Franch Nadal J, Alvarez Torices J C, Alvarez Guisasola F, Diego Domínguez F, Hernández Mejía R, Cueto Espinar A
Unidad Docente de Medicina Familiar y Comunitaria. León.
Med Clin (Barc). 1992 Apr 25;98(16):607-11.
Diabetes mellitus (DM) is a very important health problem because of its high morbidity and mortality. The aim of the present study was to investigate the prevalence of diabetes in the adult population of the León province and its possible association with the most common risk factors and markers.
A cross-sectional descriptive study was designed with a multistage stratified sampling (572 individuals). A questionnaire about several sociodemographic variables, an alimentary survey, measurements of height and weight, capillary baseline glycemia, and oral glucose tolerance test with 75 g glucose were carried out.
The observed prevalence of diabetes mellitus was 5,6% and that of glucose intolerance 10,3%. The known/unknown DM ratio was 2,2/1. The prevalence of treated DM was 1,9%. The leading variables associated with DM were age, a positive family history of diabetes and obesity. A higher incidence of DM was found in females, in urban media, and in high social classes.
Diabetes had been previously underrated in the León province. The observed prevalence values are close to those from other methodologically similar studies. In addition, an association was found between DM and some non-modifiable risk factors (age, sex or family history); by contrast, there is a very important risk factor (obesity) which may be modified by intervention.
糖尿病(DM)因其高发病率和高死亡率,是一个非常重要的健康问题。本研究的目的是调查莱昂省成年人口中的糖尿病患病率及其与最常见风险因素和标志物的可能关联。
采用多阶段分层抽样设计了一项横断面描述性研究(572人)。开展了一项关于多个社会人口统计学变量的问卷调查、一项饮食调查、身高和体重测量、毛细血管基础血糖检测以及口服75克葡萄糖的口服葡萄糖耐量试验。
观察到的糖尿病患病率为5.6%,葡萄糖不耐受患病率为10.3%。已知/未知糖尿病患者比例为2.2/1。接受治疗的糖尿病患病率为1.9%。与糖尿病相关的主要变量是年龄、糖尿病家族史阳性和肥胖。在女性、城市中等人群以及高社会阶层中发现糖尿病发病率较高。
糖尿病在莱昂省此前一直被低估。观察到的患病率值与其他方法学上类似的研究相近。此外,发现糖尿病与一些不可改变的风险因素(年龄、性别或家族史)之间存在关联;相比之下,有一个非常重要的风险因素(肥胖)可以通过干预加以改变。