Comparison of Diabetes Mellitus Risk Factors in Mexico in 2003 and 2014

Sánchez, Guillermo Felipe López; López‐Bueno, Rubén; Villaseñor‐Mora, Carlos; Pardhan, Shahina

doi:10.3389/fnut.2022.894904

Cited by 4 publications

(2 citation statements)

References 37 publications

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“…Mexico is among countries with the highest prevalence of diabetes, with more than 24% of adults over age 50 being diagnosed with T2DM [25]. The Mexican Ministry of Health's primary care services include diabetes support groups known as Grupos de Ayuda Mutua (GAM), which provide a supportive group environment, glucose self-monitoring and health information via monthly meetings.…”

Section: Health Clinic Staff-facilitated Support Groupsmentioning

confidence: 99%

Recent Findings on the Effectiveness of Peer Support for Patients with Type 2 Diabetes

Werner,

Ufholz,

Yamajala

2024

Curr Cardiovasc Risk Rep

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Purpose of Review To review randomized controlled trials (RCTs) published from 2021–2023 that reported the effects of peer support interventions on outcomes in patients with type 2 diabetes (T2DM). Recent Findings Literature searches yielded 137 articles and nine RCTs were ultimately reviewed. The reviewed trials involved in-person support groups, peer coach/mentor support, cultural peer support by community health workers, peer support during shared medical appointments (SMAs) including virtual reality-based SMAs, telehealth-facilitated programs, and telephone peer support. Most interventions combined two or more peer support strategies. Peer support was associated with significant decreases in HbA1c in 6 of the 9 reviewed studies. The largest statistically significant improvements in HbA1c were reported in a study of community health workers in Asia (-2.7% at 12 months) and a Canadian study in which trained volunteer peer coaches with T2DM met with participants once and subsequently made weekly or biweekly phone calls to them (-1.35% at 12 months). Systolic blood pressure was significantly improved in 3 of 9 studies. Summary The findings suggest that peer support can be beneficial to glycemic control and blood pressure in T2DM patients. Studies of peer support embedded within SMAs resulted in significant reductions in HbA1c and suggest that linkages between healthcare systems, providers, and peer support programs may enhance T2DM outcomes.

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Section: Health Clinic Staff-facilitated Support Groupsmentioning

confidence: 99%

Recent Findings on the Effectiveness of Peer Support for Patients with Type 2 Diabetes

Werner,

Ufholz,

Yamajala

2024

Curr Cardiovasc Risk Rep

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“…In Mexico, diabetes mellitus mortality rose by 47% from 1980 to 2000 ( 1 ). By 2019, it was estimated that 12.9 million Mexican adults were living with diabetes ( 2 ). This condition has been the leading cause of death in the country, with substantial implications for the Public’s health and economy ( 3 ).…”

Section: Introductionmentioning

confidence: 99%

Lessons learned from a peer-supported diabetes education program in two dissimilar Mayan communities

Castillo-Hernandez,

Espinosa,

Molina-Segui

et al. 2024

Front. Endocrinol.

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BackgroundA steady rise in type 2 diabetes (T2D) in Mexico over the last 30 years has led to 11.5 million Mexicans being affected by this condition. There is an urgent need to develop interventions to prevent complications of T2D. Diabetes self-management education is the cornerstone of promoting self-care. Among all educational strategies, peer support has shown to be an effective method to encourage ongoing self-management. However, customization of interventions for distinct communities is imperative, as failure to do so can hinder the intervention’s effectiveness.MethodsWe implemented a two-year prospective randomized controlled community-based trial in Conkal, a Mayan community from Yucatan, Mexico. The intervention consisted of receiving either a culturally sensitive peer support on top of a diabetes self-management education group (PLG); or a diabetes self-management education group only (EOG; control group). The primary outcome was changes in glycated hemoglobin, while secondary outcomes encompassed changes in systolic and diastolic blood pressure, body mass index, and diabetes self-care practices. Data collection was performed at baseline and every four months during the study period.DiscussionOur experiences have highlighted the significance of peer-leader support in cultivating diabetes self-care skills, particularly within smaller, underserved communities characterized by strong social and cultural ties. However, when applied in larger or suburban settings, selecting peer leaders should be meticulous, considering sectorization within specific neighborhoods to foster a sense of belonging and familiarity among natural community clusters. In larger settlemnts, factors such as transportation challenges, time limitations, caregiving obligations, limited venue access, and changes in session locations can drive program discontinuation. Additionally, individuals with lower educational attainment are more susceptible to abandonment. Notably, those with lower education, uncontrolled diabetes, and extended diabetes duration exhibit a greater potential for improving glycemic control than their counterparts.Clinical registrationhttps://www.isrctn.com/ISRCTN96897082.

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Environment driven changes in type 2 diabetes, overweight and obesity in an isolated Mixe community in the Valley of Oaxaca, southern Mexico

Little,

Escobedo,

Pena Reyes

et al. 2024

American J Hum Biol

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BackgroundThis study focused on type 2 diabetes mellitus (T2DM) in a group of adult Mixe, an Indigenous population from Oaxaca, Mexico. Mixe comprised an estimated 9.4% (n ≅ 90 000) of the Indigenous population in Oaxaca. Mexico.ObjectiveThis study focused on a group of adult Mixe, an Indigenous population from Oaxaca, Mexico. To compare the prevalence of T2DM, overweight (OW), obesity (OB), and hypertension (HTN) between 2007 and 2017 for a small, isolated Mixe community in the Valley of Oaxaca, Mexico. We test whether or not environmental changes have affected T2DM prevalence.Methods and MaterialsDemographic and medical record data were collected in the community in 2007 and 2017 from the medical clinic and the mayor's office. T2DM was medically diagnosed among adults (>34 years old), in 2007 (n = 730) and in 2017 (n = 829).ResultsT2DM crude prevalence increased from 6.7% to 12.1% (p < .001) from 2007 to 2017. The mean age of the sample analyzed was 60.6 (SD = 9.7). Age‐adjusted T2DM prevalence increased from 6.7% to 10.8% (p < .002). T2DM was 5.7%–5.5% among males (p < .53) and 7.1%–13.6% among females (p < .001). Sex‐specific OW and OB simulation studies indicate females had 7% less OW in 2007, and males were unchanged compared with 2017. OB among males and females was significantly higher in 2017 compared with 2007 (increased by 15.2% and 8.3%, males and females, respectively). Sexes combined OW + OB increased 12.7% among males but was unchanged in females (−0.5%). In the sexes combined analysis, OW prevalence increased 12.7% to 27.1% (p < .001) and OB prevalence increased 10.7%–27.9% (p < .001) from 2007 to 2017. HTN did not change significantly from 2007 to 2017 (15.4% and 14.6%, respectively) (p = .63) in adults. Among T2DM individuals, the frequency of HTN was not significantly different in 2007 and 2017 (57.1% and 37%, respectively) (p = .65). Transition to a Western diet consisting of high‐carbohydrate foods occurred at the same time as increased T2DM from 2007 to 2017, with a higher prevalence of T2DM noted among females in 2017.ConclusionsAn increased prevalence of T2DM, OW, and OB but not HTN was observed in the Mixe community from 2007 to 2017 and was associated with the adoption of a high‐carbohydrate Western diet.

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Comparison of Diabetes Mellitus Risk Factors in Mexico in 2003 and 2014

Cited by 4 publications

References 37 publications

Recent Findings on the Effectiveness of Peer Support for Patients with Type 2 Diabetes

Recent Findings on the Effectiveness of Peer Support for Patients with Type 2 Diabetes

Lessons learned from a peer-supported diabetes education program in two dissimilar Mayan communities

Environment driven changes in type 2 diabetes, overweight and obesity in an isolated Mixe community in the Valley of Oaxaca, southern Mexico

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