Prevalência de retinopatia diabética na população portadora de diabetes mellitus tipo 2 do município de Luzerna - SC

Jost, Bárbara Sawitzki; Hilgemberg, Érica; Rodrigues, Eduardo Büchele; Daniotti, Alexandre Ferreira; Bonamigo, Elcio Luiz

doi:10.1590/s0004-27492010000300010

Cited by 16 publications

(9 citation statements)

References 11 publications

(19 reference statements)

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“…This correlation with duration of diabetes was first demonstrated in the Wisconsin epidemiologic study of diabetic retinopathy (WESDR) [49], with a higher prevalence in 25, 60 and 80 % for 5, 10 and 15 years of evolution of DM, respectively. In addition to aforementioned, several other studies, show statistical significance for this factor, both in type 1 DM and in type 2 DM [27, 29, 30, 36, 37], perhaps the most important independent risk factor for DR [31, 50, 51]. …”

Section: Discussionmentioning

confidence: 83%

“…In qualitative analysis, the variables age and gender were not associated with a greater chance of DR. Similarly, in several studies, no association was found between DR and gender, age or age group [27–31]. However, some reports have found an independent association in males [18, 32, 33], while a historical cohort of Kajiwara et al [34], presented greater chance of DR among females.…”

Section: Discussionmentioning

confidence: 87%

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Risk factors for diabetic retinopathy: a case–control study

et al. 2016

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BackgroundDiabetic retinopathy (DR) is the major cause of blindness among working age adults. The aim of the study was to investigate risk factors for development of DR.MethodsA case–control study was performed based on data from 240 individuals (80 cases and 160 controls) attending the Outpatient Specialty Clinic of the University of South Santa Catarina (UNISUL), between Mar/2010 and May/2014. Data collection occurred through review of medical charts for presence or absence of DR, determined by an ophthalmologist. Study protocol included demographic characteristics, metabolic control, diabetes mellitus (DM) profile and comorbidities. Statistical analysis used Chi square test for qualitative variables and multivariate logistic regression analysis to select independent variables (SPSS®18.0 software). Odds ratio (OR) was used as measure of association. The study was approved by research ethics committee of UNISUL.ResultsMean age of group case was 59.5 years with a slight female predominance. Gender, age, body mass index were not associated with outcome. Individuals with poor glycemic control were more likely to DR (OR 3.83; 95 % CI 1.57–9.37). It was observed a positive relationship between duration of DM and DR, with higher chances in 11–15 years of disease (OR 7.52, 95 % CI 3.03–18.68) and >15 years (OR 9.01, 95 % CI 3.58–22.66). Regarding comorbidities, only diabetic nephropathy showed higher chance for DR (OR 3.32; 95 % CI 1.62–6.79).ConclusionsDiabetic patients after 10 years of disease with poor glycemic control and nephropathy have a higher chance of DR.

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 87%

Risk factors for diabetic retinopathy: a case–control study

et al. 2016

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“…Comorbidades do Diabetes Mellitus Em estudos realizados no Brasil encontrou-se relação entre o DM e outras doenças decorrentes, agravantes ou agravadas por este: excesso de peso/obesidade 20,21 , glaucoma 22 , retinopatia diabética 23,24 , hipertensão arterial 13 e sintomas depressivos 25 . O sobrepeso ou a obesidade está presente em dois estudos sobre DM, tanto em relação aos fatores de riscos modificáveis, quanto ao tratamento através de uma abordagem educacional e alteração no estilo de vida.…”

Section: Incidência E Prevalência Do Diabetes Mellitus No Brasilunclassified

“…A RD é a causa mais frequente de cegueira adquirida que compromete pessoas em idade produtiva, constituindo importante fator de morbidade com elevado impacto social econômico 23 . Uma pesquisa 24 , com 120 sujeitos com DM tipo 2, identificou prevalência de RD em 38,4% da população pesquisada. Quanto ao sexo a RD foi encontrada em 43% dos homens e 33,8% das mulheres.…”

Section: Um Estudounclassified

“…Quanto ao tipo de RD, 34,2% apresentaram RD não Proliferativa (classificada em leve, moderada e intensa dependendo da presença de microaneurismas, hemorragias intrarretinianas, veias em rosário e/ou anormalidades microvasculares intrarretinianas) e apenas 4,2% indicaram RD Proliferativa (crescimento de vasos anormais em resposta a isquemia de vasos da retina). Convém ressaltar que os atendimentos relacionados com DM pelo SUS cresceram consideravelmente nos últimos anos, de aproximadamente 190 mil no ano de 1998 atingindo 5,86 milhões de atendimentos em 2004 24 . A já referida pesquisa -PNAD -realizada em 1998/2003/2008 ocupou-se, entre outros fatos, da evolução do DM associado à hipertensão arterial no Brasil, e encontrou que o coeficiente de prevalência padronizado de diabetes associado à hipertensão, elevou-se de 1,7% em 1998 para 2,8% em 2008 13 .…”

Section: Um Estudounclassified

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Epidemiologia E Cuidado À Diabetes Mellitus Praticado Na Atenção Primária À Saúde: Uma Revisão Narrativa

et al. 2015

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It is characterized as being a narrative review from researching terms such as "Primary Health Care", "Basic Health Care", "Epidemiology" and "Epidemiologic Studies" referred to "Diabetes Mellitus", in the scientific data bases SCIELO, LILACS and PUBMED. Results: This research revealed a variation between 2% and 13% of Diabetes in Brazilian population, in these last three decades. It showed larger prevalence in women, in people with overweight/obesity, in sedentary individuals, in people with low schooling level and also this sickness diagnosis is more common in aged population. It revealed the importance of the educative practices in Primary Health Care, which objective is to reinforce selfcare. Final considerations: Incidence and prevalence of Diabetes are increasing in Brazil. In Primary Health Care such pathology must be accompanied by a capable team for developing clinical care and educative practices.

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