OBJECTIVE: To study the prevalence of clinical forms of diabetic macroangiopathy (DM) and its risk factors. DESIGN: A descriptive crossover study. SETTING: An elderly and socio-economically very depressed population in Raval Sud Health District (HD), Barcelona. PATIENTS AND OTHER PARTICIPANTS: Random sampling of type II diabetes patients (n = 387) registered in the HD (6.6% prevalence). MEASUREMENTS AND MAIN RESULTS: Each patient was examined for the presence of diagnostic criteria of peripheric, cerebral or coronary vasculopathy (VP); as well as for the possible risk factors (age, gender, years of the DM's evolution, tobacco, hypertension, obesity, glycosilated haemoglobin and dyslipemia). Prevalences obtained were: peripheric VP = 24.5%, cerebral VP = 9.5%, coronary VP = 18.1%. 30.5% of the diabetics had some form of macroangiopathy. The main risk factors for all the clinical forms (p < 0.001) were age and the length of evolution of DM, tobacco mainly for peripheric VP (p < 0.001), systolic Hypertension for cerebral VP (p = 0.03) and Hypertriglyceridaemia for peripheric VP (p < 0.01). CONCLUSIONS: Macroangiopathy affects a high percentage (30.5%) of type 2 diabetics. The principal risk factors are those associated with tobacco, hypertension and hypertriglyceridaemia, all of which we can affect and control.
OBJECTIVE: To study the prevalence of clinical forms of diabetic macroangiopathy (DM) and its risk factors. DESIGN: A descriptive crossover study. SETTING: An elderly and socio-economically very depressed population in Raval Sud Health District (HD), Barcelona. PATIENTS AND OTHER PARTICIPANTS: Random sampling of type II diabetespatients (n = 387) registered in the HD (6.6% prevalence). MEASUREMENTS AND MAIN RESULTS: Each patient was examined for the presence of diagnostic criteria of peripheric, cerebral or coronary vasculopathy (VP); as well as for the possible risk factors (age, gender, years of the DM's evolution, tobacco, hypertension, obesity, glycosilated haemoglobin and dyslipemia). Prevalences obtained were: peripheric VP = 24.5%, cerebral VP = 9.5%, coronary VP = 18.1%. 30.5% of the diabetics had some form of macroangiopathy. The main risk factors for all the clinical forms (p < 0.001) were age and the length of evolution of DM, tobacco mainly for peripheric VP (p < 0.001), systolic Hypertension for cerebral VP (p = 0.03) and Hypertriglyceridaemia for peripheric VP (p < 0.01). CONCLUSIONS: Macroangiopathy affects a high percentage (30.5%) of type 2 diabetics. The principal risk factors are those associated with tobacco, hypertension and hypertriglyceridaemia, all of which we can affect and control.
Authors: F Martín Luján; B Costa Pinel; A Donado-Mazarrón Romero; T Basora Gallisà; J Basora Gallisà; J L Piñol Moreso Journal: Aten Primaria Date: 2000-11-15 Impact factor: 1.137