scholarly journals Risk Factors Associated with Type 2 Diabetes Mellitus in Adolescents

2020 ◽  
Vol 8 (15) ◽  
pp. 9-15
Author(s):  
Zayda Arlette Trejo Osti ◽  
Jorge Abelardo Falcón Lezama

Despite T2DM is considered a nosological entity of adults, it has increased in children under 19 years old. This is due to changes in lifestyles but above all to the increase of overweight and obesity registered in recent years. There are multiple studies focused on describing both the epidemiology and the clinical presentation of T2DM in children and adolescents. In Mexico, there is little research that provides data on the behavior and distribution of this disease in the Mexican population. However, given the characteristics of the population, it is very likely to find more cases than those that are currently reported. That is why this article aims at making a brief analysis of the main risk factors associated with diabetes, epidemiology, physiopathology, clinical presentation as well as diagnosis and treatment in T2DM in adolescents. 

Author(s):  
Rachid Malek

This review focused on data on the prevalence of diabetes mellitus especially type 2 diabetes mellitus (T2DM) in Africa, where the current number of diabetes individuals has reached 19 million. There appears to be heterogeneity in the data between countries with a trend towards the development of diabetes at an earlier age, high socio-economic impact but also limited financial resources given that the majority of African countries are developing countries with low to middle income. Africa is not spared the universal risk factors for T2DM, but the influence of the environment (urbanization), inadequate diets and sedentary lifestyle, often leading to overweight and obesity, remains a major concern. This is reflected in projections and estimates by the International Diabetes Federation (IDF), which predicts a 143% increase in the number of people with diabetes in Africa by 2045. Other factors have a negative impact on diabetes management, such as difficult access to medication and lack of education programs. Overall and individual awareness raising in collaboration with health authorities, governments and the media remains the most appropriate. Pending the implementation of national programs for the prevention of diabetes and its complications, it is necessary to strengthen therapeutic education and improve the quality of primary care in order to fight the scourge of diabetes. Keywords: Type 2 diabetes mellitus, epidemiology, prevalence, risk factors, Africa.


Author(s):  
S. Kh. Mekhdiyev ◽  
I. I. Mustafaev ◽  
M. N. Mamedov

The presented study in Azerbaijan is carried out for the first time within State Programs on fight against a type 2 diabetes mellitus (DM2) and other noninfectious diseases.Aim.To define predictors of arterial hypertension (AH) in patients with DM2 in Azerbaijan population.Material and methods. In the single-step clinical-epidemiology cohort study were included 528 patients with DM2 at the age of 30-69 (30,5% — men and 69,5% — women) who answered questions using “ARIC” questioner to define AH and its risk factors.Results.The prevalence of AH in women (72,4%) was 2,6 times more than in men (27,6%) and the frequent occurrence of AH was at the age of 60-69 (respectively, 26,7±2,1% vs 9,6±2,9%, p<0,001). It was not determined remarkable differences between AH level and occupation status, alcohol consumption, low physical activity, feeding disorder of the patients, at the same time in patients with AH smoking frequency was about 2 times often than in others (respectively, 19,3±1,9% vs 10,6±3,0%, p<0,05). In parents of AH patients AH rates, in comparison with eutonics, were occurred like these: (respectively, in fathers 21,9±2,0% vs 12,5±3,2%, p<0,05; in mothers 42,2±2,4% vs 26,9±4,3%, p<0,01), in mothers DM2 (respectively, 33,7±2,3% vs 221 ±4,1 %, p<0,05), overweight and obesity were watched much more often (95,0±1,1% vs 88,5±3,1%, p<0,05), at the same time these patients were suffered from abdominal obesity (respectively, 96,5±0,9% vs 89,4±3,0%, p<0,01). The mean values of systolic and diastolic arterial pressure (respectively, 148,3±1,1 vs 119,8±1,3 Hg, p<0,001 and 85,9±0,5 vs 74,8±0,8 Hg, p<0,001) were often determined in patients with AH, and on the other hand in these patients were noted prevalence of anxious syndrome (respectively, 78,5±2,0% vs 72,1±4,4%, p<0,05) and depression (68,2±2,3% vs 62,5±4,7%, p>0,05). Regardless of AH level in all patients was noted stress (respectively, 99,8±0,2% vs 100,0±0,0%, p>0,05), which changed for the worse life quality of the patients with AH significantly (respectively, 1,0±2,2% vs 61,5±4,8%, p<0,05).Conclusion.For patients with DM2 in Azerbaijan cohort female sex, increasing of the age, body mass index, abdominal obesity and anxious conditions are significant risk factors for AH. Presence of AH in both parents and DM2 in mothers increase this risk significantly, which decrease life quality of these patients.


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