Prevalência e fatores associados ao diabetes em idosos no município de Viçosa, Minas Gerais

Abstract

ABSTRACT:Objectives: To assess the prevalence and factors associated with diabetes in the elderly population and verify the correlation between the use of medications for diabetes and information about the disease. Methods: This epidemiological cross-sectional study was conducted in Viçosa, Minas Gerais, Brazil, with 621 elderly people aged 60 years or older selected by simple random sampling. A semi-structured questionnaire was used as a research tool and included questions about socioeconomic conditions, lifestyle, health conditions, and nutritional status. The weight, height, and waist circumference were measured. The dependent variable was the self-reported diabetes. In the association analysis between explanatory variables and self-reported diabetes, the Poisson regression analysis with robust variance was used. In the bivariate analysis, a p value < 0.25 was used to include the variables for the multivariate modeling, and in the final model, the variables with p value < 0.10 association were included. Results: The prevalence of diabetes was 22.4%. The multivariate hierarchical analysis showed the following factors independently and positively associated with diabetes: gender, self-reported health, history of hypertension/dyslipidemia, polypharmacy, and waist circumference. The elderly schooling was negatively associated with diabetes. Conclusion: The results showed the need for implementation of educational public policies to promote behavior changes of the population to prevent and control diabetes and its complications.

Factors associated with diabetes among the elderly receiving care at a specialized gerontology-geriatric outpatient clinic

“…In contrast to this result, other cross-sectional epidemiological studies performed with the elderly population have found a statistically significant association between the presence of self-reported diabetes and body mass index 16,17 . It should be noted that in the present study the anthropometric parameters used for the calculation of BMI were measured at the time of the interview and selfreported data were not used, as these may be compromised by forgetfulness bias.…”

Self-care activities, sociodemographic variables, treatment and depressive symptoms among older adults with Diabetes Mellitus

“…Regarding smoking and mean number of cigarettes consumed, similar results were found in studies: performed with adults and older adults with DM2, living in the city of Viçosa-MG (32) and the other with adults of both genders, with DM2 attended in two Basic Health Units in a city in the State of Sao Paulo (29) . Cigarette smoking impairs glycemic and metabolic control, in addition to contributing to an increase in the mortality rate due to cardiovascular diseases caused by diabetes (2) .…”

Perfil clínico e antropométrico de pacientes idosos com diabetes mellitus tipo 2 atendidos em ambulatório

“…Por outro lado, não foi evidenciada associação entre dislipidemia e excesso de peso. Estudos demonstram que a quantidade de tecido adiposo e, principalmente, sua distribuição centralizada, associam-se com elevada morbimortalidade cardiovascular [20,21]. A presença de gordura abdominal, principalmente de gordura visceral, gera modificações fisiológicas que promovem alterações do perfil lipídico, podendo surgir o quadro de dislipidemia, o qual potencializa os eventos clínicos das doenças cardiovasculares [22].…”