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dc.contributor.authorChwal, Bruna Cristinept_BR
dc.contributor.authorReis, Rodrigo Citton Padilha dospt_BR
dc.contributor.authorSchmidt, Maria Inêspt_BR
dc.contributor.authorDuncan, Bruce Bartholowpt_BR
dc.contributor.authorBarreto, Sandhi Mariapt_BR
dc.contributor.authorGriep, Rosane Harterpt_BR
dc.date.accessioned2023-04-19T03:24:49Zpt_BR
dc.date.issued2023pt_BR
dc.identifier.issn1758-5996pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/257184pt_BR
dc.description.abstractBackground: Control of glucose, blood pressure, cholesterol, and smoking improves the prognosis of individuals with diabetes mellitus. Our objective was to assess the level of control of these risk factors in Brazilian adults with known diabetes and evaluate correlates of target achievement. Methods: Cross-sectional sample of the Brazilian Longitudinal Study of Adult Health, composed of participants reporting a previous diagnosis of diabetes or the use oof antidiabetic medication. We measured glycated hemoglobin (HbA1c) and LDL-cholesterol at a central laboratory and blood pressure following standardized protocols. We defined HbA1c < 7% as glucose control (target A); blood pressure < 140/90 mmHg (or < 130/80 mmHg in high cardiovascular risk) as blood pressure control (target B), and LDL-c < 100 mg/dl (or < 70 mg/dl in high risk) as lipid control (target C), according to the 2022 American Diabetes Association guidelines. Results: Among 2062 individuals with diabetes, 1364 (66.1%) reached target A, 1596 (77.4%) target B, and 1086 (52.7%) target C; only 590 (28.6%) achieved all three targets. When also considering a non-smoking target, those achieving all targets dropped to 555 (26.9%). Women (PR = 1.13; 95%CI 1.07–1.20), those aged ≥ 74 (PR = 1.20; 95%CI 1.08–1.34), and those with greater per capita income (e.g., greatest income PR = 1.26; 95%CI 1.10–1.45) were more likely to reach glucose control. Those black (PR = 0.91; 95%CI 0.83–1.00) or with a longer duration of diabetes (e.g., ≥ 10 years PR = 0.43; 95%CI 0.39–0.47) were less likely. Women (PR = 1.05; 95%CI 1.00–1.11) and those with private health insurance (PR = 1.15; 95%CI 1.07–1.23) were more likely to achieve two or more ABC targets; and those black (PR = 0.86; 95%CI 0.79–0.94) and with a longer duration of diabetes (e.g., > 10 years since diabetes diagnosis, PR = 0.68; 95%CI 0.63–0.73) less likely. Conclusion: Control of ABC targets was poor, notably for LDL-c and especially when considering combined control. Indicators of a disadvantaged social situation were associated with less frequent control.en
dc.format.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofDiabetology and metabolic syndrome. London. Vol. 15 (2023), 4, 9 p.pt_BR
dc.rightsOpen Accessen
dc.subjectCardiometabolic risk factorsen
dc.subjectDiabetes mellituspt_BR
dc.subjectGlycated hemoglobina Aen
dc.subjectFatores de risco cardiometabólicopt_BR
dc.subjectHypertensionen
dc.subjectHemoglobinas glicadaspt_BR
dc.subjectHipertensãopt_BR
dc.subjectHypercholeserolemiaen
dc.subjectHipercolesterolemiapt_BR
dc.subjectTobacco smokingen
dc.subjectTabagismopt_BR
dc.subjectFumarpt_BR
dc.titleLevels and correlates of risk factor control in diabetes mellitus –ELSA-Brasilpt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb001159913pt_BR
dc.type.originEstrangeiropt_BR


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