Identificação de factores de risco cardiovascular na população diabética de um posto de colheitas de um laboratório de análises clínicas
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2008
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Edições Universitárias Lusófonas
Resumo
A primeira causa de morte em Portugal são as doenças cardio e cerebrovasculares, onde a diabetes e a dislipidemia são, entre
outros, importantes factores de risco. Os objectivos do presente estudo são: estimar a prevalência dos diabéticos na população de
um posto de colheitas de um laboratório de análises clínicas; caracterizar sócio-demograficamente a população diabética;
identificar a prevalência de fumadores na população diabética; determinar a prevalência de diabéticos com dislipidemia;
caracterizar os factores de risco cardiovascular dos diabéticos em estudo; calcular a prevalência de diabéticos medicados
controlados; caracterizar os medicamentos antidiabéticos utilizados.
Trata-se de um estudo descritivo observacional e transversal. Aplicou-se um questionário por entrevista, confidencial e
voluntário e registaram-se os resultados dos seguintes parâmetros: HbA1c, glicemia em jejum, colesterol total, HDL, LDL e
triglicéridos durante dois meses a todos os diabéticos deumposto de colheitas.
Dos 1693 utentes, 24% (406/1693) referiram ser diabéticos. Destes, 54 preencheram os critérios de inclusão. Trinta e quatro são
homens.Amaioria (40,7%) tem entre 55 e 64 anos e 88,9% (48/54) tem dislipidemia. Dos diabéticos medicados, 82% (41/50)
não têm a diabetes controlada.Ogrupo terapêutico mais utilizado é o das biguanidas (69,9%).
O estudo demonstra uma elevada prevalência de doentes diabéticos com factores de risco não controlados (dislipidemia e
hiperglicemia). Programas de educação para a saúde transversais focados na promoção de estilos de vida saudáveis, tendo como
base o laboratório de análises clínicas podem contribuir para o controlo dos factores de risco cardiovascular.
Introduction: The first cause of death in Portugal are the cardio and cerebrovascular illnesses, where diabetes and the dyslipidemia are, among others, important risk's factors. Objectives: Esteem the prevalence of the diabetic ones in the population of a clinical analyses laboratory's crop post; Characterize socio-demographic the diabetic population; Identify the prevalence of actual smokers in this diabetic population; Determine the prevalence of diabetic ones with dyslipidemia; Characterize factors of cardiovascular risk of the diabetic ones in study; Calculate the prevalence of diabetic ones medicated controlled; Characterize anti-diabetic drugs used. Method: Descriptive observational and transversal study.Aquestionnaire by interview, confidential and voluntary was applied, and registered the following parameters results: HbA1c, fasting blood glycemia, total cholesterol, HDL, LDL, and triglycerides during two months to all the diabetic ones of a crop post. Results: Of the 1693 users, 24% (406/1693) assumed to be diabetic, of these only 54 had filled the inclusion criteria. Thirty-four are men. The most part of them (40,7%) are between 55 and 64 years and 88,9% (48/54) have dyslipidemia. Among the medicated diabetics 82% (41/50) don't have controlled diabetes. The therapeutic group more used is the biguanides group (64,7%). Conclusion: The study shows a high prevalence of diabetic sick people with non controlled risk' factors (dyslipidemia and hyperglicemia). Transversal health education programs focus on healthy life styles promotion, having as support the clinical analyses laboratory may contribute to control cardiovascular risk factors. Keywords: diabetes, dyslipidemia, cardiovascular risk.
Introduction: The first cause of death in Portugal are the cardio and cerebrovascular illnesses, where diabetes and the dyslipidemia are, among others, important risk's factors. Objectives: Esteem the prevalence of the diabetic ones in the population of a clinical analyses laboratory's crop post; Characterize socio-demographic the diabetic population; Identify the prevalence of actual smokers in this diabetic population; Determine the prevalence of diabetic ones with dyslipidemia; Characterize factors of cardiovascular risk of the diabetic ones in study; Calculate the prevalence of diabetic ones medicated controlled; Characterize anti-diabetic drugs used. Method: Descriptive observational and transversal study.Aquestionnaire by interview, confidential and voluntary was applied, and registered the following parameters results: HbA1c, fasting blood glycemia, total cholesterol, HDL, LDL, and triglycerides during two months to all the diabetic ones of a crop post. Results: Of the 1693 users, 24% (406/1693) assumed to be diabetic, of these only 54 had filled the inclusion criteria. Thirty-four are men. The most part of them (40,7%) are between 55 and 64 years and 88,9% (48/54) have dyslipidemia. Among the medicated diabetics 82% (41/50) don't have controlled diabetes. The therapeutic group more used is the biguanides group (64,7%). Conclusion: The study shows a high prevalence of diabetic sick people with non controlled risk' factors (dyslipidemia and hyperglicemia). Transversal health education programs focus on healthy life styles promotion, having as support the clinical analyses laboratory may contribute to control cardiovascular risk factors. Keywords: diabetes, dyslipidemia, cardiovascular risk.
Descrição
Revista Lusófona de Ciências e Tecnologias da Saúde
Palavras-chave
MEDICINA, DIABETES, MEDICINE, DOENÇAS CARDIOVASCULARES, CARDIOVASCULAR DISEASES, FATORES DE RISCO, RISK FACTORS, COLESTEROL, CHOLESTEROL, ESTUDOS DE CASO, CASE STUDIES, DIABETES