Clinical and anthropometric profile of elderly outpatients with type 2 diabetes mellitus

Maria Goretti Pessoa de Araújo Burgos, Thaís Carvalho de Amorim, Poliana Coelho Cabral

Abstract


*** Clinical and anthropometric profile of elderly outpatients with type 2 diabetes mellitus ***

AIMS: to evaluate the clinical and anthropometric profile of elderly diabetic outpatients with type 2 diabetes mellitus.

METHODS: A retrospective study was conducted on male and female elderly patients with type 2 diabetes mellitus treated at the nutrition/diabetes outpatient clinic of the Center for Senior Health (Federal University of Pernambuco, Brazil). Data on gender, age, time of diagnosis of diabetes, body mass index, physical activity, and concomitant chronic non-communicable diseases were retrieved from the clinic’s database and from patient files.

RESULTS: A total of 244 elderly patients were assessed, 82.4% of whom were female. Mean age was 69.7±7 years, with a predominance of individuals aged between 60 and 74 years (76.2%). One hundred forty-seven patients (60.2%) had been diagnosed with diabetes for less than 5 years, 183 (75%) had systemic hypertension, 115 (47.1%) had dyslipidemia, and 129 (52.9%) lived a sedentary lifestyle. According to body mass index evaluation, 147 patients (60.2%) were overweight. By evaluating the association of demographic, clinical, and anthropometric variables and physical activity with overweight, there was a statistically significant association only with hypertension.

CONCLUSIONS: Hypertension, overweight, and sedentary lifestyle were highly frequent in this sample of elderly diabetic patients with type 2 diabetes mellitus. In addition, there was an association between overweight and hypertension. Healthcare strategies need to be developed to stimulate lifestyle changes among elderly patients in order to prevent and control the complications related to these morbidities.


Keywords


Aged; Diabetes Mellitus Type 2; Chronic Disease; Health Profile; Nutrition.

References


Cavalcanti C, Gonçalves M, Asciutti L, Cavalcanti A. Prevalência de doenças crônicas e estado nutricional em um grupo de idosos brasileiros. Rev Salud Publica (Bogota). 2009:11(6):865-77. https://doi.org/10.1590/S0124-00642009000600003

American Diabetes Association. Classification and Diagnosis of Diabetes. Diabetes Care. 2016 Jan;39 Suppl 1:S13-22. https://doi.org/10.2337/dc16-S005

Vilar L. Endocrinologia clínica. 6ª ed. Rio de Janeiro: Guanabara Koogan; 2016.

Princípios básicos, avaliação e diagnóstico do diabetes mellitus: epidemiologia e prevenção. In: Diretrizes da Sociedade Brasileira de Diabetes (2015-2016). São Paulo: A. C. Farmacêutica; 2016. p. 3-6.

Prisant L, Louard R. Controversies surrounding the treatment of the hypertensive patient with diabetes. Curr Hypertens Rep. 1999 Dec;1(6):512-20. https://doi.org/10.1007/s11906-996-0024-9

UK Prospective Diabetes Study Group. Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 38. BMJ. 1998 Sep 12;317(7160):703-13. https://doi.org/10.1136/bmj.317.7160.703

Diretrizes da Sociedade Brasileira de Diabetes (2015-2016). São Paulo: A. C. Farmacêutica; 2016. 335p.

Lipschitz DA. Screening for nutritional status in the elderly. Prim Care. 1994 Mar;21(1):55-67.

Canadian Diabetes Association Clinical Practice Guidelines Expert Committee. Canadian Diabetes Association 2013 clinical practice guidelines for the prevention and management of diabetes in Canada. Can J Diabetes 2013;37(suppl 1):S1-S212

Vigitel Brasil 2014: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico Brasília: Ministério da Saúde; 2015.

Tavares D, Rodrigues F, Silva C, Miranzi S. Caracterização de idosos diabéticos atendidos na atenção secundária. Ciênc Saúde Coletiva. 2007:12(5):1341-52. https://doi.org/10.1590/S1413-81232007000500032

Alencar LL, Tores MV, Santos AMB, Santos MB, Santiago AKC, Barbosa APB. Perfil epidemiológico de idosos com diabetes mellitus tipo 2 cadastrados na estratégia saúde da família. G&S. 2014:2972-89.

Ferreira CLRA, Ferreira MG. Características epidemiológicas de pacientes diabéticos da rede pública de saúde – análise a partir do sistema HiperDia. Arq Bras Endocrinol Metab 2009;53(1):80-6. https://doi.org/10.1590/S0004-27302009000100012

Palmeira MM, Silva LL, Souza RM, Cordeiro CRG. Perfil epidemiológico dos pacientes diabéticos atendidos no serviço de diagnóstico em cardiologia da Universidade do estado do Pará. RBM. 2011:68(2):29-32.

American Diabetes Association. Screening for type 2 diabetes. Diabetes Care 2004;3(2):60-3.

Schmidt MI, Hoffmann JF, de Fátima Sander Diniz M, Lotufo PA, Griep RH, Bensenor IM, Mill JG, Barreto SM, Aquino EM, Duncan BB. High prevalence of diabetes and intermediate hyperglycemia - The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Diabetol Metab Syndr. 2014 Nov 18;6:123. https://doi.org/10.1186/1758-5996-6-123

Silva RCP, Simões MJS, Leite AA. Fatores de risco para doenças cardiovasculares em idosos com diabetes mellitus tipo 2. Rev Ciênc Farm Básica Apl. 2007;28(1):113-21.

World Health Organization. Obesity. Preventing and managing the global epidemic. Geneva: WHO; 1997.

Susic D, Varagic J. Obesity: a perspective from hypertension. Med Clin North Am. 2017 Jan;101(1):139-57. https://doi.org/10.1016/j.mcna.2016.08.008

Franchi KMB, Monteiro LZ, Pinheiro MHNP, Almeida SB, Medeiros AIA, Montenegro RM, Montenegro Júnior RM, Castro FM. Comparação antropométrica e do perfil glicêmico de idosos diabéticos praticantes de atividade física regular e não praticantes. Rev Bras Geriatr Gerontol. 2010;13(1):73-81. https://doi.org/10.1590/S1809-98232010000100008

Vitoi NC, Fogal AS, Nascimento CM, Franceschini SCC, Ribeiro AQ. Prevalência e fatores associados ao diabetes em idosos no município de Viçosa, Minas Gerais. Rev Bras Epidemiol. 2015;18(4):953-65. https://doi.org/10.1590/1980- 5497201500040022

Sociedade Brasileira de Cardiologia, Xavier HT, Izar MC, Faria Neto JR, Assad MH, Rocha VZ, Sposito AC, Fonseca FA, dos Santos JE, Santos RD, Bertolami MC, Faludi AA, Martinez TL, Diament J, Guimarães A, Forti NA, Moriguchi E, Chagas AC, Coelho OR, Ramires JA. V Diretriz Brasileira de Dislipidemias e Prevenção da Aterosclerose. Arq Bras Cardiol. 2013 Oct;101(4 Suppl 1):1-20.

Mazo GZ, Liposcki DB, Ananda C, Prevé D. Condições de saúde, incidência de quedas e nível de atividade física dos idosos. Rev Bras Fisioter. 2007;11(6):437-42. https://doi.org/10.1590/S1413-35552007000600004




DOI: http://dx.doi.org/10.15448/1980-6108.2017.3.26616

 

***************************************************************************************************************

From 2011 (when it was indexed in Scopus), Scientia Medica features the Scimago Journal & Country Rank (SJR) impact factor.

SCImago Journal & Country Rank



 This journal is a member of, and subscribes to the principles of, the Committee on Publication Ethics (COPE) http://www.publicationethics.org

 

Licença Creative Commons
Except where otherwise noted, content of this journal is licensed under a Creative Commons Attribution 4.0 International license.


Editorial Policies of Brazilian Scientific Journals. Deposit availability: Blue .

Copyright: © 2006-2017 EDIPUCRS