Macroangiopathy in type II diabetes. The Raval South study

To study the prevalence of clinical forms of diabetic macroangiopathy (DM) and its risk factors. A descriptive crossover study. An elderly and socio-economically very depressed population in Raval Sud Health District (HD), Barcelona. Random sampling of type II diabetes patients (n = 387) registered...

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Bibliographic Details
Published inAtención primaria Vol. 16; no. 2; p. 67
Main Authors Mur Martí, T, Franch Nadal, J, Morato Griera, J, Mena González, A, Vilarrubias Calaf, M, Llobera Serentill, A
Format Journal Article
LanguageSpanish
Published Spain 30.06.1995
Subjects
Aged
Catchment Area (Health)
Diabetes Mellitus, Type 2 - physiopathology
Diabetic Angiopathies - epidemiology
Female
Humans
Male
Middle Aged
Prevalence
Risk Factors
Spain - epidemiology
Spain
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Summary:To study the prevalence of clinical forms of diabetic macroangiopathy (DM) and its risk factors. A descriptive crossover study. An elderly and socio-economically very depressed population in Raval Sud Health District (HD), Barcelona. Random sampling of type II diabetes patients (n = 387) registered in the HD (6.6% prevalence). Each patient was examined for the presence of diagnostic criteria of peripheric, cerebral or coronary vasculopathy (VP); as well as for the possible risk factors (age, gender, years of the DM's evolution, tobacco, hypertension, obesity, glycosilated haemoglobin and dyslipemia). Prevalences obtained were: peripheric VP = 24.5%, cerebral VP = 9.5%, coronary VP = 18.1%. 30.5% of the diabetics had some form of macroangiopathy. The main risk factors for all the clinical forms (p < 0.001) were age and the length of evolution of DM, tobacco mainly for peripheric VP (p < 0.001), systolic Hypertension for cerebral VP (p = 0.03) and Hypertriglyceridaemia for peripheric VP (p < 0.01). Macroangiopathy affects a high percentage (30.5%) of type 2 diabetics. The principal risk factors are those associated with tobacco, hypertension and hypertriglyceridaemia, all of which we can affect and control.
ISSN:0212-6567