| Author | Schmidt, Maria Inês | |
| Author | Hoffmann, Juliana F | |
| Author | Diniz, Maria de Fátima Sander | |
| Author | Lotufo, Paulo A | |
| Author | Griep, Rosane Harter | |
| Author | Bensenor, Isabela M | |
| Author | Mill, José G | |
| Author | Barreto, Sandhi Maria | |
| Author | Aquino, Estela M. L | |
| Author | Duncan, Bruce B | |
| Access date | 2015-05-15T13:16:43Z | |
| Available date | 2015-05-15T13:16:43Z | |
| Document date | 2014 | |
| 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. | pt_BR |
| URI | https://www.arca.fiocruz.br/handle/icict/10324 | |
| Language | eng | pt_BR |
| Publisher | Biomed Central | pt_BR |
| Rights | open access | |
| Subject in Portuguese | Hiperglicemia | pt_BR |
| Subject in Portuguese | Diabetes Mellitus | pt_BR |
| Subject in Portuguese | Prevalência | pt_BR |
| Subject in Portuguese | Estado Pré-Diabético | pt_BR |
| Title | High prevalence of diabetes and intermediate hyperglycemia – The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) | pt_BR |
| Type | Article | |
| DOI | 10.1186/1758-5996-6-123 | pt_BR |
| 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. | pt_BR |
| Affilliation | Universidade Federal do Rio Grande do Sul. Escola de Medicina. Programa de Pós-Graduação em Epidemiologia. Porto Alegre, RS, Brasil. | pt_BR |
| Affilliation | Universidade Federal do Rio Grande do Sul. Escola de Medicina. Programa de Pós-Graduação em Epidemiologia. Porto Alegre, RS, Brasil. | pt_BR |
| Affilliation | Universidade Federal de Minas Gerais. Faculdade de Medicina. Belo Horizonte, MG, Brasil. | pt_BR |
| Affilliation | Universidade de São Paulo. Centro de Pesquisa Clínica e Epidemiológica. São Paulo, SP, Brasil. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Educação em Ambiente e Saúde. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Universidade de São Paulo. Centro de Pesquisa Clínica e Epidemiológica. São Paulo, SP, Brasil. | pt_BR |
| Affilliation | Universidade Federal do Espírito Santo. Departamento de Ciências Psicológicas. Vitória, ES, Brasil. | pt_BR |
| Affilliation | Universidade Federal de Minas Gerais. Faculdade de Medicina. Belo Horizonte, MG, Brasil. | pt_BR |
| Affilliation | Universidade Federal da Bahia. Instituo de Saúde Coletiva. salvador, BA, Brasil. | pt_BR |
| Affilliation | Universidade Federal de Minas Gerais. Faculdade de Medicina. Belo Horizonte, MG, Brasil. | pt_BR |
| Subject | Diabetes mellitus | pt_BR |
| Subject | Prevalence | pt_BR |
| Subject | Prediabetic state | pt_BR |
| Subject | Hyperglycemia | pt_BR |
| Subject in Spanish | Hiperglucemia | pt_BR |
| Subject in Spanish | Diabetes Mellitus | pt_BR |
| Subject in Spanish | Prevalencia | pt_BR |
| Subject in Spanish | Estado Prediabético | pt_BR |
