Prevalence of diabetes mellitus and associated cardiovascular risk factors in an adult urban population in Paraguay

Jimenez, J.; Palacios, Mafalda; Cañete, Felicia; Barriocanal, L.A.; Medina, U.; Figueredo, Rafael; Martinez, S.; Melgarejo, María; Weik, S.; Kiefer, Ruth Ann; Alberti, K. G. M. M.; R, Morenoazorero

doi:10.1002/(sici)1096-9136(199804)15:4<334::aid-dia575>3.0.co;2-z

Cited by 24 publications

(8 citation statements)

References 6 publications

(6 reference statements)

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“…Using OGTT as a screening instrument, the observed prevalences of diabetes and IGT in our sample of obese people were 20.1 and 22.9%, respectively. This is higher than that reported for the Italian general population[11–16], and for population samples of obese subjects[16–18]. The sample consisted of patients seeking weight loss therapy, and may not be representative of obese subjects in the general population.…”

Section: Discussionmentioning

confidence: 76%

Comparison of ADA and WHO screening methods for diabetes mellitus in obese patients

et al. 1999

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Section: Discussionmentioning

confidence: 76%

Comparison of ADA and WHO screening methods for diabetes mellitus in obese patients

et al. 1999

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“…La prevalencia es la siguiente en Latinoamérica; Argentina 28,1%, Brasil 30%, Chile 33,7 %, Colombia 23%, Ecuador 28,7%, México 30,8%, Perú 2,3 24%, Uruguay 33%, Venezuela 33%. En nuestro país la prevalencia estimada es 35% .…”

Section: Introductionunclassified

Adherencia al tratamiento antihipertensivo en pacientes ambulatorios de un hospital urbano

Kunert

2015

Rev. Virtual Soc. Parag. Med. Int

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ResumenIntroducción: la hipertensión arterial es una de las enfermedades crónicas más prevalentes en la población adulta. Su tratamiento incluye medidas higienicodietéticas y fármacos. La adherencia al tratamiento farmacológico es esencial para lograr el objetivo del control de la hipertensión arterial y minimizar las secuelas a largo plazo. Objetivos: determinar la adherencia al tratamiento antihipertensivo y factores asociados al cumplimiento terapéutico Metodología: estudio observacional, descriptivo, prospectivo realizado en pacientes que acudieron a consultorio de Clínica Médica en la Clínica Periférica Campo Vía del Instituto de Previsión Social, en la ciudad de Capiatá, en julio del 2014. Se utilizó el test de Morisky-Green-Levine y una encuesta. Resultados: sólo 39,7% se catalogaron como cumplidores. Estos se caracterizaron por menor tiempo de evolución de la hipertensión arterial, mayor grado de conocimiento sobre la enfermedad, nivel de instrucción superior al primario, menor número de comorbilidades y menor consumo de otros medicamentos. Conclusión: la adherencia al tratamiento antihipertensivo fue 39,7%. Palabras claves: hipertensión arterial, adherencia al tratamiento, test Morisky-Green-Levine, test Batalla AbstractIntroduction: Arterial hypertension is one of the most prevalent chronic diseases in the adult population. Its treatment includes hygienic-dietary measures and drugs. Pharmacological treatment adherence is essential to achieve the control of arterial hypertension and minimize long-term consequences. Objective: To determine antihypertensive treatment adherence and factors associated to therapeutic compliance.Methodology: This was a prospective descriptive observational study carried out in patients attending the consultation room of Medical Clinics of the Campo Vía Peripheral Clinic of the Social Security Institute in the city of Capiatá in July, 2014. The Morisky-Green-Levine and a survey were used. Results: Only 39.7% were considered as compliers. They were characterized by having shorter evolution time of arterial hypertension, higher degree of knowledge about the disease, instruction level higher than primary, lower number of comorbidities and lower consumption of other drugs. Conclusion IntroducciónLa hipertensión es un factor de riesgo cardiovascular muy prevalente en el mundo, que es especialmente abrumador en los países de bajos y medianos ingresos. Informes recientes de la OMS y del Banco Mundial destacan la importancia de las enfermedades crónicas tales como la hipertensión como un obstáculo al logro de un buen estado de salud. Se debe agregar que, para la mayoría de estos países, estrategias deficientes de la atención primaria de la salud son obstáculos mayores para el logro del control de la presión arterial. Es más, la epidemiología de la hipertensión y enfermedades relacionadas, los recursos y las prioridades de salud, el estado socioeconómico de la población, varían considerablemente en diferentes países y en diferentes regiones de países individuales. A causa de esto, los...

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“…For comparison, an earlier study in Mexico City found a rate of 10.7% [6], and rates in urban South American populations have ranged from 6.5-7.6% [7-10]. …”

Section: Introductionmentioning

confidence: 99%

Determining adult type 2 diabetes-related health care needs in an indigenous population from rural Guatemala: a mixed-methods preliminary study

Chary¹,

Greiner²,

Bowers³

et al. 2012

BMC Health Serv Res

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BackgroundIn Guatemala, diabetes is an emerging public health concern. Guatemala has one of the largest indigenous populations in Latin America, and this population frequently does not access the formal health care system. Therefore, knowledge about the emergence of diabetes in this population is limited.MethodsInterview participants (n=23) were recruited from a convenience sample of indigenous adults with type 2 diabetes at one rural diabetes clinic in Guatemala. A structured interview was used to assess knowledge about diabetes and its complications; access to diabetes-related health care and treatment; dietary and lifestyle changes; and family and social supports for individuals living with diabetes. Interviews were supplemented with two group interviews with community leaders and health care providers. Thematic analysis was used to produce insights into diabetes knowledge, attitudes, and practices. In addition, a chart review of the clinic’s electronic medical record identified all adult patients (n=80) presenting in one calendar year for a first-time diabetic consultation. Sociodemographic and clinical variables were extracted and summarized from these records.ResultsSalient demographic factors in both the structured interview and chart review samples included low educational levels and high indigenous language preference. In the interview sample, major gaps in biomedical knowledge about diabetes included understanding the causes, chronicity, and long-term end-organ complications of diabetes. Medication costs, medical pluralism, and limited social supports for dietary and lifestyles changes were major practical barriers to disease management. Quantitative data from medical records review revealed high rates of poor glycemic control, overweight and obesity, and medication prescription.ConclusionsThis study provides a preliminary sketch of type 2 diabetes in an indigenous Guatemalan population. Combined qualitative and quantitative data point towards particular needs for implementation and future research, including the need to address gaps in diabetes knowledge, to improve social support systems, and to address the cost barriers associated with disease treatment.

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Prevalence of diabetes mellitus and associated cardiovascular risk factors in an adult urban population in Paraguay

Cited by 24 publications

References 6 publications

Comparison of ADA and WHO screening methods for diabetes mellitus in obese patients

Comparison of ADA and WHO screening methods for diabetes mellitus in obese patients

Adherencia al tratamiento antihipertensivo en pacientes ambulatorios de un hospital urbano

Determining adult type 2 diabetes-related health care needs in an indigenous population from rural Guatemala: a mixed-methods preliminary study

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