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2型糖尿病微血管并发症及其相关因素:一项自我报告发病率的电话调查

Microvascular complications in type 2 diabetes and associated factors: a telephone survey of self-reported morbidity.

作者信息

Santos Aliny de Lima, Cecílio Hellen Pollyanna Mantelo, Teston Elen Ferraz, de Arruda Guilherme Oliveira, Peternella Fabiana Magalhães Navarro, Marcon Sonia Silva

机构信息

Centro de Ciências da Saúde, Universidade Estadual de Maringá, Maringá, Paraná, Brasil,

出版信息

Cien Saude Colet. 2015 Mar;20(3):761-70. doi: 10.1590/1413-81232015203.12182014.

Abstract

The scope of this article is to estimate the prevalence of microvascular complications of self-reported type 2 diabetes and the association with sociodemographic characteristics, nutritional status, treatment given and time since diagnosis. It involved a cross-sectional study with 318 people with type 2 diabetes living in Maringá in the State of Paraná. A telephone survey of self-reported morbidity was conducted in the months from January to June 2012. For the analysis descriptive statistics, univariate and multiple logistic regression were used. The prevalence of self-reported complications of diabetes was 53.8%, the most frequent being retinopathy (42.8%), followed by peripheral neuropathy (14.5%) and nephropathy (12.9%). The variables associated with the presence of complications were age (p = 0.008), overweight/obesity (p = 0.002), insulin (p < 0.001), insulin use linked to oral antidiabetic drug (p = 0.003) and time since diagnosis (p = 0.013). The prevalence of self-reported microvascular complications for people with diabetes was high, being more frequent among those of more advanced age, with inadequate nutritional status, a delay in diagnosis of the disease and those who were using insulin alone or in combination with oral antidiabetic agents.

摘要

本文的目的是估计自我报告的2型糖尿病微血管并发症的患病率,以及与社会人口学特征、营养状况、所接受的治疗和诊断后的时间之间的关联。该研究为一项横断面研究,涉及居住在巴拉那州马林加市的318名2型糖尿病患者。2012年1月至6月期间进行了一项关于自我报告发病率的电话调查。分析采用描述性统计、单因素和多因素逻辑回归。自我报告的糖尿病并发症患病率为53.8%,最常见的是视网膜病变(42.8%),其次是周围神经病变(14.5%)和肾病(12.9%)。与并发症存在相关的变量包括年龄(p = 0.008)、超重/肥胖(p = 0.002)、胰岛素治疗(p < 0.001)、胰岛素与口服降糖药联合使用(p = 0.003)以及诊断后的时间(p = 0.013)。糖尿病患者自我报告的微血管并发症患病率较高,在年龄较大、营养状况不佳、疾病诊断延迟以及单独使用胰岛素或胰岛素与口服降糖药联合使用的患者中更为常见。

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