Prevalencia de diabetes por diagnóstico médico previo en México

Rojas‐Martínez, Rosalba; Basto-Abreu, Ana; Aguilar-Salinas, Carlos A.; Zárate-Rojas, Emiliano; Villalpando, Salvador; Barrientos‐Gutiérrez, Tonatiuh

doi:10.21149/8566

Cited by 146 publications

(123 citation statements)

References 11 publications

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“…In this sense, though the individuals that compose our sample are just from an urban area of Cuernavaca, Mexico, who had a higher level of schooling than the national average, there is no biological rationale to expect that the association found varies by education level or region. It is worth noting that the prevalence of 6.9% of type 2 diabetes found at baseline in our study (2004)(2005)(2006) is very similar to the nationwide prevalence of 7.0% reported in the Mexican National Health and Nutrition Survey in 2006 (38).…”

Section: Discussionsupporting

confidence: 85%

Regular Consumption of Soft Drinks is Associated with Type 2 Diabetes Incidence in Mexican Adults: Findings from a Prospective Cohort Study.

Torres‐Ibarra

Rivera‐Paredez

Hernández‐López

et al. 2020

Preprint

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Background: Although high consumption of soft drinks has been associated with excess of type 2 diabetes risk, the strength of this association in the Mexican population, where a type 2 diabetes genetic susceptibility has well established, has been scarcely studied. This study aimed to estimate the risk of type 2 diabetes due to soft drinks consumption in a cohort of Mexicans. Methods: We used data on 1,445 participants from the Health Workers Cohort Study, a prospective cohort conducted in Cuernavaca, Mexico. Soft drinks consumption was assessed with a semi-quantitative 116-item food frequency questionnaire. Incident type 2 diabetes was defined as self-report of physician-diagnosed type 2 diabetes, or fasting glucose >126 mg/dl, or use of hypoglycemic medication at any examination. Hazard ratios (HRs) along with 95% confidence intervals (CIs) were estimated using Cox proportional hazard models.Results: With a total of 9,526.2 person-years of follow-up, 109 incident cases of type 2 diabetes were observed. Type 2 diabetes incidence rate was 7.6, 11.0, and 17.1 per 1,000 person-years across levels of soft drinks consumption of <1, 1-4, and ³5 servings/week, respectively (p<0.001 for trend). The intake of ≥5 soft drinks/week was significantly associated with an increased risk of type 2 diabetes (HR 2.0, 95%CI: 1.1–3.8) compared with consumption of <1/week. This association was not modified by family history of diabetes. The HR was attenuated by further adjustment for body mass index (HR 1.6, 95%CI: 0.8-2.9) and abdominal obesity (HR 1.7, 95%CI: 0.9-3.2). Conclusions: The consumption of soft drinks was associated with a higher risk of type 2 diabetes in a cohort of Mexican adults. Our results further support recommendations to limit intake of soft drinks to address the growing diabetes epidemic in Mexico.

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Section: Discussionsupporting

confidence: 85%

Regular Consumption of Soft Drinks is Associated with Type 2 Diabetes Incidence in Mexican Adults: Findings from a Prospective Cohort Study.

Torres‐Ibarra

Rivera‐Paredez

Hernández‐López

et al. 2020

Preprint

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“…Hospitalization risk was higher in the Northern region of the country, compared to the Southern region, where there has historically been a higher prevalence of diabetes [28] and where the IMSS has a larger hospital infrastructure [22]; disease rate was also higher as age, BMI and uncontrolled blood pressure increased [29]; these factors consistently related to a higher hospitalization risk, which also increased in relation to the time patients spent with the disease and decreased if the patients received outpatient care for a longer period of time.…”

Section: Discussionmentioning

confidence: 99%

Evaluation in the first level of care of patients with type 2 diabetes and their risk of hospitalization in Mexico

Fernández-Gárate

Manuel‐Apolinar

Zurita‐Cruz

et al. 2020

Preprint

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Background: A significant body of international evidence suggests that effective primary care systems are associated with better health, lower total health costs, and more equitable access to health care services, which has led the World Health Organization (WHO) to call for strengthening primary care systems globally. Patients with diabetes often seek treatment and have follow-up as outpatients, be it at private or government health facilities. Thus, the objective of this study was to assess the effect of glucose control during outpatient care on first hospitalization risk in type 2 diabetes mellitus (T2DM) patients.Methods: The data used in this retrospective cohort study were obtained from the Non-Communicable Diseases Analysis System (SANENT)® of the Instituto Mexicano del Seguro Social (IMSS). Thus, this work was performed on 3,716,031 DM2 patients, with data regarding a first hospitalization risk estimated using a Cox regression model.Results: The first hospitalization crude risk for diabetes mellitus decreased by 32% in T2DM patients under control through outpatient care (HR: 0.68, 95% CI [0.68,0.69]). Adjusted risk decreased by 23% (HR: 0.77, 95% CI [0.76, 0.77]).Conclusion: The obtained results are consistent with what has been stated in the literature. Outpatient care of diabetic patients at the IMSS should be further strengthened by means of preventive and educational strategies and supported by technology.

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“…La Diabetes Mellitus Tipo 2 (DM2) es un problema de salud pública mundial (1) ; en México es la segunda causa de muerte, con un incremento del 4% en la prevalencia durante los últimos cuatro años lo que ha llevado al país a ocupar el quinto lugar a nivel mundial con más adultos diagnosticados de DM2 (2)(3)(4) . Pese a la existencia de múltiples normas e intervenciones de prevención y detección temprana del riesgo de DM2 a nivel nacional (5,6) la implementación de éstas y el cumplimiento de los indicadores de prevención están aún lejos de alcanzarse; algunos autores afirman que la DM2 ha tenido un patrón de crecimiento positivo de 2.7% cada año (7) .…”

Section: Introductionunclassified

“…La literatura reporta diversas intervenciones exitosas las cuales han manipulado los factores individuales, como cambios en el patrón de alimentación y el fomento de la actividad física. Sin embargo, aunque se han reportado resultados significativos, éstos no han impactado en la disminución de la incidencia y prevalencia a nivel nacional (7) .…”

Section: Introductionunclassified

Caracterización de adultos sin riesgo, con riesgo y con diabetes en el noreste de México

Ramírez-Girón

Gallegos-Cabriales

2019

SANUS

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Objetivo: Caracterizar un grupo de adultos sin riesgo, con riesgo de diabetes tipo 2 y con diabetes tipo 2 en el noreste de México. Método: Diseño descriptivo, correlacional y transversal; se incluyeron 250 personas aparentemente sanas, de ambos sexos, entre 18 a 65 años de edad, reclutadas en un centro comercial de Monterrey, México. Se aplicaron instrumentos de lápiz y papel, mediciones antropométricas y muestra de 3 ml de sangre para procesamiento de hemoglobina glucosilada. Resultados: predominó el sexo femenino (72.8%), la media de edad fue 43.9 años (DE = 12.7), promedio de escolaridad 11.5 años (DE = 4.3), 80% tienen antecedentes familiares de diabetes; 13.1% de los participantes tuvieron cifras indicativas de diabetes y 26.9% riesgo de desarrollarla. Los resultados de porcentaje de grasa y circunferencia de cintura estuvieron por encima de los puntos de corte recomendados. Se percibió un alto riesgo de diabetes, alto apoyo social, ingreso mensual suficiente y características comunitarias favorecedoras para la salud; por el contrario la ansiedad, el estilo de vida saludable, los síntomas depresivos y el estrés laboral tuvieron bajos porcentajes. El 86.8% asisten al servicio médico solo cuanto están enfermos y a más del 50% se le recomienda sobre hacer ejercicio y mantener una alimentación saludable; a más de la mitad se les informó tener riesgo para diabetes. Conclusión: Es importante la utilización de la perspectiva ecológica que apertura la comprensión de los procesos y factores de diferentes niveles de organización social involucrados en el riesgo de desarrollar DMT2.

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Prevalencia de diabetes por diagnóstico médico previo en México

Cited by 146 publications

References 11 publications

Regular Consumption of Soft Drinks is Associated with Type 2 Diabetes Incidence in Mexican Adults: Findings from a Prospective Cohort Study.

Regular Consumption of Soft Drinks is Associated with Type 2 Diabetes Incidence in Mexican Adults: Findings from a Prospective Cohort Study.

Evaluation in the first level of care of patients with type 2 diabetes and their risk of hospitalization in Mexico

Caracterización de adultos sin riesgo, con riesgo y con diabetes en el noreste de México

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