Programa de Pós-Graduação em Ciências da Saúde, Universidade do Sul de Santa Catarina. Av. José Acácio Moreira 787, Dehon. 88704-900 Tubarão SC Brasil.
Escola de Enfermagem, Universidade Federal de Minas Gerais. Belo Horizonte MG Brasil.
Cien Saude Colet. 2021 Feb;26(2):531-540. doi: 10.1590/1413-81232021262.34852020. Epub 2020 Sep 16.
This study aimed to evaluate the prevalence of prediabetes and intermediate hyperglycemia in Brazilian adults, according to different diagnostic criteria, and establish associated factors to its occurrence. We analyzed the National Health Survey laboratory data collected from 2014 to 2015. The prevalence of the conditions was calculated according to the American Diabetes Association (ADA) diagnostic criteria based on glycated hemoglobin (HbA1c) 5.7%-6.4%, and the World Health Organization (WHO) 6-6.4%, among those without criteria for diabetes. Crude and adjusted prevalence rates (PR) and 95% CI were calculated using Poisson regression with robust variance. The prevalence of prediabetes by ADA and WHO criteria was 18.5 and 7.5%, respectively. We observed a gradient of increased prevalence by the age of the population and risk factors, like arterial hypertension, obesity, elevated waist circumference, and low HDL cholesterol levels. Less educated people and the self-declared black had a higher prevalence. This study pointed out a range from 7.5 to 18.5% of Brazilian adults with prediabetes and intermediate hyperglycemia and identified a risk score to this condition's occurrence.
本研究旨在评估根据不同诊断标准，巴西成年人中糖尿病前期和中间高血糖的流行情况，并确定其发生的相关因素。我们分析了 2014 年至 2015 年期间国家健康调查的实验室数据。根据美国糖尿病协会（ADA）基于糖化血红蛋白（HbA1c）5.7%-6.4%的诊断标准和世界卫生组织（WHO）6-6.4%的标准，在没有糖尿病诊断标准的人群中计算了这些情况的患病率。使用泊松回归和稳健方差计算了未调整和调整后的患病率（PR）及其 95%置信区间。ADA 和 WHO 标准下的糖尿病前期患病率分别为 18.5%和 7.5%。我们观察到，随着人群年龄和动脉高血压、肥胖、腰围升高和低 HDL 胆固醇水平等危险因素的增加，患病率呈梯度上升。受教育程度较低的人群和自认为是黑人的人群患病率更高。本研究指出，巴西成年人中有 7.5%至 18.5%的人患有糖尿病前期和中间高血糖，并确定了一个风险评分来预测这种情况的发生。
