Ramfis Nieto-Martínez1, Jeffrey I Mechanick2, Imperia Brajkovich3, Eunice Ugel4, Alejandro Risques5, Hermes Florez6, Juan Pablo González-Rivas7. 1. Department of Physiology, School of Medicine, University Centro-Occidental "Lisandro Alvarado" (UCLA), Barquisimeto, Venezuela; Cardio-Metabolic Unit 7, Barquisimeto, Venezuela; Geriatric Research, Education, and Clinical Center (GRECC), Miami VA Healthcare System, Miami, FL, USA; South Florida Veterans Affairs Foundation for Research & Education, Miami, USA. 2. Division of Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount Sinai, New York, NY, USA. 3. Department of Internal Medicine B, School of Medicine "Luis Razetti", University Hospital of Caracas, University Central de Venezuela, Caracas, Venezuela. 4. Department of Preventive Medicine, School of Medicine, University Centre-Occidental "Lisandro Alvarado", Barquisimeto, Venezuela. 5. Department of Social and Preventive Medicine, School of Medicine, Central University of Venezuela, Caracas, Venezuela. 6. University of Miami Miller School of Medicine and Miami Veterans Affairs Medical Center, Miami, FL, USA. 7. The Andes Clinic of Cardio-Metabolic Studies, Mérida, Venezuela. Electronic address: juanpgonzalezr@hotmail.com.
Abstract
OBJECTIVE: The prevalence of diabetes in multiple regions of Venezuela is unknown. To determine the prevalence of diabetes in five populations from three regions of Venezuela. METHODS: During 2006-2010, 1334 subjects ≥20years were selected by multistage stratified random sampling from all households from 3 regions of Venezuela. Anthropometric measurements and biochemical analysis were obtained. Statistical methods were calculated using SPSS 20 software. FINDINGS: Mean (SE) age was 44.8 years (0.39) and 68.5% were females. The prevalence of diabetes was 8.3% (95% CI, 6.9%-10.0%), higher in men than women (11.2% and 7.0% respectively; p=0.01). The prevalence adjusted by age and gender was 8.0% (95% CI, 6.9%-9.9%). This figure increased with age, with the lowest prevalence in the 20-29year old group (1.8% [95% CI, 0.6%-4.8%]) and the highest in the oldest group (26.8% [95% CI, 16.2%-40.5%]). Subjects with overweight or obesity had no increased risk of diabetes compared with those with normal weight. However, in women, the presence of abdominal obesity was associated with an increase of the risk of diabetes by 77% (OR 1.77 [95% CI, 1.1%-2.9%]). The prevalence of prediabetes was 14.6% (95% CI, 12.8%-16.7%), and only 48.2% were aware of their diabetes condition. CONCLUSION: In this study, 8.3% of the subjects had diabetes and 14.6% prediabetes. Less than half of the subjects with diabetes were aware of their condition. These results point to a major public health problem, requiring the implementation of diabetes prevention programs.
OBJECTIVE: The prevalence of diabetes in multiple regions of Venezuela is unknown. To determine the prevalence of diabetes in five populations from three regions of Venezuela. METHODS: During 2006-2010, 1334 subjects ≥20years were selected by multistage stratified random sampling from all households from 3 regions of Venezuela. Anthropometric measurements and biochemical analysis were obtained. Statistical methods were calculated using SPSS 20 software. FINDINGS: Mean (SE) age was 44.8 years (0.39) and 68.5% were females. The prevalence of diabetes was 8.3% (95% CI, 6.9%-10.0%), higher in men than women (11.2% and 7.0% respectively; p=0.01). The prevalence adjusted by age and gender was 8.0% (95% CI, 6.9%-9.9%). This figure increased with age, with the lowest prevalence in the 20-29year old group (1.8% [95% CI, 0.6%-4.8%]) and the highest in the oldest group (26.8% [95% CI, 16.2%-40.5%]). Subjects with overweight or obesity had no increased risk of diabetes compared with those with normal weight. However, in women, the presence of abdominal obesity was associated with an increase of the risk of diabetes by 77% (OR 1.77 [95% CI, 1.1%-2.9%]). The prevalence of prediabetes was 14.6% (95% CI, 12.8%-16.7%), and only 48.2% were aware of their diabetes condition. CONCLUSION: In this study, 8.3% of the subjects had diabetes and 14.6% prediabetes. Less than half of the subjects with diabetes were aware of their condition. These results point to a major public health problem, requiring the implementation of diabetes prevention programs.
Authors: María Carolina Muñoz-González; Marcos M Lima-Martínez; Aura Nava; Gisuardo Trerotola; Mariela Paoli; Julio O Cabrera-Rego; Briggytte Gonzalez; Amilcairy Arciniegas; Javier Paez Journal: Med Princ Pract Date: 2019-03-11 Impact factor: 1.927
Authors: Juan P González-Rivas; María M Infante-García; Ramfis Nieto-Martinez; Jeffrey I Mechanick; Goodarz Danaei Journal: Nutrients Date: 2022-02-23 Impact factor: 5.717