scholarly journals Occupation and risk factors for type 2 diabetes: a study with health workers

2011 ◽  
Vol 19 (3) ◽  
pp. 476-484 ◽  
Author(s):  
Vitória de Cássia Félix de Almeida ◽  
Maria Lúcia Zanetti ◽  
Paulo César de Almeida ◽  
Marta Maria Coelho Damasceno
Keyword(s):  
Risk Factors ◽  
Type 2 Diabetes ◽  
Sedentary Lifestyle ◽  
Health Workers ◽  
Hdl Cholesterol ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Increased Risk ◽  
Study Context

We aimed to analyze the interrelationships between occupation and prevalence of risk factors for type 2 diabetes in workers at a hospital in Fortaleza-CE. Cross-sectional study with 299 subjects and form-based, covering socio-demographic concerns and risk factors for Type 2 Diabetes. Results showed that 40.5% of the sample were nursing workers, 63.9% were women, 68.6% were under 35 years of age, 49.5% had an education level equivalent to high school and 51.9% had no marriage or stable union. Comparison among the prevalence of risk factors in different occupations was significant (p<0.05) for the following factors: abdominal obesity, waist-hip ratio increased, sedentary lifestyle and HDL-cholesterol <35 mg/dl, and the nursing workers showed higher prevalence levels for these three factors. Hence, within the study context, nursing workers are at an increased risk for developing diabetes in comparison with other health professionals.

scholarly journals FAKTOR RESIKO YANG BERHUBUNGAN DENGAN TERJADINYA ULKUS DIABETIK PADA PENDERITA DIABETES MELITUS TIPE 2 DI RSUD SYEKH YUSUF KABUPATEN GOWA

2020 ◽  
Vol 11 (1) ◽  
pp. 75
Author(s):  
Saenab Dasong ◽  
Suhartatik Suhartatik ◽  
Arlin Afrianti
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Type 2 Diabetes ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Survey Study ◽  
Cross Sectional ◽  
Diabetic Ulcer ◽  
Diabetic Ulcers

Diabetic Ulcers was a threat to people with Diabetes Mellitus and even caused amputations. The purpose of this study was to determine the relationship between risk factors and the occurrence of Diabetes Ulcers to the patients with type 2 Diabetes Mellitus at Syekh Hospital of Gowa Regency. This study was an Analytical Survey Study that the researcher conducted a cross sectional study conducted in April to May 2019. The population in this study was Type 2 of DM patients seeking treatment at Syekh Yusuf Hospital Gowa Regency, consisted 30 respondents. The results showed that age, duration of DM and adherence to take medication had a significant relationship with the occurrence of Diabetes Ulcers in type 2 of DM patients. All factors had a value <0.05. It was expected that patients will always increase efforts to prevent the occurrence of Diabetic Ulcers through the prevention of various risk factors for Diabetic Ulcers in patients with type 2 Diabetes. So, this needed to be considered by health workers to pay attention to the risk factors. One of the factors that could be modified was medication adherence because it affected the patient's blood sugar levels that had impacted on the complications of Diabetic Ulcers.Keywords: Age, Length of Suffering from Diabetes Mellitus, Compliance with Taking Medication, Diabetic Ulcer 

Relative risk of cardiovascular disease is higher in women with type 2 diabetes, but not in those with prediabetes, as compared with men

2020 ◽  
Author(s):  
Elena Succurro ◽  
Teresa Vanessa Fiorentino ◽  
Sofia Miceli ◽  
Maria Perticone ◽  
Angela Sciacqua ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Cardiovascular Disease ◽  
Longitudinal Study ◽  
Relative Risk ◽  
Hdl Cholesterol ◽  
Cross Sectional Study ◽  
Adverse Outcomes ◽  
Cross Sectional ◽  
Normal Glucose

<b>Objective</b>: Most, but not all studies suggested that women with type 2 diabetes have higher relative risk (RR) for cardiovascular disease (CVD) than men. More uncertainty exists on whether the RR for CVD is higher in prediabetic women compared to men. <p><b>Research Design and Methods</b>: In a cross-sectional study, in 3540 normal glucose tolerant (NGT), prediabetic, and diabetic adults, we compared the RR for prevalent non-fatal CVD between men and women. In a longitudinal study including 1658 NGT, prediabetic, and diabetic adults, we compared the RR for incident major adverse outcomes, including all-cause death, coronary heart disease, and cerebrovascular disease events after 5.6 years follow-up. </p> <p><b>Results:</b> Women with prediabetes and diabetes exhibited greater relative differences in BMI, waist circumference, blood pressure, total, LDL and HDL cholesterol, triglycerides, fasting glucose, hsCRP, and white blood cell count than men with prediabetes and diabetes when compared with their NGT counterparts. We found a higher RR for prevalent CVD in diabetic women (RR 9.29; 95% CI 4.73-18.25; <i>P</i><0.0001) than in men (RR 4.56; 95% CI 3.07-6.77; <i>P</i><0.0001), but no difference in RR for CVD was observed comparing prediabetic women and men. In the longitudinal study, we found that diabetic, but not prediabetic women have higher RR (RR 5.25; 95% CI 3.22-8.56; <i>P</i><0.0001) of incident major adverse outcomes than their male counterparts (RR 2.72; 95% CI 1.81-4.08; <i>P</i><0.0001).</p> <p><b>Conclusions:</b> This study suggests that diabetic, but not prediabetic, women have higher RR for prevalent and incident major adverse outcomes than men. </p>

Clinical Features of And Risk Factors for Normoalbuminuric Diabetic Kidney Disease In Hospitalized Patients With Type 2 Diabetes Mellitus: A Retrospective Cross-Sectional Study

2021 ◽  
Author(s):  
Qi Dai ◽  
Nan Chen ◽  
Ling Zeng ◽  
Xin-Jie Lin ◽  
Feng-Xiu Jiang ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Diabetic Kidney Disease ◽  
Cross Sectional Study ◽  
Regression Analyses ◽  
Sectional Study ◽  
Cross Sectional

Abstract Background: Normoalbuminuric diabetic kidney disease (NADKD) is a newly defined DKD, the clinical features and pathogenesis for which are still being understood. This study aimed to investigate the features and risk factors for NADKD in patients with type 2 diabetes mellitus (T2DM).Methods: A retrospective cross-sectional study was conducted. The related clinical and laboratory data of patients with T2DM hospitalized between August 2012 and January 2020 were collected for statistical analysis. We classified the patients with T2DM into four groups on the basis of the presence or absence of albuminuria and reduced estimated glomerular filtration rate (eGFR). Analysis of variance, the Kruskal–Wallis test, and the chi-square test were used to compare the groups. Binary logistic regression analyses with a forward stepwise method were performed to explore the risk factors for renal dysfunction in hospitalized patients with normoalbuminuric T2DM.Results: Among the 1620 patients evaluated, 500 (30.9%) had DKD, of which 9% had NADKD. The prevalence of stroke, cardiovascular events, carotid plaque, and peripheral arterial disease in NADKD was significantly higher than in a non-DKD control group (normoalbuminuric T2DM patients with eGFR of ≥60 ml/min/1.73 m2). Regression analyses revealed that three significant independent factors were associated with NADKD: age (OR = 1.089, confidence interval [CI] 95% [1.055−1.123], p < 0.001), previous use of renin−angiotensin system inhibitors (RASIs; OR = 2.330, CI 95% [1.212−4.481], p = 0.011), and glycated hemoglobin (HbA1c; OR = 0.839, CI 95% [0.716−0.983], p = 0.03). Conclusions: NADKD is mainly associated with macrovascular rather than microvascular complications. NADKD is more common in patients with normoalbuminuric T2DM with older age, previous use of RASIs, and good glycemic control.

Abdominal aortic calcification is associated with morbidity of cardiovascular disease and Fib-4 index in type 2 diabetes: a retrospective cross-sectional study

2020 ◽  
Author(s):  
Yu Togashi ◽  
Jun Shirakawa ◽  
Daisuke Miyashita ◽  
Mayu Kyohara ◽  
Tomoko Okuyama ◽  
...  
Keyword(s):  
Risk Factors ◽  
Type 2 Diabetes ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Cross Sectional Study ◽  
Abdominal Aortic Calcification ◽  
Cross Sectional ◽  
Abdominal Aortic ◽  
Artery Disease

Abstract Background: Little is known about the association between abdominal aortic calcification (AAC) and the risk of cardiovascular disease (CVD) among patients with diabetes. This study evaluated the cross-sectional association between AAC and CVD morbidity in patients with type 2 diabetes. Methods: This retrospective cross-sectional study enrolled 285 inpatients with type 2 diabetes. The lateral view of an abdominal X-ray image obtained while each subject was in a standing position was examined, and the AAC score and AAC length, corresponding to the area of calcific deposits in the anterior and posterior aortic wall for the L1-4 and L1-5 regions, respectively, were measured. The associations between the AAC scores and lengths and the presence of coronary artery disease (CAD), cerebral infarction (CI), and peripheral artery disease (PAD) were then assessed. The correlation between the AAC grades and other clinical factors were also evaluated. Results: The degree of AAC was significantly correlated with a higher prevalence of CAD and CI but not PAD after adjustments for cardiovascular risk factors. The AAC score was inversely correlated with BMI, and both the AAC score and the AAC length were correlated with the Fib-4 index; these correlations persisted after adjustments for cardiovascular risk factors and BMI, although AAC was not associated with ultrasonography-diagnosed fatty liver. Conclusion: AAC is associated with CAD and CI morbidity in patients with type 2 diabetes. AAC grading also predicts the Fib-4 index, a hepatic fibrosis marker, suggesting a novel potential predictor of liver disease that is independent of cardiovascular risk factors and obesity.

scholarly journals Apolipoprotein E gene polymorphism and the risk of cardiovascular disease and type 2 diabetes

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Sudong Liu ◽  
Jing Liu ◽  
Ruiqiang Weng ◽  
Xiaodong Gu ◽  
Zhixiong Zhong
Keyword(s):  
Type 2 Diabetes ◽  
Cardiovascular Disease ◽  
Apolipoprotein E ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
E Gene ◽  
Apolipoprotein E Gene ◽  
Increased Risk ◽  
Ε4 Allele

Abstract Background The role of apolipoprotein E gene (APOE) in lipid metabolism has been well established, and APOE is associated with the risk of cardiovascular disease (CVD) and diabetes mellitus (DM). However, the relationship between APOE polymorphisms and type 2 diabetes (T2DM) with or without CVD remains unclear. Methods In this cross-sectional study, a total of 924 participants including 211 controls (CVD-T2DM-), 247 T2DM patients with CVD (CVD-T2DM+), 232 CVD patients without T2DM (CVD + T2DM-) and 234 T2DM patients with CVD (CVD + T2DM+), were genotyped using chip platform. The association between APOE polymorphisms and T2DM patients with or without CVD was analyzed by univariable and multivariable logistic analysis. Results The present study showed that the frequency of E3/E4 increased in T2DM patients with CVD (p < 0.01). The ε4 allele was higher in CVD patients without T2DM (p < 0.01) and T2DM patients with CVD (p < 0.01) as compared with the controls. Conclusions The subjects carrying ε4 allele have increased risk of CVD and T2DM, and exhibit higher level of lipid profiles.

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