Diseño y validación de un score para detectar adultos con prediabetes y diabetes no diagnosticada

Rojas‐Martínez, Rosalba; Escamilla-Núñez, Consuelo; Gómez‐Velasco, Donají; Zárate-Rojas, Emiliano; Aguilar-Salinas, Carlos A.

doi:10.21149/9057

Cited by 9 publications

(3 citation statements)

References 32 publications

(43 reference statements)

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“…In this study, a 15% frequency of glucose intolerance (prediabetes) was observed, which is lower than that reported in other countries, including Mexico, where it varies from 19.9 to 43.2% ( 17 – 18 , 20 – 21 ) in similar samples and in the general population, but higher than the frequency of 6.7% found in Ecuador ( 22 ) . The frequency found in this study is higher than that reported in 2018, which mentions that about 7.5% of adults in Mexico have prediabetes ( 23 ) . Based on these findings, solutions could be sought to minimize the alterations observed in these health workers who are at great risk of developing diabetes in the next 10 years, in order to delay the progression of the disease and avoid cardiovascular complications ( 14 ) .…”

Section: Discussioncontrasting

confidence: 81%

Risco de desenvolvimento do diabetes tipo 2 em enfermeiras e sua relação com alterações metabólicas

Sánchez-Jiménez

Chico-Barba

Rodríguez-Ventura

et al. 2019

Rev. Latino-Am. Enfermagem

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Objetivo: identificar o risco de desenvolvimento de diabetes tipo 2 em enfermeiras e sua relação com as alterações metabólicas. Método: estudo transversal, com 155 enfermeiras. As variáveis investigadas foram: sociodemográficas, índice de massa corporal, a circunferência da cintura, índice cintura-quadril, perfil lipídico, a glicemia basal e a curva oral de tolerância à glicose. Para a coleta de dados utilizou-se o Finnish Diabetes Risk Score. Resultados: Das 155 (100%) enfermeiras, a média de idade foi de 44 anos e 85% apresentavam sobrepeso ou obesidade; 52% tinham história familiar de diabetes e 21%, hiperglicemia ocasional. Em relação ao risco, 59% foram identificados com risco moderado e muito alto de diabetes tipo 2. A glicose, a insulina, a hemoglobina glicosilada A1c e a resistência à insulina aumentaram paralelamente ao aumento do risco de diabetes tipo 2, embora os lipídios não tenham aumentado. 27% das participantes apresentaram glicemia em jejum alterada, 15%, intolerância à glicose e 5%, diabetes tipo 2. Conclusão: houve uma elevada taxa de detecção de risco de diabetes tipo 2 (59%) e a pontuação de risco alto e muito alto foi associado com níveis elevados de hemoglobina glicosilada A1c, glicose, insulina e resistência à insulina, mas não com lipídios.

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Section: Discussioncontrasting

confidence: 81%

Risco de desenvolvimento do diabetes tipo 2 em enfermeiras e sua relação com alterações metabólicas

Sánchez-Jiménez

Chico-Barba

Rodríguez-Ventura

et al. 2019

Rev. Latino-Am. Enfermagem

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“…La prevalencia de descontrol de la diabetes fue estratificada por sexo y edad (<50 y >=50 años), para fines comparativos con otros estudios y considerando las limitaciones del tamaño de muestra (personas con diabetes diagnosticada, n=441). 19 Para estimar la asociación entre diabetes total y descontrol glucémico y los factores asociados, se calcularon razones de prevalencia usando modelos de regresión de Poisson. 20 El primer modelo incluyó variables socioeconómicas y salud pública de méxico / vol.…”

Section: Análisis De Datosunclassified

Prevalencia de diabetes y descontrol glucémico en México: resultados de la Ensanut 2016

et al. 2019

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Objetivo. Estimar la prevalencia de diabetes (total, diagnosticada y no diagnosticada), de descontrol glucémico en México y sus factores asociados. Material y métodos. Se analizaron 3 700 adultos participantes en la Encuesta Nacional de Salud y Nutrición de 2016. Se estimaron las prevalencias con ponderadores poblacionales y los factores asociados con diabetes total y descontrol glucémico con modelos de regresión de Poisson. Resultados. La prevalencia total de diabetes fue de 13.7% (9.5% diagnosticada, 4.1% no diagnosticada); 68.2% de los diagnosticados presentó descontrol glucémico. Mayor tiempo de diagnóstico, vivir en el centro/ sur del país y ser atendido en farmacias se asoció con descontrol glucémico, mientras que ser atendido en los servicios de seguridad social se asoció con mejor control glucémico. Conclusión. Se requieren esfuerzos multisectoriales para fortalecer el tamizaje, diagnóstico oportuno y control de la enfermedad, considerando las diferencias por región y tipo de servicio de salud.

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“…A more objective measure of competence in our program would be assessing changes in the degree to which trainees conducted implementation research from baseline to training completion. Although we only assessed this at training completion, results are encouraging: as of November 2018, 38 in-country projects were completed, 15 were ongoing, and 8 manuscripts and 1 book chapter were published (34–42). These achievements are evidence of the program’s potential to energize trainees’ careers, contribute to their professional development, and nurture competence to address noncommunicable diseases.…”

Section: Implications For Public Healthmentioning

confidence: 99%

The Public Health Leadership and Implementation Academy for Noncommunicable Diseases

et al. 2019

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Purpose and Objectives Low‐ and middle‐income countries (LMICs) have a large burden of noncommunicable diseases and confront leadership capacity challenges and gaps in implementation of proven interventions. To address these issues, we designed the Public Health Leadership and Implementation Academy (PH-LEADER) for noncommunicable diseases. The objective of this program evaluation was to assess the quality and effectiveness of PH-LEADER. Intervention Approach PH-LEADER was directed at midcareer public health professionals, researchers, and government public health workers from LMICs who were involved in prevention and control of noncommunicable diseases. The 1-year program focused on building implementation research and leadership capacity to address noncommunicable diseases and included 3 complementary components: a 2-month online preparation period, a 2-week summer course in the United States, and a 9-month, in-country, mentored project. Evaluation Methods Four trainee groups participated from 2013 through 2016. We collected demographic information on all trainees and monitored project and program outputs. Among the 2015 and 2016 trainees, we assessed program satisfaction and pre–post program changes in leadership practices and the perceived competence of trainees for performing implementation research. Results Ninety professionals (mean age 38.8 years; 57% male) from 12 countries were trained over 4 years. Of these trainees, 50% were from India and 29% from Mexico. Trainees developed 53 projects and 9 publications. Among 2015 and 2016 trainees who completed evaluation surveys (n = 46 of 55), we saw pre–post training improvements in the frequency with which they acted as role models (Cohen’s d = 0.62, P <.001), inspired a shared vision ( d = 0.43, P =.005), challenged current processes ( d = 0.60, P <.001), enabled others to act ( d = 0.51, P =.001), and encouraged others by recognizing or celebrating their contributions and accomplishments ( d = 0.49, P =.002). Through short on-site evaluation forms (scale of 1–10), trainees rated summer course sessions as useful (mean, 7.5; SD = 0.2), with very good content (mean, 8.5; SD = 0.6) and delivered by very good professors (mean, 8.6; SD = 0.6), though they highlighted areas for improvement. Implications for Public Health The PH-LEADER program is a promising strategy to build implementation research and leadership capacity to address noncommunicable diseases in LMICs.

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Diseño y validación de un score para detectar adultos con prediabetes y diabetes no diagnosticada

Cited by 9 publications

References 32 publications

Risco de desenvolvimento do diabetes tipo 2 em enfermeiras e sua relação com alterações metabólicas

Risco de desenvolvimento do diabetes tipo 2 em enfermeiras e sua relação com alterações metabólicas

Prevalencia de diabetes y descontrol glucémico en México: resultados de la Ensanut 2016

The Public Health Leadership and Implementation Academy for Noncommunicable Diseases

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