Analysis of the risk of diabetes mellitus type 2 in women workers at a reference hospital in Asuncion, Paraguay
DOI:
https://doi.org/10.52379/mcs.v8i2.368Keywords:
diabetes mellitus, risk factor, Health promotion, obesity, chronic non-communicable diseaseAbstract
Introduction: Obesity, age, sedentary lifestyle, and family history of diabetes mellitus are risk factors for type 2 diabetes mellitus (T2DM). Objective: determine the probable risk of developing T2DM in the next 10 years in working women at a reference hospital in Asunción, Paraguay. Methodology: This cross-sectional observational descriptive study was conducted with physicians, nurses, and administrative staff. Data were collected over three months using the FINDRISK test to assess diabetes risk, which consists of eight questions about age, body mass index, waist circumference, physical activity, fruit and vegetable consumption, history of blood pressure, high blood pressure and high glucose, and diabetes diagnosed in family members. Descriptive statistics in the form of frequencies and percentages, as well as analytical statistics using the Mann-Whitney and Kruskal-Wallis tests, were used to analyze the data. Results: A total of 112 women participated in the study, with more than 40% in the age range of 31–40 years. The waist circumference of 80-88 cm was the most common (38.4%). It was found that 33% of participants were overweight. Almost 60% of the participants did not perform daily physical activities. More than 38% of the first-degree relatives had a history of diabetes. Of the surveyed participants, 67.9%had some risk of developing T2DM in the next 10 years and 22 had a high or very high risk according to the FINDRISK test. Participants aged 35 years had a significantly higher risk (p=0.008). Conclusion: A high prevalence of overweight and obesity was observed, with 67.9% of the respondents showing some degree of risk for developing T2DM in the next 10 years, of which nearly 20% were categorized as high or very high risk.
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Petersmann A, Müller-Wieland D, Müller UA, Landgraf R, Nauck M, Freckmann G, et al. Definition, Classification and Diagnosis of Diabetes Mellitus. Exp Clin Endocrinol Diabetes. 2019;127(S 1):S1-7. https://doi.org/10.1055/a-1018-9078
PAHO/WHO - Diabetes. Cited October 31, 2023. URL
American Diabetes Association. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes—2020. Diabetes Care. 2019;43(Supplement_1):S14-31. https://doi.org/10.2337/dc20-S002
Farreras -Valentí P, Domarus A von, Rozman C, Cardellach F. Internal medicine. Nineteenth edition. Barcelona: Elsevier; 2020.
Robles L, Carlos J. Metabolic syndrome: concept and practical application. An Fac Med. 2013;74(4):315-20. https://doi.org/10.15381/anales.v74i4.2705
Harris MI, Klein R, Welborn TA, Knuiman MW. Onset of NIDDM occurs at Least 4–7 yr Before Clinical Diagnosis. Diabetes Care. 1992;15(7):815-9. https://doi.org/10.2337/diacare.15.7.815
Uusitupa M, Khan TA, Viguiliouk E, Kahleova H, Rivellese AA, Hermansen K, et al. Prevention of Type 2 Diabetes by Lifestyle Changes: A Systematic Review and Meta-Analysis. Nutrients. 2019;11(11):2611. https://doi.org/10.3390/nu11112611
Rautio N, Jokelainen J, Korpi-Hyövälti E, Oksa H, Saaristo T, Peltonen M, et al. Lifestyle Intervention in Prevention of Type 2 Diabetes in Women With a History of Gestational Diabetes Mellitus: One-Year Results of the FIN-D2D Project. J Womens Health. 2014;23(6):506-12. https://doi.org/10.1089%2Fjwh.2013.4520
Diagnosis | ADA. 2022. URL
Lindström J, Tuomilehto J. The Diabetes Risk Score. Diabetes Care. 2003;26(3):725-31. https://doi.org/10.2337/diacare.26.3.725
Soriguer F, Valdés S, Tapia MJ, Esteva I, Ruiz de Adana MS, Almaraz MC, et al. Validation of the FINDRISC (Finnish diabetes risk score) for predicting the risk of type 2 diabetes in a population from southern Spain. Slate Studio. Clinical Med. 2012;138(9):371-6. https://doi.org/10.1016/j.medcli.2011.05.025
Mendes -Lúcio MC, Reis JS, Moreira AD, Horta Murta TG, Rosário PW. Factors associated to type 2 diabetes among employees of a public hospital in Belo Horizonte, Brazil. Rev Bras Med Trab. 2020;17(3):292-9. https://doi.org/10.5327%2FZ1679443520190395
Diabetes Risk in a Cuban Primary Care Setting in Persons with No Known Glucose Abnormalities. 2022. https://doi.org/10.37757/MR2013V15.N2.4
Zhang L, Zhang Z, Zhang Y, Hu G, Chen L. Evaluation of Finnish Diabetes Risk Score in Screening Undiagnosed Diabetes and Prediabetes among US Adults by Gender and Race: NHANES 1999-2010. PLOS ONE. 2014;9(5):e97865. https://doi.org/10.1371/journal.pone.0097865
Cantillo HJM, Ocampo DF, Santana KLC. Use of the FINDRISK instrument to identify the risk of prediabetes and type 2 diabetes mellitus. Rev Repert Med Cir. 2019;28(3):157-63. https://doi.org/10.31260/RepertMedCir.v28.n3.2019.956
Montes-Ochoa S, Serna-Arrieta K, Estrada-Ávila S, Guerra-López FR, Sánchez IP. Characterization of risk factors for type 2 diabetes mellitus using the Findrisk test in a population aged 30 to 50 years from Medellín, Colombia. Med Lab. 2016;22(11-12):563-76. http://dx.doi.org/10.36384/01232576.105
Araújo L de O, Silva ES e, Mariano J de O, Moreira RC, Prezotto KH, Fernandes CAM, et al. Risk of developing diabetes mellitus in primary care health users: a cross-sectional study. Rev Gaúcha Sick. 2015;36:77-83. https://doi.org/10.1590/1983-1447.2015.04.50195
Álvarez -Cabrera JA, Chamorro LI, Ruschel LF. The FINDRISK test as the first action in primary health care to identify the risk of developing type 2 diabetes mellitus in the general population. Rev Virtual Soc Paraguaya Med Interna. 2023;10(1):41-9. https://doi.org/10.18004/rvspmi/2312-3893/2023.10.01.41
Second National Survey on Risk Factors for Noncommunicable Diseases. 2023. URL
Gestational diabetes: an illness that negatively affects the health of the mother and baby - Ministry of Public Health and Social Welfare. 2022. URL
American Diabetes Association. Standards of Medical Care in Diabetes—2014. Diabetes Care. 2013;37(Supplement_1):S14-80. https://doi.org/10.2337/dc14-S014
Women's health. 2024. URL
National Institute of Diabetes and Digestive and Kidney Diseases. Internet. Cited September 13, 2022. Symptoms and causes of diabetes. NIDDK. URL
IDF Diabetes Atlas 10th edition. 2021. URL
Salinero-Fort MA, Carrillo-de Santa Pau E, Abánades-Herranz JC, Dujovne-Kohan I, Cárdenas-Valladolid J. Baseline risk of Diabetes Mellitus in Primary Care according to the FINDRISC questionnaire, associated factors and clinical evolution after 18 months of follow-up. Rev Clínica Esp. 2010;210(9):448-53. https://doi.org/10.1016/j.rce.2010.03.008
García Salinas HA, Jara CM, Adorno CG, García Salinas HA, Jara CM, Adorno CG. Risk of Type 2 Diabetes Mellitus in students, teachers and officials of the Faculty of Dentistry. Asuncion, Paraguay. Rev Public Health Parag. 2022;12(2):36-40. https://doi.org/10.18004/rspp.diciembre.36
World Health Organization. Obesity and overweight. 2021. URL
Blüher M. Adipose Tissue Dysfunction in Obesity. Exp Clin Endocrinol Diabetes. 2009;117(6):241-50. https://doi.org/10.1055/s-0029-1192044
Tangvarasittichai S. Oxidative stress, insulin resistance, dyslipidemia and type 2 diabetes mellitus. World J Diabetes. 2015;6(3):456. https://doi.org/10.4239/wjd.v6.i3.456
Global Database on Body Mass Index - World Health Organization. 2022. URL
Overweight and Obesity - PAHO/WHO | Pan American Health Organization. 2023. URL
National Institute of Diabetes and Digestive and Kidney Diseases. 2022. General information about diabetes | NIDDK. URL
Why High Blood Pressure is a "Silent Killer." URL
Gestational diabetes: an illness that negatively affects the health of the mother and baby - Ministry of Public Health and Social Welfare. 2023. URL
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