Modifiable factors affecting patients with type II diabetes mellitus treated at a Babahoyo Health Center

Keywords: diabetes mellitus type II, risk factors, eating habits, BMI

Abstract

Type II diabetes mellitus is a health problem with significant daily increases in morbidity and mortality, considering it the great global public health crisis. This paper studies the modifiable factors that affect patients with type II diabetes mellitus who visit the Enrique Ponce Luque Health Center, Babahoyo, Ecuador. This research was conducted through a quantitative design, documentary-bibliographic, transversal of a non-experimental descriptive type, with patients who attended the health center during January-June 2019, using the clinical histories of patients and an observational guide for the collection of information. In the selected modifiable risk factors it was found that 78,3% of the patients lead a sedentary life with a caloric intake greater than the expense, and the majority do not perform any physical exercise. The Body Mass Index (BMI) showed that 69,6% were obese with a BMI greater than 30 kg/m2, with uncontrolled alcohol consumption and tobacco addiction. In terms of eating habits, 64.4% have an incorrect diet, and fasting glycemia control found that more than half had hyperglycemia. It is concluded that the risk factors continue to affect the morbidity of the diabetic patient, therefore this research boosted the making of a proposal with the implementation of a motivational workshop to improve the quality of life of patients, family and community.

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References

World Health Organization. Collaborating Centre for Drug Statistics Methodology. Anatomical Therapeutic Chemical (ATC) classification index with Defined Daily Doses (DDD's). Oslo: WHO Collaborating Centre for Drug Statistics Methodology; 2000.

World Health Organization. Global Report on Diabetes. 2016. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/204871/9789241565257_eng.pdf;jsessionid=8B6113F198686BB330D8B90C9C2D624F?sequence=1

Scheffel RS, Bortolanza D, Weber CS, Costa WLA, Canani LH, Santos KG et al. Prevalência de complicações micro e macrovasculares e de seus fatores de risco em pacientes com Diabetes Melito do tipo 2 em atendimento ambulatorial. Rev Assoc Med Bras. 2004; 50(3): 263-267.

American Diabetes Association Standards of Medical Care in Diabetes. American Diabetes Association: Clinical Practice Recommendations 2004: Position Statement. Diabetes Care. 2004; 27(suppl 1):15-35.

World Health Organization. WHO/FAO Expert Consultation. Diet, nutricion and the prevention of chronic diseases. Genebra: World Health Organization/Food and Agriculture Organization; 2003

Mayer-Davis EJ, Lawrence JM, Dabelea D, et al. Incidence trends of type 1 and type 2 diabetes among youths, 2002-2012. N Engl J Med. 2017; 376: 1419-1429

INEC. Estadísticas de Nacimientos y Defunciones 2016. Instituto Nacional de Estadística y Censo. Gobierno de la República de Ecuador. 2016

Standards of medical Care in Diabetes. American Diabetes Association 2012. Diabetes Care 2012; 35: 21-25.

NICE. Preventing type 2 diabetes: risk identification and interventions for individuals at high risk. NICE public health guidance 38. 2012. Disponible en: http://www.nice.org.uk/guidance/ph38

Aune D, Norat T, Romundstad P, Vatten LJ. Breastfeeding and the maternal risk of type 2 diabetes: a systematic review and dose-response meta-analysis of cohort studies. Nutr Metab Cardiovasc Dis. 2014; 24(2): 107-15.

Gómez R., Monteiro H., Cossio-Bolaños M.A., Fama-Cortez D., & Zanesco A. El ejercicio físico y su prescripción en pacientes con enfermedades crónicas degenerativas. Revista Peruana de Medicina Experimental y Salud Pública. 2010; 27(3): 379-386

Casilimas, G. A., Martin D.A., Martínez M. A., Merchán C.R., Mayorga C.A., & Barragán A.F. Fisiopatología de la hipertensión arterial secundaria a obesidad. Arch Cardiol Mex. 2017; 8(4): 336-344. DOI: 10.1016/j.acmx.2017.02.001

Brandão de Carvalho A.L., Dantas de Sá Tinôco J., Costa Andriola I., Santos Cossi M., Simone Galvão Pinto E., & Brandão Batista dos Santos P.F. Riesgo de enfermedades cardiovasculares en ancianos: hábitos de vida, factores sociodemográficos y clínicos. Gerokomos. 2017;28(3):127-130

Camejo, M., García, A., Rodríguez, E., Carrizales, E., Chique, J. Guía Clínica Práctica en Diabetes Mellitus. Visión epidemiológica de Diabetes Mellitus. Revista Venezolana de Endocrinología y Metabolismo. 2012; 10(1), 2-4.

Choi K., Kim YB. Molecular mechanism of insulin resistance in obesity and type 2 diabetes. Korean J Intern Med. 2010; 25: 119-129

Rivero, G. S. Historia de la Diabetes. Gaceta Medica Boliviana. 2007; 30(2): 74-78.

Garatachea Vallejo N. Actividad física y envejecimiento. Editorial Sevilla: Wanceulen, España, 2006

World Health Organization. Definition and diagnosis of diabetes mellitus and intermediate hyperglycaemia. Report of a WHO/ IDF. 2006. Disponible en: http://apps.who.int/iris/bitstream/10665/43588/1/9241594934_eng.pdf

Muñoz-Rodríguez D.I., Arango-Alzate C.M., & Segura-Cardona A.M. Entornos y actividad física en enfermedades crónicas: Más allá de factores asociados. Universidad y Salud. 2018; 20(2): 183-199. DOI: http://dx.doi.org/10.22267/rus.182002.122

Cabrera de León, M.C. Rodríguez Pérez, D. Almeida González, S. Domínguez Coello, A. Aguirre Jaime, B. Brito Díaz, el grupo CDC, et al. Presentación de la cohorte «CDC de Canarias»: objetivos, diseño y resultados preliminares. Rev Esp Salud Pública. 2008; 82(5): 519-534

American Barengo NC, Acosta T, Arrieta A, Ricaurte C, Mayor D, Tuomilehto JO. Screening for people with glucose metabolism disorders within the framework of the DEMOJUAN project (Demonstration area for primary prevention of type 2 diabetes, Juan Mina and Barranquilla, Colombia). Diabetes Metab Res Rev. 2013. doi: 10.1002/dmrr.2462.

American Diabetes Association (ADA). Diabetes Guidelines: Summary Recommendations from NDEI. 2015. Disponible: http://www. ndei.org/ADA-2013-Guidelines-Criteria-Diabetes-Diagnosis.aspx.html.

Iglesias González R., Barutell Rubio L., Rodríguez de Miguel M., Orera Peña M.L. Estudio INERCIÓMETRO (Inercia en el Manejo de la Diabetes Mellitus Tipo 2). Diabetes Práctica. 2014; 05(Supl Extr 6):1-29

Kovesdy C., Furth S., & Zoccali C. Obesidad y enfermedad renal: consecuencias ocultas de la epidemia. Revista de la Sociedad Española de Nefrología. 2017; 37(1): 1-12

Millán Gámez, Y., Wacher-Rodarte, N., Bravo-Ortiz, J., Garrido-Gaspar, N. Mendoza-Topete, R., Martínez-Ruiz, A., Miller-Arrevillaga, G., Ramírez-Nájera, A. Guía de práctica clínica. Diagnóstico y tratamiento de la retinopatía diabética. Revista médica del Instituto Mexicano del Seguro Social. 2011; 49(5): 551-62

Alberti KGM, Zimmet PZ. For the WHO consultation. Definition, diagnosis and cassification of diabetes mellitus and its complications. Part l: diagnosis and classification of diabetes mellitus. 2008

IDF Diabetes Atlas Update 2012 | International Diabetes Federation. Available at: http://www.idf.org/diabetesatlas/5e/Update2012.

Ministerio de Sanidad. Servicios Sociales e Igualdad ‐ Portal Estadístico del SNS ‐ Sistema de Información Sanitaria: Encuesta Europea de Salud en España 2009. http://www.msssi.gob.es/estadEstudios/estadisticas/EncuestaEuropea/resultados.htm

Baptiste‐Roberts K., Barone BB., Gary TL., Golden SH., Wilson LM., Bass EB., et al. Risk factors for type 2 diabetes among women with gestational diabetes: a systematic review. Am J Med. 2009; 122(3): 207‐214.e4.

American Diabetes Association. Implications of the United Kingdom prospective diabetes study. Diabetes Care. 2003; 26(suppl 1):S28-S32.

Vargas A., Casillas I. La distribución de la grasa corporal, posible factor de riesgo para la salud. Cuadernos de nutrición. 1993; 16(6): 7-15

Vargas A., Casillas I. Indicadores antropométricos. Cuadernos de nutrición. 1993; 16(5): 29

Harrison. Principios de Medicina Interna. Capítulo 338. Diabetes mellitus. 2006. 16a edición. Harrison online en español. McGraw-Hill.

34 Medina M, Natera G, Borges G. Alcoholismo y abuso de bebidas alcohólicas. 1998. Disponible en: http://www.conadic.salud.gob.mx/pdfs/publicaciones/obs2002_1.pdf

Feodoroff M, Harjutsalo V, Forsblom C, Thorn L, Wadén J, Tolonen N, et al. Smoking and progression of diabetic nephropathy in patients with type 1 diabetes. Acta Diabetol. 2016; 53: 525-533

Besingi. W, Johansson. A, Smoke related DNA methylation changes in the etiology of human disease. Hum Mol Genet. 2014; 23: 2290-2297

37 Foster-Powell K, Holt SH, Brand-Miller JC. International table of glycemic index and glycemic load values. Am J Clin Nutr. 2002; 76: 5-56

Meng-Hsueh Amanda Lin, Ming-Chang Wu, Shin Lu, Jenshinn Lin. Glycemic index, glycemic load and insulinemic index of Chinese starchy foods. World J Gastroenterol. 2010; 16(39): 4973-4979

Published
2020-06-08
How to Cite
Rodríguez Suárez, C., & Mederos Mollineda, K. (2020). Modifiable factors affecting patients with type II diabetes mellitus treated at a Babahoyo Health Center. FACSALUD-UNEMI, 4(6), 34-46. https://doi.org/10.29076/issn.2602-8360vol4iss6.2020pp34-46p