI 1.583–2.211), and lower physical activity of <600 MET-minutes/week (OR 1.349, 95% CI 1.117–1.630). In 2014, the exposure characteristics significantly associated with diabetes mellitus were female sex (OR 1.244, 95% CI 1.025–1.511), older age ≥50 years (OR 4.608, 95% CI 3.260–6.515), being overweight (OR 1.649, 95% CI 1.305–2.083), obesity (OR 1.778, 95% CI 1.398–2.261), and in those who had not attended/completed primary school (OR 1.360, 95% CI 1.042–1.773).ConclusionThe prevalence of diabetes mellitus in Mexico significantly increased from 2003 to 2014. Female sex, age older than 50 years, and being overweight or obese were significant risk factors in both 2003 and 2014. Not having completed primary school was a new significant risk factor in 2014. Public health policies and strategies should prioritize decreasing the high levels of overweight and obesity, and improve health literacy in Mexico.

Prevalence and knowledge of risk factors for diabetes mellitus among secondary school teachers in Abakaliki Educational Zone, Nigeria

Background: Teachers play an important role in delivering health education to empower students with skills for healthy living pertinent to prevent the development of non-communicable diseases. The development of non-communicable disease like hypertension, diabetes, obesity and cancers is highly associated with modifiable lifestyle. This study was conducted to determine the prevalence of self-reported Diabetes Mellitus, knowledge of its risk factors as well as risk factors among secondary school teachers in Abakaliki, Ebonyi State. Methods: A cross-sectional survey was conducted among 282 secondary school teachers selected through multistage sampling technique using a self-administered pre-tested questionnaire for data collection. Bivariate and multivariate analysis was done using Statistical Package for the Social Sciences version 21 to determine associations between socio-demographic variables and knowledge of the risk factors for diabetes mellitus. Results: The prevalence of self-reported diabetes mellitus among the teachers was 3.5%. The knowledge of Diabetes Mellitus was generally poor as about 60% of respondents were categorized as having poor knowledge and 4.9% of them had glycosuria while majority 172 (61.0%) reported family history of Diabetes Mellitus. More than half (58.5%) reported not engaging in any form of physical exercise and more than half were considered overweight/obese. There was statistically significant relationship between family history and general knowledge of diabetes mellitus risk factors, (P &lt; 0.001). Conclusion: Knowledge of risk factors of diabetes mellitus was poor among the teachers, and there is urgent need for orientation towards routine screening for diabetes mellitus for this group of professionals who are strategic for education of teenagers.

Prevalence of comorbidity tuberculosis and diabetes mellitus in Paraguay, 2016 and 2017Prevalência de comorbidade tuberculose-diabetes mellitus no Paraguai, 2016 e 2017

RESUMENObjetivo.Estimar la prevalencia nacional y regional de la comorbilidad tuberculosis (TB) y diabetes mellitus (DM) e identificar los factores asociados con esta comorbilidad en Paraguay.Métodos.Estudio transversal en pacientes con TB notificada en 2016 y 2017 y registrados en la base de datos del Programa Nacional de Control de la TB. La prevalencia de DM, definida por autonotificación, se estimó en pacientes con TB. Para conocer los factores asociados con la comorbilidad TB-DM se empleó un modelo multivariante de regresión binomial para ajustar las razones de prevalencia (RP) según los errores estándar por el clúster de región sanitaria.Resultados.Entre 2016 y 2017 se notificaron 5 315 casos de TB. La prevalencia de la comorbilidad TB-DM fue 6,3% en 2016, 6,0% en 2017 y 6,2% en ambos años. Fue más alta en Itapúa (9,2%), Alto Paraguay (8,0%), Alto Paraná (7,5%), Central (7,4%) y Asunción (7,2%). La mediana de edad de personas con DM fue más alta que la de las que no tenían DM (55 y 33 años; P < 0,001). Tener una edad mayor de 45 años (RP = 18,3), el sexo femenino, antecedente de hipertensión arterial (HTA) (RP = 2,17), baciloscopía de diagnóstico de tres cruces (RP 1,98), y antecedente de enfermedad pulmonar obstructiva crónica (EPOC) (RP 1,68) estuvieron asociados con mayor comorbilidad. En cambio, se asociaron con menor comorbilidad pertenecer a la población indígena (RP = 0,26), la infección por el virus de la inmunodeficiencia humana (RP = 0,44), historia de adicción a drogas (RP = 0,49), el sexo masculino (RP = 0,64), y la TB extrapulmonar (RP = 0,75).Conclusiones.La prevalencia de la comorbilidad de TB y DM en Paraguay, por autonotificación, fue 6,2% en el periodo 2016-2017 y varió entre las regiones sanitarias. La edad, una alta carga bacilar al diagnóstico y la comorbilidad con HTA y EPOC se asociaron a una mayor comorbilidad. Estos hallazgos permitirán priorizar grupos de población para aumentar rendimiento del cribado, diagnóstico, tratamiento y prevención de la comorbilidad TB-DM en Paraguay.

Cardiometabolic diseases.

Cardiometabolic diseases are prevalent in populations and are among the leading causes of death. Objective: This sub-study of the Health, Well-being and Aging (SABE) study describes the self-reported prevalence of diabetes mellitus (DM), hypertension, and atherosclerotic cardiovascular disease (CVD) for its three waves (2000, 2006, and 2010). It also analyses the associations with selected risk factors. Logistic regression models were performed. Predominance of women and average age (68 years) were maintained in all the waves. During the period, there was a general tendency of increasing prevalence of hypertension (53.1 to 66.7%), DM (16.7 to 25.0%), and CVD (23.0 to 27.2%); and stabilization of the CVD prevalence rate occurred only from 2006 to 2010. Women, with body mass index (BMI) > 27 kg/m2, and ex-smokers had consistently higher risk of self-reported hypertension across the three waves. BMI >27kg/m2 was also associated with a higher probability of DM in the three waves, whereas with ex-smokers this occurred only in 2010. Ex-smokers presented higher risk of CVD in all the waves, but not excess weight. Wave pairs were analyzed to test changes in prevalence, and it was found a significant increase in diseases rates across the years. In summary, self-reported DM, hypertension, and CVD had high prevalence rates for participants of SABE Study, in São Paulo. The association of elevated BMI with cardiometabolic diseases suggests that body adiposity might favor their occurrence, although the study design does not guarantee a cause and effect relationship. Increased rates of affected individuals from the first to the third wave may reflect improvement in diagnostic conditions and/or control of these diseases' mortality during that period.

Prevalence of self-Reported diabetes mellitus and related factors in a rural community

Prevalence of self-Reported diabetes mellitus and related factors in a rural community

Feasibility and yield of screening for non-communicable diseases among treated tuberculosis patients in Peru.

The increasing prevalence of non-communicable diseases (NCDs) poses a major challenge to low- and middle-income countries. Patients' engagement with health services for anti-tuberculosis treatment provides an opportunity for screening for NCDs and for linkage to care. We explored the feasibility and yield of screening for NCDs in patients treated for tuberculosis (TB) in Lima, Peru, as part of a study focused on chronic respiratory sequelae. A representative sample of community controls was recruited from the same geographical area. Screening entailed taking a medical history and performing ambulatory blood pressure measurement and urinalysis. A total of 177 participants with previous TB (33 with multidrug-resistant TB) and 161 community controls were evaluated. There was an almost four-fold increased prevalence of self-reported diabetes mellitus (DM) in the TB group (adjusted prevalence ratio 3.66, 95%CI 1.68-8.01). Among those without self-reported DM, 3.3% had glycosuria, with a number needed to screen (NNS) of 31. The NNS to find one (new) case of hypertension or proteinuria in the TB group was respectively 24 and 5. Patient-centred care that includes pragmatic NCD screening is feasible in TB patients, and the treatment period provides a good opportunity to link patients to ongoing care.

Shifting pattern of diabetes among the elderly in India: Evidence from the national sample survey organization's data, 2004–2014

Objective: The objective of this study was to compare the pattern and trends in the prevalence of self-reported diabetes mellitus among the elderly in India, 2004–2014. Research Design and Methods: The required data were extracted from National Sample Survey Organization's (NSSO) 60th round in 2004 and 71st round in 2014. Self-reported morbidity information of elderly with reference period of 15 days before the survey has been used for the analyses. From NSSO 2004, a total of 35,569 elderly persons were included in the study, and from NSSO 2014, a total of 28,397 elderly persons were included in the study. Age- and sex-standardized prevalence rate was calculated to make valid comparisons across two time periods. Results: The prevalence of self-reported diabetes has increased more among elderly males than among elderly females during 2004–2014.The increase in prevalence percentage is more among young old than the rest. There is a clear-cut rural–urban differential in the burden of diabetes in India. The eastern and southern regions of India marked a higher prevalence as well as increase in diabetes prevalence than the rest of the nation. Those with diabetes are also likely to be burdened by the existence of other chronic conditions such as heart disease and hypertension when compared to persons without diabetes. This burden is higher for women. Conclusion: The prevalence of self-reported diabetes appears to have increased and is higher among males. The apparent rural–urban and regional variations can be attributed to urbanization-induced lifestyle changes, increasing access to screening and treatment and reporting bias.

The prevalence of diabetes mellitus and its associated factors in the Brazilian adult population: evidence from a population-based survey.

To estimate the prevalence of self-reported diabetes mellitus (DM) and its associated factors among the Brazilian adult population. The prevalence of DM was assessed in the Survey on Social Dimensions of Inequalities, a national survey with macro-regions representativeness carried out in 2008. Data were collected by a personal face-to-face interview with 12,423 individuals of both sexes, aged over 20 years. The χ2 test at 5.0% was performed in order to identify associated factors, and logistic regression was used to estimate adjusted odds ratios. The prevalence of DM in Brazil was 7.5%. After adjusting for potential confounders, diabetes remained associated with age (≥ 40 years), education (< 8 years of study), marital status (non-married), obesity, sedentary lifestyle, comorbidity with hypertension and hypercholesterolemia, as well as the demand for health services. Results indicate a high prevalence of DM and its associated preventable factors in Brazil. Thus, they highlight the need for a behavioral change as a strategy for prevention and control of diabetes and its complications.

Significance of inferior wall ischemia in non-dominant right coronary artery anatomy.

AIMTo investigate the relationship of inferior wall ischemia on myocardial perfusion imaging in patients with non-dominant right coronary artery anatomy.METHODSThis was a retrospective observational analysis of consecutive patients who presented to the emergency department with primary complaint of chest pain. Only patients who underwent single photon emission computed tomography (SPECT) myocardial perfusion imaging (MPI) were included. Patients who showed a reversible defect on SPECT MPI and had coronary angiography during the same hospitalization was analyzed. Patients with prior history of coronary artery disease (CAD) including history of percutaneous coronary intervention and coronary artery bypass graft surgerys were excluded. True positive and false positive results were identified on the basis of hemodynamically significant CAD on coronary angiography, in the same territory as identified on SPECT MPI. Coronary artery dominance was determined on coronary angiography. Patients were divided into group 1 and group 2. Group 1 included patients with non-dominant right coronary artery (RCA) (left dominant and codominant). Group 2 included patients with dominant RCA anatomy. Demographics, baseline characteristics and positive predictive value (PPV) were analyzed for the two groups.RESULTSThe mean age of the study cohort was 57.6 years. Sixty-one point seven percent of the patients were males. The prevalence of self-reported diabetes mellitus, hypertension and dyslipidemia was 36%, 71.9% and 53.9% respectively. A comparison of baseline characteristics between the two groups showed that patients with a non-dominant RCA were more likely to be men. For inferior wall ischemia on SPECT MPI, patients in study group 2 had a significantly higher PPV, 32/42 (76.1%), compared to patients in group 1, in which only 3 out of the 29 patients (10.3%) had true positive results (P value < 0.001 Z test). The difference remained statistically significant even when only patients with left dominant coronary system (without co-dominant) were compared to patients with right dominant system (32/40, 76.1% in right dominant group, 3/19, 15.8% in left dominant group, P value < 0.001 Z test). There was no significant difference in mean hospital stay, re-hospitalization, and in-hospital mortality between the two groups.CONCLUSIONThe positive predictive value of SPECT MPI for inferior wall ischemia is affected by coronary artery dominance. More studies are needed to explain this phenomenon.

Diabetes mellitus em Montes Claros: inquérito de prevalência autorreferida

Objective: To estimate the prevalence of self-reported diabetes mellitus in the population of Montes Claros. Methods: Cross-sectional, analytical study with population and household basis. The data collection instrument was based on the questionnaire proposed by the Ministry of Health to assess behaviors and risk factors for noncommunicable chronic diseases. The prevalence of diabetes mellitus was surveyed through report made by the assessed individuals, in a northern city of Minas Gerais state, Brazil. The association of self-reported diabetes to sociodemographic profile, lifestyle, use of health services, and perception of general health was evaluated through Poisson regression, with analysis of prevalence ratios. The average number of medical appointments in the public sector and hospitalization events in the year were compared between diabetics and nondiabetics. Statistical analysis considered the significance level at p<0.05 and 95% confidence interval. Results: There were 2,149 participants. Of these, 4.5% (n=96) reported having diabetes. The highest prevalence rate was related to the elderly (PR=1.047), those who consume soft drinks (PR=1.054), and those with negative self-perceived health (OR=1.017), p<0.05. The average number of medical appointments in the public sector was higher among diabetics, (2.53±3.420), as well as the average number of hospitalizations, (1.44±0.703), p<0.05. Conclusion: The prevalence of self-reported diabetes mellitus in this population was similar to the national scenario and showed association to the elderly, soft drink consumers and to those who perceive not having a good general health. Diabetes seems to contribute to the increased use of public health services.

Effectiveness of the Complete Health Improvement Program in Reducing Risk Factors for Cardiovascular Disease in an Appalachian Population.

In 11 counties in Appalachian Ohio, the self-reported prevalence of diabetes mellitus (11.3%) is higher than the state (7.8%) or national (7.2%) average. Direct medical costs for diabetes in the United States are estimated at $176 billion annually. Indirect costs from disability, work loss, and premature death add up to another $69 billion. To determine the effectiveness of the Complete Health Improvement Program (CHIP) in reducing cardiovascular disease (CVD) risk factors in a sample of Appalachian participants with elevated fasting blood glucose (FBG) levels or a diagnosis of type 2 diabetes mellitus (T2DM). In a retrospective study, data from 6 CHIP cohorts conducted in Appalachian Ohio from 2011 to 2012 were combined and analyzed for short-term changes in CVD risk factors from baseline. This study focused on a subsample of the overall CHIP, whose participants had elevated FBG levels or T2DM. Statistical analysis was completed by calculating means and SDs and using paired t tests to compare differences in variables. After the CHIP intervention, 110 participants with baseline elevated FBG levels showed notable reductions in FBG levels, total cholesterol, low-density lipoprotein cholesterol, body mass index, and systolic blood pressure (all P values <.001). Likewise, participants in the subsample with T2DM experienced reductions in all CVD risk factors (all P values <.05). The CHIP lifestyle intervention was effective in reducing CVD risk factors in this Appalachian population with elevated FBG levels or with T2DM.

Health care among adults with self-reported diabetes mellitus in Brazil, National Health Survey, 2013.

To describe the care measurements provided to patients with self-reported diabetes mellitus in Brazil. Data from the Brazilian National Health Survey (2013) were used. This is a cross-sectional population-based study in which the subjects with self-reported diabetes mellitus answered questions concerning their use of health services and access to medicine. The prevalence of self-reported diabetes mellitus was 6.2%, while 11.5% of the population had never undergone a glucose testing. From the adults with diabetes mellitus, 80.2% had taken medications two weeks before the interview, 57.4% used the Popular Pharmacy Program, 73.2% received medical care, and 47.1% were cared for in the Health Basic Units. In 65.2%, the physician who cared for them in the last appointment was the same from previous ones, 95.3% of the patients were able to perform the required complementary examinations, and 83.3% could go to the appointments with a specialist. About 35.6 and 29.1% of the subjects with diabetes mellitus reported feet and eyes examination, respectively. About 13.4% declared previous hospitalization owing to diabetes or any complications, and 7.0% mentioned limitations in their daily activities owing to the disease. In general, women and the elderly people, those with higher education levels, white, and those living in the south and southeastern regions showed a higher prevalence of the disease and greater access to services, medicine, and appointments. The care reported by patients with diabetes, which is essential to maintain their quality of life and prevent serious outcomes, seemed, in most cases, to be adequate.

Prevalência e perfil das pessoas com diabetes cadastradas no sistema de Informação Da Atenção Básica (SIAB)

Objective: To assess the prevalence and profile of people with self-reported diabetes mellitus (DM). Methods: A retrospective cross-sectional study conducted with secondary data extracted from the Sistema de Informacao da Atencao Basica - SIAB (Primary Care Information System). Data were obtained from the Municipal Health Secretariat during March and April 2014. SIAB data collected referred to the population with self-reported diabetes (15 years and older) of the municipality of Lajeado, RS, for the period between 2011 and 2013 and underwent descriptive statistical analysis using the SPSS 21.0 software. Results: We found that the prevalence of people with DM remained the same throughout the years studied (3.0% in 2011, 3.1% in 2012, and 3.0% in 2013). This population was mostly aged over 60 (60% in 2011, 58% in 2012, and 60% in 2013), literate (88% in 2011, 89.9% in 2012, and 90.7% in 2013), and predominantly female (63.2% in 2011, 62.9% in 2012, and 63.7% in 2013) and hypertensive (77.5% in 2011, 76.1% in 2012, and 76.9% in 2013). The prevalence of pregnant women with diabetes was of 0.5% in 2012 and of 0.3% in 2013, with no cases in 2011. Conclusion: The prevalence of self-reported DM in the municipality is around 3% for the years analyzed, which is below the national average. It was found that the majority of the population with DM is older, female, literate and hypertensive, and there is a low prevalence DM among pregnant women.

Prevalence of self-reported diabetes mellitus in an urban population

Background: Noncommunicable diseases (NCDs) are now becoming major public health issues in developing and developed countries. Type 2 diabetes mellitus, being a part of the NCD group, is also showing an upward trend globally. It has been classified as the third leading cause of premature mortality worldwide. India and China share the greatest burden of diabetes mellitus globally. Materials and Methods: This study is a part of larger cross-sectional community-based study carried out in employees of the Aligarh Muslim University for 1-year duration (June 2012 to May 2013). The estimated sample size was 540. The subjects were taken from all the sections of the employees, that is, teaching, clerical, technical, and class four staff, as per probability-proportionate-to-size (PPS) method and the individual subject chosen randomly from among these sections. Data were presented as proportions and percentages, and appropriate statistical test was used wherever applicable. The study was approved by the institutional ethics committee, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India. Result: The prevalence of self-reported diabetes mellitus among study population was found to be 7.96% (43/540). More men than women were found have diabetes mellitus. It was found to be significantly associated with the increasing age, positive family history, and higher educational status. The association of diabetes mellitus with socioeconomic status was not found to be significant. Conclusion: The prevalence of self-reported diabetes mellitus among study population was found to be high considering the fact that a large proportion of patients with diabetes mellitus usually tend to remain unaware of their diabetic status.

Diabetes mellitus referido e fatores associados em idosos residentes em Campina Grande, Paraíba

OBJETIVO: Verificar a prevalência de diabetes mellitus referido e fatores associados em idosos residentes em Campina Grande-PB. METODOLOGIA: Trata-se de estudo transversal, de base populacional e domiciliar, com indivíduos de 60 anos de idade ou mais, de ambos os sexos. O diabetes mellitus referido foi considerado variável dependente para fins de análise e de estudo das possíveis associações. As variáveis independentes avaliadas foram: grupo etário, situação conjugal, nível socioeconômico, estado nutricional, prática de atividade física regular, tabagismo e ingestão de bebida alcoólica. Para identificar os fatores associados ao diabetes mellitus referido, foram realizadas análises de regressão univariada e multivariada, por meio do SPSS 17.0. RESULTADOS: Foram avaliados 806 idosos (69,1% mulheres), com média etária de 72,4 anos (DP=8,76). A prevalência de diabetes mellitus referido foi de 14,7%. Tanto entre homens como entre mulheres, constatou-se maior prevalência do diabetes mellitus referido no grupo etário de 60 a 69 anos (50% e 48,2%, respectivamente). O diabetes mellitus referido esteve associado às variáveis sobrepeso/obesidade (IC95%: 1,028-4,248; p=0,042) e ingestão de bebidas alcoólicas (IC95%: 1,107-3,092; p=0,019) entre as idosas. Entre os homens, houve associação com a doença referida apenas com a ingestão de bebidas alcoólicas no passado (IC95%: 1,082-13,085; p=0,037). CONCLUSÃO: Os resultados deste estudo sugerem influência do estado nutricional e da ingestão de bebidas alcoólicas (atual ou passada) sobre o diabetes mellitus referido em idosos. Conhecer os fatores modificáveis que influenciam essa doença é fundamental para subsidiar o planejamento de ações voltadas para promoção, prevenção e diagnóstico precoce desse agravo.

The rising tide of diabetes mellitus in a Chinese population: a population-based household survey on 121,895 persons

We studied the prevalence of self-reported diabetes mellitus in selected years from 2001 to 2008, and evaluated the factors associated with diabetes. From territory-wide household interviews in a Chinese population in the years 2001, 2002, 2005 and 2008, we evaluated the trend of self-reported diabetes with respect to age, sex and household income. Binary logistic regression analyses were conducted to study the independent factors associated with diabetes. From 121,895 respondents in the household surveys, 103,367 were adults aged 15 years or older. Among male respondents, the age- and sex-adjusted prevalence of diabetes in 2001, 2002, 2005 and 2008 was 2.80, 2.87, 3.32 and 4.66 %, respectively; while among female respondents the respective prevalence was 3.25, 3.37, 3.77 and 4.31 %. In all the years, the prevalence escalated with age and increased sharply among the poor. From binary logistic regression analyses, advanced age and low monthly household income were significantly associated with self-report of diabetes. This study showed a rising trend of diabetes mellitus in a large Chinese population and found a strong association between population demography and diabetes.

Diabetes mellitus auto-referido e sua associação com excesso de peso em idosos.&lt;br&gt;DOI:10.5007/1980-0037.2011v13n6p442

This study aimed to identify the prevalence of self-reported diabetes mellitus in the older adults in Florianopolis and its relationship with being overweight. 857 older adults took part in the study. Sociodemographic (sex, age group, schooling, monthly income), anthropometric (weight, height), usual physical activity, arterial hypertension and diabetes mellitus information was collected. The Body Mass Index (BMI) was adopted to diagnose the overweight. The adjustment variables were: sociodemographic, usual physical activity and arterial hypertension. The prevalence of diabetes mellitus was 13.5% (male = 12.1%; female = 14.8%; p<0.05) and the overweight was 59.4% (male = 58.0%; female = 60.7%; p=0.40). A higher prevalence of diabetes mellitus was observed in the older adults who were overweight. The overweight was positively associated with diabetes, regardless of sex, age, schooling, monthly income, usual physical activity and arterial hypertension. One can conclude that overweight in the older adults in Florianopolis was an independent factor and positively associated with diabetes mellitus.

Prevalência de Diabetes Mellitus autorreferida entre trabalhadores de enfermagem

OBJETIVOS: Verificar a prevalência de Diabetes Mellitus autorreferida em trabalhadores de enfermagem de um hospital universitário; identificar os principais fatores de risco para o Diabetes Mellitus (DM) e, entre os que já possuem a doença, identificar as dificuldades relacionadas a seu controle. MÉTODOS: Estudo epidemiológico transversal, realizado no período de agosto de 2007 a janeiro de 2008. Foram entrevistados 1.287 profissionais de enfermagem (82%), utilizando-se questionário contendo 22 questões fechadas. A análise dos dados foi realizada pelos testes Qui-quadrado e exato de Fisher. O teste t de Student foi empregado para as variáveis contínuas. RESULTADOS: Observou-se a prevalência de 3% de DM autorreferida. Os principais fatores de risco reconhecidos foram: idade, sexo, peso e histórico familiar. Detectou-se que o plantão noturno concentrava mais da metade dos diabéticos. CONCLUSÃO: A prevalência de DM autorreferida nesse hospital foi menor do que a esperada para a cidade de São Paulo. Dentre os fatores de risco encontrados, o sobrepeso é o único modificável. O plantão noturno concentra a maioria dos funcionários com diabetes.