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墨西哥成年人中既往诊断糖尿病的患病率和血糖控制策略:ENSANUT-2016。

Prevalence of previously diagnosed diabetes and glycemic control strategies in Mexican adults: ENSANUT-2016.

机构信息

Centro de Investigación en Nutrición y Salud, Instituto Nacional de Salud Pública, México City, Mexico.

Centro de Investigación en Sistemas, Instituto Nacional de Salud Pública, México Cty, Mexico.

出版信息

PLoS One. 2020 Apr 16;15(4):e0230752. doi: 10.1371/journal.pone.0230752. eCollection 2020.

Abstract

OBJECTIVES

To describe the prevalence of previously diagnosed diabetes among Mexican adults, to characterize the associated risk factors, and to describe which glycemic control strategies are the most used.

METHODS

We analyzed data from 8,631 adults aged ≥20 years who participated in the ENSANUT-2016 and from whom we gathered data about previously diagnosed diabetes, risk factors, glycemic control strategies, and measures to prevent complications.

RESULTS

The prevalence of previously diagnosed diabetes in Mexican adults was 9.4% (10.3% in women and 8.4% in men). The adjusted OR for having diabetes was higher in adults aged ≥60 years (OR = 11.0 in women and OR = 30.7 in men) than in adults aged 20-39 years (OR = 1.0). The adjusted OR for having diabetes was higher in overweight men (OR = 1.7) than in men with normal BMI (OR = 1.0). A total of 30.5% of adults with diabetes did not report any control strategies, 44.9% measured their venous blood glucose, and 15.2% used the HbA1C as an indicator of glycemic control. Only 46.4% of them reported preventive measures.

DISCUSSION

Diabetes is a common disease among Mexican adults. Being older or overweight are risk factors for an adult to be diagnosed with diabetes. Most adults with diabetes evaluate their glycemic control but only half practice preventive measures.

摘要

目的

描述墨西哥成年人中已确诊糖尿病的患病率,分析相关危险因素,并描述最常使用的血糖控制策略。

方法

我们分析了 8631 名年龄≥20 岁的 ENSANUT-2016 参与者的数据,收集了他们关于已确诊糖尿病、危险因素、血糖控制策略以及预防并发症措施的数据。

结果

墨西哥成年人中已确诊糖尿病的患病率为 9.4%(女性为 10.3%,男性为 8.4%)。与 20-39 岁成年人相比,≥60 岁成年人(女性调整后的 OR 为 11.0,男性为 30.7)患糖尿病的调整后比值更高。与 BMI 正常的男性相比,超重男性(OR = 1.7)患糖尿病的调整后比值更高。有 30.5%的糖尿病患者未报告任何控制策略,44.9%的患者测量静脉血糖,15.2%的患者使用 HbA1C 作为血糖控制的指标。只有 46.4%的患者报告了预防措施。

讨论

糖尿病是墨西哥成年人中的一种常见疾病。年龄较大或超重是成年人被诊断为糖尿病的危险因素。大多数糖尿病患者会评估血糖控制情况,但只有一半的患者会采取预防措施。

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