Oliveira Geraldo Ferreira de, Oliveira Teresinha Regina Ribeiro de, Rodrigues Fernanda França, Corrêa Lincoln Ferreira, Ikejiri Adauto Tsutomu, Casulari Luiz Augusto
Faculdade de Ciências da Saúde, Universidade Federal da Grande Dourados, Dourados, MS, Brazil.
Rev Panam Salud Publica. 2011 May;29(5):315-21. doi: 10.1590/s1020-49892011000500003.
To determine the prevalence of diabetes mellitus (DM) and impaired glucose tolerance in indigenous people from Aldeia Jaguapiru, in Dourados, state of Mato Grosso do Sul.
Between August 2007 and July 2008, individuals aged 18-69 years were evaluated. To obtain the simple random sample for the study, 349 houses were picked from among the total 1 255 houses in the village. Pregnant women, nonindigenous individuals, and their descendents, and those using glucocorticoids were excluded from the sample. Six hundred and six people were studied (268 men and 338 women). Capillary glucose was measured with a glucose meter, and the oral glucose tolerance test was performed as necessary.
A 4.5% prevalence was observed for DM and 2.2% for impaired glucose tolerance, with higher frequency among women. Among diabetics, 44.4% had not been previously diagnosed. Obesity was present in 14.2% of men and 30.8% of women. The prevalence of hypertension was 29.7% for the overall group and 67.5% in diabetics and individuals with impaired glucose tolerance. There was no statistical relationship between smoking and the presence of DM and impaired glucose tolerance.
The prevalence of DM and impaired glucose tolerance was lower in this sample compared to the Brazilian population. However, the prevalence of obesity was higher, and that of hypertension was similar. Nutritional guidance and encouragement of physical activity are recommended in Jaguapiru as preventive measures for DM.
确定南马托格罗索州多拉杜斯市雅瓜皮鲁村原住民中糖尿病（DM）和糖耐量受损的患病率。
在2007年8月至2008年7月期间，对18 - 69岁的个体进行评估。为获得该研究的简单随机样本，从该村总共1255所房屋中挑选出349所。样本排除了孕妇、非原住民个体及其后代以及正在使用糖皮质激素的人。共研究了606人（268名男性和338名女性）。使用血糖仪测量毛细血管血糖，并根据需要进行口服葡萄糖耐量试验。
观察到DM的患病率为4.5%，糖耐量受损的患病率为2.2%（女性患病率更高）。在糖尿病患者中，44.4%之前未被诊断出。男性肥胖率为14.2%，女性为30.8%。总体人群高血压患病率为29.7%，糖尿病患者和糖耐量受损个体中为67.5%。吸烟与DM及糖耐量受损之间无统计学关联。
与巴西人群相比，该样本中DM和糖耐量受损的患病率较低。然而，肥胖患病率较高，高血压患病率相似。建议在雅瓜皮鲁村进行营养指导并鼓励体育活动，作为预防DM的措施。
