护士中2型糖尿病风险的检测及其与代谢改变的关系。
Detection of risk for type 2 diabetes and its relationship with metabolic alterations in nurses.
作者信息
Sánchez-Jiménez Bernarda, Chico-Barba Gabriela, Rodríguez-Ventura Ana Lilia, Sámano Reyna, Veruete-Bedolla Daniela, Morales-Hernández Rosa María
机构信息
Instituto Nacional de Perinatología, Subdirección de Investigación en Intervenciones Comunitarias, Ciudad de México, México.
Instituto Nacional de Perinatología, Departamento de Nutrición y Bioprogramación, Ciudad de México, México.
出版信息
Rev Lat Am Enfermagem. 2019 Jul 18;27:e3161. doi: 10.1590/1518-8345.3002.3161.
OBJECTIVE
to detect the risk of development of type 2 diabetes in nurses and its relationship with metabolic alterations.
METHOD
cross-sectional study, with 155 nurses. The variables investigated were: sociodemographic, body mass index, waist circumference, waist-hip index, lipid profile, basal glycemia and oral glucose tolerance curve. The Finnish Diabetes Risk Score was used to collect data.
RESULTS
155 nurses were included, with an average age of 44 years and 85% were overweight or obese. 52% had a family history of diabetes and 21% had occasional hyperglycemia. With respect to the risk, 59% were identified with moderate and very high risk for type 2 diabetes. Glucose, insulin, glycosylated hemoglobin A1c and insulin resistance increased in parallel to the increased risk for type 2 diabetes, although lipids did not increase. 27% of the sample had impaired fasting glycemia. 15% had glucose intolerance and 5% had type 2 diabetes.
CONCLUSION
there was a high detection rate of people at risk for type 2 diabetes (59%) and the high and very high risk score was associated with high levels of glycosylated hemoglobin A1c, glucose, insulin and insulin resistance, but not with lipids.
目的
检测护士患2型糖尿病的风险及其与代谢改变的关系。
方法
对155名护士进行横断面研究。所调查的变量包括：社会人口统计学、体重指数、腰围、腰臀比、血脂谱、基础血糖和口服葡萄糖耐量曲线。采用芬兰糖尿病风险评分收集数据。
结果
纳入155名护士，平均年龄44岁，85%超重或肥胖。52%有糖尿病家族史，21%有偶尔的高血糖。关于风险，59%被确定为2型糖尿病中度和高度风险。血糖、胰岛素、糖化血红蛋白A1c和胰岛素抵抗与2型糖尿病风险增加平行升高，尽管血脂没有升高。27%的样本空腹血糖受损。15%有葡萄糖耐量异常，5%患有2型糖尿病。
结论
2型糖尿病高危人群的检出率较高（59%），高风险和非常高风险评分与高糖化血红蛋白A1c、血糖、胰岛素和胰岛素抵抗水平相关，但与血脂无关。
Zotero 插件