Prevalence of peripheral arterial disease and associated factors in people with type 2 diabetes

Abstract

Introduction: The high rate of diabetes mellitus index (DM), along with the increase in cardiovascular compromise that DM favors, and the scarcity of epidemiological data regarding the prevalence of peripheral arterial disease (PAD) in this population, make it important to study risk factors associated with the development of PAD in the population with type 2 diabetes mellitus (DM2). Objective: To estimate the prevalence of PAD together with the associated factors in a sample of patients with DM2, treated in the Family Health Strategies (FHS) program, in the municipality of Pindamonhangaba, SP. Methods: Quantitative research in a cross-sectional study of 38 individuals who were diagnosed with DM2, between 40 and 77 years old, selected by convenience sampling and treated in the family health program in two different districts of the municipality. The method consisted of the evaluation of personal and anthropometric data, anamnesis and physical examination including the ankle-brachial index (ABI). Results: PAD was present in 21.1% (95%CI: 16.9 to 25.8) of the investigated population. Risk factors observed were age range of 51 to 69 years (75%), overweight (50%), systemic arterial hypertension (SAH) (100%), smoking (62.5%) and physical inactivity (87.5%). Conclusion: The prevalence of PAD was more than a fifth of those diagnosed with DM2, and the most prevalent associated risk factors were SAH, physical inactivity, smoking and overweight with and without PAD.

Mortality Risk Assessment in Peripheral Arterial Disease—The Burden of Cardiovascular Risk Factors over the Years: A Single Center’s Experience

“…Patients in the second group were also associated with elevated mean serum blood glucose values (114.18 ± 38.35 mg/dL vs. 130.65 ± 65.35 mg/dL, p = 0.013), which is a predictor with a negative impact on the risk of developing potential vascular complications. Prospective studies to date have shown that half of patients with diabetes will develop PAD within 30 years of diagnosis, with reduced glomerular filtration rate, female gender, and the need for concomitant insulin therapy and oral antidiabetic drugs being among the main associated risk factors [ 30 , 31 ].…”