Дисертації з теми "Diabetes Risk factors Australia"
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Orr, Neil John. "Patterns of care for diabetes: risk factors for vision-threatening retinopathy." Thesis, The University of Sydney, 2005. http://hdl.handle.net/2123/1421.
Повний текст джерелаOrr, Neil John. "Patterns of care for diabetes: risk factors for vision-threatening retinopathy." University of Sydney, 2005. http://hdl.handle.net/2123/1421.
Повний текст джерелаOBJECTIVES: In Australia, diabetes causes significant morbidity and mortality. Whilst the need to prevent diabetes and its complications has been widely recognised, the capacity of health care systems - which organise diabetes care - to facilitate prevention has not been fully established. METHODS: A series of seven population-based case-control studies were used to examine the effectiveness of the Australian health care system and its capacity to manage diabetes. Six of the studies compared the patterns of care of patients who had developed advanced diabetes complications in 2000 (cases), to similar patients who remained free of the condition (controls) across Australia and for various risk groups. A secondary study investigated the role of treating GPs in the development of the outcome. RESULTS: A strong relationship between the patterns of care and the development of advanced diabetes complications was found and is described in Chapter 4. In Chapter 5, this same relationship was investigated for each Australian state and territory, and similar findings were made. The study in Chapter 6 investigated whether late diagnosis or the patterns of care was the stronger risk factor for advanced diabetes complications, finding that the greatest risk was associated with the latter. In Chapter 7 the influence of medical care during the pre-diagnosis period was explored, and a strong relationship between care obtained in this period and the development of advanced complications was found. In Chapter 8, which investigated the role of socio-economic status in the development of advanced complications, found that the risk of advanced diabetes complications was higher in low socio-economic groups. Chapter 9 investigated geographic isolation and the development of advanced diabetes complications and found that the risk of advanced complications was higher in geographically isolated populations. Finally, Chapter 10, which utilised a provider database, found that some GP characteristics were associated with the development of advanced diabetes complications in patients. CONCLUSION: A number of major risk factors for the development of advanced complications in Australia was found. These related to poorer diabetes management, later diagnosis, low socioeconomic status and geographic isolation. Strategies must be devised to promote effective diabetes management and the early diagnosis of diabetes across the Australian population.
Wong, Jencia. "Age of diagnosis as a factor in the heterogeneity of type 2 diabetes: a clinical and molecular study." Thesis, The University of Sydney, 2009. https://hdl.handle.net/2123/28210.
Повний текст джерелаBambrick, Hilary Jane, and Hilary Bambrick@anu edu au. "Child growth and Type 2 Diabetes Mellitus in a Queensland Aboriginal Community." The Australian National University. Faculty of Arts, 2003. http://thesis.anu.edu.au./public/adt-ANU20050905.121211.
Повний текст джерелаMcGuire, Amanda Mary. "Factors influencing health promotion activities in midlife and older Australian women with a chronic disease." Thesis, Queensland University of Technology, 2011. https://eprints.qut.edu.au/45635/1/Amanda_McGuire_Thesis.pdf.
Повний текст джерелаChit, Moy Ley. "Bromelain and cardiovascular risk factors in diabetes." Thesis, London South Bank University, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.631731.
Повний текст джерелаMorgan, Eileen. "Type 1 diabetes - epidemiology, risk factors and complications." Thesis, Queen's University Belfast, 2015. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.678213.
Повний текст джерелаWalldén, (Fredriksson) Jenny. "Studies of immunological risk factors in type 1 diabetes." Doctoral thesis, Linköpings universitet, Pediatrik, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-12441.
Повний текст джерелаWalldén, Jenny. "Studies of immunological risk factors in type 1 diabetes /." Linköping : Department of Clinical and Experimental Medicine, Linköping University, 2008. http://www.bibl.liu.se/liupubl/disp/disp2008/med1075s.pdf.
Повний текст джерелаTurczynowicz, Leonid. "Asthma and risk factors in South Australia : an ecologic analysis." Title page, table of contents and abstract only, 2000. http://web4.library.adelaide.edu.au/theses/09MPM/09mpmt933.pdf.
Повний текст джерелаHou, Wei Wei, and 侯薇薇. "Pubertal muscle mass and diabetes risks." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2015. http://hdl.handle.net/10722/208569.
Повний текст джерелаpublished_or_final_version
Public Health
Master
Master of Philosophy
Becerra, Tomás Nerea. "Dietary factors associated with metabolic syndrome and type 2 diabetes risk." Doctoral thesis, Universitat Rovira i Virgili, 2017. http://hdl.handle.net/10803/460757.
Повний текст джерелаSe ha observado que los patrones dietéticos se asocian de manera distinta al riesgo de desarrollar síndrome metabólico (SM) y la diabetes tipo 2 (DT2). Con el objetivo de entender mejor los distintos efectos de los patrones dietéticos sobre el riesgo de desarrollar estas enfermedades, es importante analizar el papel que juegan determinados grupos de alimentos sobre el riesgo de desarrollar el SM y la DT2. El principal objetivo de la presente tesis ha sido evaluar la asociación entre el consumo de carne, productos lácteos y el riesgo de incidencia SM o alguno de sus componentes, así como evaluar la asociación entre el consumo de legumbres y el riesgo de desarrollar DT2. Los resultados mostraron una asociación inversa no significativa entre el consumo total de productos lácteos y el riesgo de incidencia de SM. El consumo de productos lácteos bajos en grasa, leche desnatada y yogur (total, bajo en grasa y entero) se asoció a un menor riesgo de SM y algunos de sus componentes. Contrariamente, el consumo de queso se asoció a un mayor riesgo. Del mismo modo, el consumo de carne total también se asoció con el riesgo de padecer SM y alguno de sus componentes. Mientras que la carne roja y la carne roja procesada se asociaron a un mayor riesgo de SM, el consumo de carne blanca se asoció a un menor riesgo. Finalmente, el consumo de legumbres totales, y en particular las lentejas, se asoció a un mejor riesgo de incidencia de DT2. En conclusión, un consumo elevado de productos lácteos bajos en grasa y yogur (independientemente del contenido en grasa), conjuntamente con consumo preferente de carnes blancas en lugar de carnes rojas o carnes rojas procesadas, y una alta frecuencia de legumbres, podría ser beneficioso para la prevención del SM y la DT2 en individuos Mediterráneos con alto riesgo cardiovascular.
It has been shown that dietary patterns are differently associated with the risk of metabolic syndrome (MetS) and type 2 diabetes (T2D). Whereas the Western diet seems to increase the risk of these chronic diseases, plant-based diets, such as the Mediterranean Diet (MedDiet), seem to decrease the risk. In order to better understand the different effects on disease risk among dietary patterns, it is important to analyze the role that specific food groups play on the risk of developing MetS and T2D. The main aim of the present dissertation was to evaluate the association between the consumption of meat and dairy products with the risk of MetS or the incidence of some of its individual components, as well as to assess the association between legumes consumption and T2D development risk. The results showed a non-significant inverse association between total dairy consumption and the risk of MetS incidence. The consumption of low-fat dairy products, low-fat milk and yogurt (total, low-fat and whole-fat yogurt) was associated with a lower risk of MetS and some of its individual components. Contrary, the consumption of cheese was positively associated with the MetS risk. Likewise, total meat intake was also associated with the risk of MetS and the development of some of its components. Whereas red meat and processed red meat were associated with a higher risk of MetS, poultry was associated with a lower risk. Finally, total legume consumption, particularly lentils, was associated with a lower risk of T2D incidence. In conclusion, high consumption of low-fat dairy products and yogurt (regardless the fat content), together with the preference for poultry rather than red meat or processed red meat, and high frequency consumption of legumes, would be beneficial for the prevention of MetS and T2D among Mediterranean individuals at high CVD risk.
Schader, Lindsey Marie. "Comparison of Genetic Risk Factors Between Two Type II Diabetes Subtypes." Thesis, The University of Arizona, 2015. http://hdl.handle.net/10150/595048.
Повний текст джерелаBlack, James Alexander. "Optimising cardiovascular risk management early in the diabetes disease trajectory." Thesis, University of Cambridge, 2016. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.709489.
Повний текст джерелаMcGowan, Kelly. "Risk factors for medication-related osteonecrosis of the jaws: a case-control study in Queensland, Australia." Thesis, Griffith University, 2019. http://hdl.handle.net/10072/385549.
Повний текст джерелаThesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Dentistry&Oral Hlth
Griffith Health
Full Text
Donders, Servaes Hubert Joan. "Correlations between haemostasis parameters and several cardiovascular risk factors in man." [Maastricht : Maastricht : Rijksuniversiteit Limburg] ; University Library, Maastricht University [Host], 1992. http://arno.unimaas.nl/show.cgi?fid=5696.
Повний текст джерелаZigmont, Victoria Ann. "Behavioral and Pharmacoepidemiological Risk Factors and Mediators for Type II Diabetes Mellitus." The Ohio State University, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=osu1448978472.
Повний текст джерелаBarrett, Sheila C. "Risk factors of type 2 diabetes and cardiovascular diseases among Jamaican adolescents." FIU Digital Commons, 2009. http://digitalcommons.fiu.edu/etd/1413.
Повний текст джерелаBruce, Sharon Gail. "Prevalence, risk factors and impact of diabetes among the western Canadian Metis." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp02/NQ41603.pdf.
Повний текст джерелаKappala, Shanthi Sharon. "Risk factors and blood-borne biochemical markers in type 2 diabetes mellitus." Thesis, University of Central Lancashire, 2012. http://clok.uclan.ac.uk/6723/.
Повний текст джерелаFeinkohl, Insa. "Risk factors for cognitive decline in older people with type 2 diabetes." Thesis, University of Edinburgh, 2014. http://hdl.handle.net/1842/9612.
Повний текст джерелаMelander, Emma. "Risk factors to major lower extremity amputation in type 2 diabetes mellitus." Thesis, Örebro universitet, Institutionen för medicinska vetenskaper, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-54443.
Повний текст джерелаMacGilchrist, Claire. "Lower-limb risk factors for falls in older adults with diabetes mellitus." Thesis, Glasgow Caledonian University, 2012. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.572794.
Повний текст джерелаSalagame, Usha Ganesh. "Bisphosphonates, Menopausal Hormone Therapy and Risk Factors for Breast Cancer in Australia." Thesis, The University of Sydney, 2016. http://hdl.handle.net/2123/16527.
Повний текст джерелаAlkazemi, Dalal Usamah Zaid. "Modulating factors of serum oxysterol concentrations in daughters from gestational diabetes and non-gestational diabetes." Thesis, McGill University, 2007. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=100757.
Повний текст джерелаLe diabète pré-gestationnel et le diabète de gestation (DG) augmentent le risque dedéveloppement d'une future résistance à l'insuline et de diabète de type 2 autant pourla mère que pour l'enfant. Le stress oxydatif est un facteur potentiel impliqué dans ledéséquilibre du glucose sanguin associé au diabète de type 2 et au syndromemétabolique. La présente thèse est une étude sectionnelle croisée, ayant pour but demesurer des marqueurs du stress oxidatif, notamment la concentration des oxystérolsgénérés par les radicaux libres dans le sérum d'adolescentes, nées de mères ayantprésenté ou non un diabète de gestation. Nos résultats montrent des concentrationsd'oxystérols (7P-hydroxycholesterol) plus élevées dans le sérum de filles issues degestations diabétiques à comparer aux filles de mères n'ayant pas eu de DG.Cependant, la différence entre les deux groupes n'était pas statistiquementsignificative après un ajustement au cholestérol total. La concentration d'oxystérolsétait significativement corrélée aux marqueurs d'obésité, notamment la circonférencede la taille et l'index de masse corporelle, possiblement à l'origine de la tendance desoxystérols à être plus élevés dans le cas des adolescentes issues de gestationsdiabétiques.
Malek-Ahmadi, Michael. "Cardiovascular risk factors for mild cognitive impairment." [Tampa, Fla] : University of South Florida, 2009. http://purl.fcla.edu/usf/dc/et/SFE0002872.
Повний текст джерелаShah, Payal S. "Awareness of Diabetes Risk and Adoption of Diabetes Risk Reduction Behaviors in the Presence of Other Risk Factors in U.S Adults: An Examination of NHANES Data 2007-2008." Digital Archive @ GSU, 2011. http://digitalarchive.gsu.edu/iph_theses/188.
Повний текст джерелаCharbonneau, Guylaine. "Anthropometric correlates and underlying risk factors for type 2 diabetes mellitus among Inuit." Thesis, McGill University, 2005. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=97924.
Повний текст джерелаManjoo, Priya Sonya. "Walking volume, abdominal obesity, and selected cardiovascular risk factors in type 2 diabetes." Thesis, McGill University, 2010. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=86913.
Повний текст джерелаMethods: 94 women and 106 men with DM2 were assessed (June 2006-June 2008) for walking (2 weeks pedometer); AO (waist to hip ratio, WHR; waist circumference); glycemia (hemoglobin A1C, HbA1C); dyslipidemia therapy; and blood pressure (BP). Associations between walking and CVRFs were examined using multivariate regression, with and without adjustment for AO and potential confounders.
Results: A 1000 daily step increment in women was associated with a 0.13% (95% CI -0.25, -0.01) lower HbA1c, a 0.22 (95% CI: 0.63, 1.00) odds of dyslipidemia therapy, a -2.86 mmHg (95% CI: -4.32, -1.40) difference in systolic and a -1.66 mmHg (95% CI:-2.49, -0.82) difference in diastolic BP. With adjustment for AO, only associations with BP retained significance. The same step increment in men was associated with a 0.10% (95% CI: -0.22, -0.02) lower HbA1c and a -0.77 mm Hg difference in diastolic BP (95% CI: -1.55, 0.00). Adjustment for AO did not impact these associations.
Discussion: Greater understanding of the role of changes in AO may provide insight into sex differences in CVD risk in DM2.
Objectifs: Pour déterminer si les associations de la marche avec des facteurs de risque cardio-vasculaires choisis [CVRFs : glycemia, dyslipidemia, hypertension (BP)] sont atténués par l'obésité abdominale (OA) dans les patients avec DM2.
Méthodes: 94 femmes et 106 hommes avec DM2 ont été évalués (juin 2006-juin 2008) pour marcher (pedometer de 2 semaines); AO (taille à rapport de hanche, WHR ; circonférence de taille) ; glycemia (hémoglobine A1C, HbA1C) ; thérapie de dyslipidemia ; et tension artérielle (BP). Des associations entre marcher et CVRFs ont été examinées utilisant la régression multivariable, avec et sans l'ajustement pour l'ao et les confounders potentiels. fr
Résultats: Un incrément quotidien de l'étape 1000 chez les femmes a été associé à un 0.13% (ci de 95% -0.25, -0.01) HbA1c inférieur, un 0.22 (ci de 95% : 0.63, 1.00) chances de la thérapie de dyslipidemia, -2.86 mmHg (ci de 95% : -4.32,) différence -1.40 dans systolique et -1.66 mmHg (ci de 95% : - 2.49,) différence -0.82 à BP diastolique. Avec l'ajustement pour l'ao, seulement les associations avec BP ont maintenu la signification. Le même incrément d'étape chez les hommes a été associé à un 0.10% (ci de 95% : -0.22, -0.02) HbA1c inférieurs et -0.77 une différence du millimètre hectogrammes à BP diastolique (ci de 95% : -1.55, 0.00). L'ajustement pour l'ao n'a pas effectué ces associations. fr
Discussion: Un plus grand arrangement du rôle des changements de l'ao peut fournir la perspicacité dans des différences de sexe dans le risque de CVD dans DM2. fr
Khalili, Payam. "Risk factors for cardiovascular events and incident hospital-treated diabetes in the population." Doctoral thesis, Örebro universitet, Institutionen för hälsovetenskap och medicin, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-24173.
Повний текст джерелаValery, Patricia Casarolli. "Epidemiologic study of risk factors for Ewing's sarcoma family of tumors in Australia /." St. Lucia, Qld, 2002. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe16242.pdf.
Повний текст джерелаKelly-Hope, Louise A. "Investigation of risk factors for better surveillance and control of arboviruses in Australia /." St. Lucia, Qld, 2002. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe16470.pdf.
Повний текст джерелаLane, Amy. "Incidence of and risk factors for canine osteosarcoma in Western Australia 2007-2009." Thesis, Lane, Amy (2012) Incidence of and risk factors for canine osteosarcoma in Western Australia 2007-2009. Masters by Research thesis, Murdoch University, 2012. https://researchrepository.murdoch.edu.au/id/eprint/16534/.
Повний текст джерелаSchneider, Harald J., Jens Klotsche, Sigmund Silber, Günter K. Stalla, and Hans-Ulrich Wittchen. "Measuring Abdominal Obesity: Effects of Height on Distribution of Cardiometabolic Risk Factors Risk Using Waist Circumference and Waist-to-Height Ratio." Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2013. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-119990.
Повний текст джерелаPöykkö, S. (Seppo). "Ghrelin, metabolic risk factors and carotid artery atherosclerosis." Doctoral thesis, University of Oulu, 2005. http://urn.fi/urn:isbn:9514276566.
Повний текст джерелаTiivistelmä Metaboliseen oireyhtymään liittyy kohonnut riski sairastua sydän- ja verisuonisairauksiin kuten tyypin 2 diabetekseen ja sepelvaltimotautiin. Metabolisen oireyhtymän nopea esiintyvyyden kasvu on johtanut aktiiviseen uusien riskitekijöiden etsintään. Erityisen kiinnostuksen kohteena ovat olleet energia-aineenvaihduntaa säätelevät hormonit ja niihin liittyvät polymorfiat. Greliini on ensisijaisesti vatsalaukusta erittyvä hormoni, joka lisää voimakkaasti kasvuhormonin eritystä. Koeolosuhteissa sillä on myös vaikutuksia sokeriaineenvaihduntaan, verenpaineeseen, sydämen toimintaan, rasvakudoksen kehittymiseen ja tulehduksellisiin tapahtumiin, minkä perusteella on syytä epäillä greliinillä olevan osuutta metabolisen oireyhtymän ja siihen liittyvien sairauksien synnyssä. Tässä tutkimuksessa selviteltiin greliinin paastoplasmapitoisuuksien ja greliinipolymorfioiden (Arg51Gln ja Leu72Met) yhteyksiä metabolisen oireyhtymän piirteisiin, tyypin 2 diabetekseen ja kaulavaltimoiden ateroskleroosiin. Lisäksi tutkittiin greliinin ja insuliinin kaltaisen kasvutekijän (IGF-I) pitoisuuksien yhteyksiä. Tutkimusväestö koostui 1045 oululaisesta keski-ikäisestä OPERA tutkimukseen kuuluvasta henkilöstä. Tutkimuksessa matalien greliinipitoisuuksien havaittiin olevan yhteydessä useisiin metabolisen oireyhtymän piirteisiin: lihavuuteen, alhaisiin HDL kolesterolin pitoisuuksiin, korkeisiin insuliinipitoisuuksiin ja kohonneeseen verenpaineeseen. Matala greliinipitoisuus yhdistyi myös tyypin 2 diabeteksen ja verenpainetaudin esiintyvyyteen. Tutkituista tekijöistä IGF-I -pitoisuudet selittivät parhaiten greliinipitoisuuksia. Tämä käänteinen yhteys oli erityisen vahva tyypin 2 diabeetikoilla ja insuliiniresistenteillä henkilöillä viitaten greliinin ja IGF-I:n mahdollisen vuorovaikutukseen liittyvän näiden tilojen kehittymiseen. Lisäksi havaittiin, että greliinigeenin Gln51-alleelia kantavien henkilöiden greliinipitoisuudet olivat alhaiset, ja että he sairastivat enemmän diabetesta ja verenpainetautia kuin henkilöt jotka olivat homotsygootteja Arg51-alleelin suhteen. Greliinipitoisuudet ja C-reaktiivisen proteiinin pitoisuudet eivät korreloineet keskenään. Kaulavaltimon seinämäpaksuus korreloi positiivisesti greliinipitoisuuksien kanssa miehillä riippumatta perinteisistä ateroskleroosin riskitekijöistä. Tutkimustulokset tukevat olettamusta, että greliinillä saattaa olla merkitystä metabolisen oireyhtymän, tyypin 2 diabeteksen ja ateroskleroosin kehittymisessä. Jatkotutkimukset ovat tarpeen tämän yhteyden osoittamiseksi
Feigl, Andrea B. "Managing Non-Communicable Disease Risk Factors in Developing Countries: Tobacco Control, Cardiovascular Disease Risk Surveillance, and Diabetes Prevention." Thesis, Harvard University, 2015. http://nrs.harvard.edu/urn-3:HUL.InstRepos:16121160.
Повний текст джерелаGlobal Health and Population
Ranjbar, Nezhad Isfahani Shahab. "Lameness in Pasture-Based Dairy Farms in NSW, Australia." Thesis, The University of Sydney, 2016. http://hdl.handle.net/2123/17084.
Повний текст джерелаMarinho, Niciane Bandeira Pessoa. "AvaliaÃÃo do risco para diabetes mellitus tipo 2 entre adultos de Itapipoca-CearÃ." Universidade Federal do CearÃ, 2010. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=5796.
Повний текст джерелаFundaÃÃo Cearense de Apoio ao Desenvolvimento Cientifico e TecnolÃgico
O diabetes mellitus tipo 2 à uma doenÃa de importÃncia crescente na saÃde pÃblica, jà que sua incidÃncia e prevalÃncia tÃm avanÃado de forma assustadora, sendo causada por uma combinaÃÃo de fatores genÃticos e estilo de vida. Em face disso, a saÃde pÃblica indica a prevenÃÃo primÃria para identificar os fatores de risco para DM2 e traÃar estratÃgias com vistas a evitar a exposiÃÃo ao risco, retardando ou impedindo o aparecimento da doenÃa. Objetivou-se avaliar o risco para o desenvolvimento do DM2 entre adultos de Itapipoca-CE. Trata-se de pesquisa quantitativa, com delineamento transversal e observacional, realizada no perÃodo de janeiro a marÃo de 2010, com 419 usuÃrios da EstratÃgia SaÃde da FamÃlia do municÃpio de Itapipoca-CE, com idades entre 20 e 59 anos. Para a coleta de dados aplicou-se um formulÃrio no qual se registraram dados sociodemogrÃficos e clÃnicos e o Finnish Diabetes Risk Score. Os dados foram armazenados no Excel, sendo processados no Statistical Package for Science Social versÃo 18.0. O estudo foi aprovado pelo Comità de Ãtica em Pesquisa da Universidade Federal do Cearà sob protocolo 346/09. Dos 419 usuÃrios participantes, 88,1% eram do sexo feminino; a mÃdia de idade foi de 37 anos; 60,4% eram casados ou mantinham uniÃo estÃvel; 39,4% cursaram atà o ensino fundamental incompleto e 58,2% pertenciam Ãs classes econÃmicas D/E. Em relaÃÃo aos fatores de risco para DM2, 25,3% tinham idade ≥ 45 anos; 59,7% estavam com excesso de peso; 84% foram classificados em risco cardiovascular; 83,3% eram sedentÃrios; 53,7% relataram nÃo comer frutas e/ou verduras diariamente; 12,9% tomavam anti-hipertensivos; 5,3% mencionaram histÃria prÃvia de glicose alta e 47% histÃria familiar de DM2. Segundo observou-se, 5,2% da amostra foram classificados com hipertensÃo e apenas 0,7% com provÃvel diabetes. Quanto ao grau de risco para DM2, 24,6% estavam em baixo risco; 63% em risco moderado e 11,7% em alto risco. Entre os participantes com alto risco, 12,0% eram homens; 30,2% tinham idades ≥ 45 anos; 37,4 estavam com excesso de peso; 21,1% estavam em risco cardiovascular aumentado; 12,9% eram sedentÃrios; 14,7% nÃo comiam frutas/verduras diariamente; 31,5% tomavam anti-hipertensivos; 81,8% relataram histÃria de glicose alta e 23,9% histÃria familiar de DM2. Esse estudo abre portas para uma posterior pesquisa de intervenÃÃo no municÃpio, na qual os indivÃduos com alto risco para DM2 seriam acompanhados pelos profissionais de saÃde da ESF e dos NÃcleos de Apoio à SaÃde da FamÃlia, com orientaÃÃes quanto Ãs mudanÃas no estilo de vida, e com intervenÃÃes nos fatores de risco potenciais encontrados, objetivando reduzir ou retardar o aparecimento da doenÃa.
The type 2 diabetes mellitus is a disease of increasing importance in public health, since its incidence and prevalence have dauntingly advanced, and has been caused by a combination of genetic factors and lifestyle. In this view, public health indicates primary prevention to identify risk factors for T2DM and strategize in order to avoid exposure to risk by delaying or preventing the onset of the disease. The objective was to evaluate the risk for the development of T2DM among adults in Itapipoca town-CearÃ. It is a quantitative research with cross-sectional observational study conducted from January to March 2010, with 419 users of EstratÃgia SaÃde da FamÃlia (ESF) in Itapipoca town-CearÃ, the participants aged between 20 and 59 years. To collect data we applied a form in which demographic and clinical data and Finnish Diabetes Risk Score were registered. The data were stored in Excel, and processed in the Statistical Package for Social Science 18.0. The study was approved by the Ethics Committee of the Federal University of CearÃ, under protocol 346/09. Out of the 419 participating users, 88.1% were female and the average age was 37 years, 60.4% were married or had common law-marriage, 39.4% attended to part of primary school and 58.2% belonged to lower social classes. Regarding risk factors for T2DM, 25.3% were aged ≥ 45 years, 59.7% were overweight, 84% were classified as cardiovascular risk, 83.3% were sedentary, 53.7% reported not eating fruit and / or vegetables daily, 12.9% were taking anti-hypertensive, 5.3% reported a previous history of high glucose and 47% had family history of T2DM. As observed, 5.2% of the sample were classified as having hypertension, and only 0.7% with probable diabetes. As for the risk levels for T2DM, 24.6% were at low risk, 63% in moderate risk and 11.7% at high risk. Amongst participants with high risk, 12.0% were men, 30.2% were aged ≥ 45 years, 37.4% were overweight, 21.1% were at increased cardiovascular risk, 12.9% were sedentary; 14.7% did not eat fruit / vegetables daily, 31.5% took antihypertensive drugs, 81.8% reported a history of high glucose and 23.9% had family history of T2DM. This study opens doors for further intervention research in the town, in which individuals at high risk for T2DM would be accompanied by health professionals from the ESF and the NÃcleos de Apoio à SaÃde da FamÃlia. With the aim to reduce or delay the onset of the disease, the individuals would be given guidance as to changes in lifestyle and interventions on potential risk factors found.
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