Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/10324
Title: High prevalence of diabetes and intermediate hyperglycemia – The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)
Authors: Schmidt, Maria Inês
Hoffmann, Juliana F
Diniz, Maria de Fátima Sander
Lotufo, Paulo A
Griep, Rosane Härter
Bensenor, Isabela M
Mill, José G
Barreto, Sandhi Maria
Aquino, Estela M. L
Duncan, Bruce B
Affilliation: Universidade Federal do Rio Grande do Sul. Escola de Medicina. Programa de Pós-Graduação em Epidemiologia. Porto Alegre, RS, Brasil.
Universidade Federal do Rio Grande do Sul. Escola de Medicina. Programa de Pós-Graduação em Epidemiologia. Porto Alegre, RS, Brasil.
Universidade Federal de Minas Gerais. Faculdade de Medicina. Belo Horizonte, MG, Brasil.
Universidade de São Paulo. Centro de Pesquisa Clínica e Epidemiológica. São Paulo, SP, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Educação em Ambiente e Saúde. Rio de Janeiro, RJ, Brasil.
Universidade de São Paulo. Centro de Pesquisa Clínica e Epidemiológica. São Paulo, SP, Brasil.
Universidade Federal do Espírito Santo. Departamento de Ciências Psicológicas. Vitória, ES, Brasil.
Universidade Federal de Minas Gerais. Faculdade de Medicina. Belo Horizonte, MG, Brasil.
Universidade Federal da Bahia. Instituo de Saúde Coletiva. salvador, BA, Brasil.
Universidade Federal de Minas Gerais. Faculdade de Medicina. Belo Horizonte, MG, Brasil.
Abstract: Background: The global burden of diabetes mellitus and other chronic diseases is high, and 80% of those with diabetes now live in low and middle income countries. Yet, little information is available regarding prevalence of diabetes and intermediate hyperglycemia in these countries, especially when a full range of diagnostic tests is employed. The purpose of this study is to provide a full accounting of these prevalences in a large, free-living Brazilian population. Methods: We report baseline data (2008-2010) from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil), a cohort study of 15,105 civil servants aged 35-74 years. Diabetes mellitus was ascertained by self-report of diagnosis, medication use, fasting glucose, an oral glucose tolerance test, and/or glycated hemoglobin. Cut-offs for diabetes and intermediate hyperglycemia followed the recommendations of the World Health Organization and the American Diabetes Association. Adjusted prevalences were estimated through logistic regression. Findings: With this full accounting, 19.7% (19.0%-20.3%) had diabetes mellitus, 50.4% being previously undiagnosed. Frequencies of intermediate hyperglycemia according to various criteria ranged from 16.1% to 52.6%. Diabetes or intermediate hyperglycemia was present in 79.1% of participants when using the most comprehensive definitions. The burden was greatest in the elderly, the obese, non-whites, and those with less formal education (p < 0.001). Interpretation: That four of every five free-living individuals aged 35-74 years working in selected public institutions in six Brazilian state capitals presented either diabetes or intermediate hyperglycemia highlights the advanced stage of the obesity – diabetes epidemic in urban Brazil and indicates the need for urgent action.
Keywords: Diabetes mellitus
Prevalence
Prediabetic state
Hyperglycemia
Keywords in spanish: Hiperglucemia
Diabetes Mellitus
Prevalencia
Estado Prediabético
keywords: Hiperglicemia
Diabetes Mellitus
Prevalência
Estado Pré-Diabético
Issue Date: 2014
Publisher: Biomed Central
Citation: SCHMIDT, Maria Inês et al. High prevalence of diabetes and intermediate hyperglycemia – The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Diabetology & Metabolic Syndrome, v.6, n.123, 9p, 2014.
DOI: 10.1186/1758-5996-6-123
Copyright: open access
Appears in Collections:IOC - Artigos de Periódicos

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