MULTICENTER STUDY of the PREVALENCE of DIABETES-MELLITUS and IMPAIRED GLUCOSE-TOLERANCE in the URBAN BRAZILIAN POPULATION AGED 30-69 YR

MULTICENTER STUDY of the PREVALENCE of DIABETES-MELLITUS and IMPAIRED GLUCOSE-TOLERANCE in the URBAN BRAZILIAN POPULATION AGED 30-69 YR

Autor Malerbi, D. A. Google Scholar
Franco, L. J. Google Scholar
Milech, A. Google Scholar
Malerbi, D. Google Scholar
Schmidt, M. I. Google Scholar
Almeida, L. Google Scholar
Netto, A. P. Google Scholar
Albuquerque, R. H. Google Scholar
Braga, CDC Google Scholar
Instituição Universidade de São Paulo (USP)
Universidade Federal de São Paulo (UNIFESP)
Resumo OBJECTIVE - To assess the prevalence of diabetes and IGT in the urban adult Brazilian population.RESEARCH DESIGN and METHODS- We used a two-stage, multicenter, cross-sectional survey in a random sample of 21,847 individuals aged 30-9 yr from nine large cities. Subjects were first screened by FCG. All positive screenees (FCG greater-than-or-equal-to 5.6 mM/L) and every sixth consecutive negative screenee were administered a 75 g OGTT and classified as diabetic, IGT, or normal (nondiabetic) according to WHO recommendations. OGTT findings from the negative screenees were extrapolated to all negative screenees after adjustments for potential biases.RESULTS - the overall rates were 7.6 and 7.8% for diabetes and IGT, respectively Men (7.5%) and women (7.6%) had similar rates of diabetes. Similar rates resulted with whites (7.8%) and nonwhites (7.3%). Diabetes prevalence increased from 2.7% in the 30-39-yr age-group to 17.4% in the 60-69-yr age-group. Diabetes was more prevalent among less educated people, but this difference disappeared after adjusting for age. Family history of diabetes was associated with a twofold increase in diabetes prevalence (I 2.5 vs. 5.8%); the same increase occurred with obesity (I 1.6 vs. 5.2%). Undiagnosed diabetes accounted for 46% of the total prevalence. Among previously diagnosed cases, 22.3% were not under treatment, 7.9% were on insulin, 40.7% were on oral agents, and 29.1% were on dietary treatment only. Self-reported diabetes prevalence was 0.1, 3.2, and 11.6% in the age groups <30, 30-69, and >70 yr, respectively.CONCLUSIONS - the prevalence of diabetes in Brazil is comparable with that of more developed countries, where it is considered a major health problem.
Idioma Inglês
Data de publicação 1992-11-01
Publicado em Diabetes Care. Alexandria: Amer Diabetes Assoc, v. 15, n. 11, p. 1509-1516, 1992.
ISSN 0149-5992 (Sherpa/Romeo, fator de impacto)
Publicador Amer Diabetes Assoc
Extensão 1509-1516
Fonte http://dx.doi.org/10.2337/diacare.15.11.1509
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:A1992JW61400012
Endereço permanente http://repositorio.unifesp.br/handle/11600/25285

Exibir registro completo




Arquivo

Arquivo Tamanho Formato Visualização

Não existem arquivos associados a este item.

Este item está nas seguintes coleções

Buscar


Navegar

Minha conta