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© 2003 by the American Diabetes Association, Inc.
Epidemiology/Health Services/Psychosocial Research |
Characteristics of Patients With Type 2 Diabetes in México
Results from a large population-based nationwide survey
1 Department of Endocrinology and Metabolism, Instituto Nacional de Ciencias Médicas y Nutrición, "Salvador Zubirán", Mexico City, Mexico
2 Mexican Health Ministry, Mexico City, Mexico
3 Department of Internal Medicine, Hospital General de México, Mexico City, Mexico
Address correspondence and reprint requests to Carlos Alberto Aguilar-Salinas, MD, Vasco de Quiroga 15, Mexico City 14000, Mexico. E-mail: caguilarsalinas{at}yahoo.com.
OBJECTIVE—To describe the clinical characteristics of the diabetic population that formed part of a population-based survey conducted in México.
RESEARCH DESIGN AND METHODS—In 2000, information was obtained from 42,886 subjects aged ≥20 years using a multistage sampling procedure. Standardized questionnaires were used. Anthropometric measurements, blood pressure, and capillary glucose concentrations were taken.
RESULTS—Type 2 diabetes was found in 3,597 subjects (age-adjusted prevalence 8.18%), of which 2,878 (80%) had previously been diagnosed. The average age of the diabetic participants was 55.2 ± 13.5 years; 13% were <40 years of age. Nine percent had been diagnosed for >10 years. The average BMI was 29.2 ± 5.7 kg/m2; three-quarters of the cases had BMI >25 kg/m2. The average waist circumference was 102 ± 13.4 cm, and increased waist circumference was more common among women. Arterial hypertension was found in half of the cases and, of those on treatment, only one-third had a blood pressure <140/90 mmHg. Smoking was reported in 34% of the diabetic group, a higher rate than in the nondiabetic subjects. There was at least one modifiable coronary risk factor in 67.6% of the cases. Very few followed an exercise or dietary regimen and a small percentage used insulin.
CONCLUSIONS—Diabetes affects a large proportion of Mexican adults (8.18%). This figure may be underestimated. The majority of the subjects had modifiable risk factors for the chronic complications of diabetes. Only a few achieved adequate blood pressure control and other treatment goals.
Abbreviations: NHANES, National Health and Nutrition Examination Survey
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