Please use this identifier to cite or link to this item: http://www.repositorio.ufop.br/jspui/handle/123456789/16461
Title: Prevalência de diabetes mellitus determinada pela hemoglobina glicada na população adulta brasileira, Pesquisa Nacional de Saúde.
Other Titles: Prevalence of diabetes mellitus as determined by glycated hemoglobin in the Brazilian adult population, National Health Survey.
Authors: Malta, Deborah Carvalho
Duncan, Bruce Bartholow
Schmidt, Maria Inês
Machado, Ísis Eloah
Silva, Alanna Gomes da
Bernal, Regina Tomie Ivata
Pereira, Cimar Azeredo
Damacena, Giseli Nogueira
Stopa, Sheila Rizzato
Rosenfeld, Luiz Gastão Mange
Szwarcwald, Célia Landmann
Keywords: Estado pré-diabético
Hemoglobina A glicada
Técnicas de laboratório clínico
Doenças crônicas não transmissíveis
Issue Date: 2019
Citation: MALTA, D. C. et al. Prevalência de diabetes mellitus determinada pela hemoglobina glicada na população adulta brasileira, Pesquisa Nacional de Saúde. Revista Brasileira de Epidemiologia, v. 22, p. E190006.SUPL.2, 2019. Disponível em: <https://www.scielo.br/j/rbepid/a/qQttB6XwmqzJYgcZKfpMV7L/abstract/?lang=pt#:~:text=Foram%20calculadas%20as%20preval%C3%AAncias%20de%20diabetes%20segundo%20o%20crit%C3%A9rio%20de,de%2095%25%20(IC95%25).>. Acesso em: 11 out. 2022.
Abstract: Objetivo: Analisar as prevalências de diabetes mellitus segundo diferentes critérios diagnósticos, na população adulta brasileira, segundo os resultados laboratoriais da Pesquisa Nacional de Saúde. Métodos: Análise dos dados laboratoriais da Pesquisa Nacional de Saúde, coletados entre os anos de 2014 e 2015. Foram calculadas as prevalências de diabetes conforme diferentes critérios diagnósticos. Foram calculadas as prevalências de diabetes segundo o critério de hemoglobina glicosilada ≥ 6,5% ou em uso de medicamentos, empregando regressão de Poisson para o cálculo da razão de prevalência (RP) bruta e ajustada e intervalo de confiança de 95% (IC95%). Resultados: A prevalência de diabetes segundo diferentes critérios pode variar 6,6 a 9,4%; e a hiperglicemia intermediária, ou pré-diabetes, de 6,8 a 16,9%. Usando-se o critério laboratorial ou uso de medicamentos, a prevalência de diabetes foi de 8,4%. A RP ajustada para sexo, idade, escolaridade e região foi menor no sexo masculino (RP = 0,75; IC95% 0,63 – 0,89); aumentou com a idade: 30 a 34 anos (RP = 2,32; IC95% 1,33 – 4,07), 40 a 59 anos (RP = 8,1; IC95% 4,86 – 13,46), 60 anos ou mais (RP = 12,6; IC95% 7,1 – 21,0); e a escolaridade elevada foi protetora (RP = 0,8; IC95% 0,6 – 0,9). Maior RP foi encontrada na Região Centro-Oeste (RP = 1,3; IC95% 1,04 – 1,7) e naqueles com sobrepeso (RP = 1,8; IC95% 1,4 – 2,1) e obesidade (RP = 3,3; IC95% 2,6 – 4,1). Conclusão: A prevalência de diabetes foi maior no sexo feminino, naqueles com idade maior que 30 anos, em população com baixa escolaridade, com excesso de peso e obesidade. Os critérios laboratoriais são mais fidedignos para o conhecimento da situação real do diabetes no país.
metadata.dc.description.abstracten: Objective: To analyze the prevalence of diabetes mellitus (DM) according to different diagnostic criteria, in the Brazilian adult population, according to laboratory results from the Brazilian National Health Survey. Methods: Analysis of laboratory data from the National Health Survey, collected between 2014 and 2015. The prevalence of diabetes was calculated according to different diagnostic criteria. The prevalence of diabetes was calculated according to the criterion of glycosylated hemoglobin ≥ 6.5% or using medication, using Poisson regression and calculating crude and adjusted PR and 95%CI. Results: The prevalence of diabetes according to different criteria varies from 6.6 to 9.4%. Intermediate or pre-diabetes hyperglycemia ranged from 6.8 to 16.9%. Considering laboratory criteria or medication use, the prevalence of DM was 8.4 (95%CI 7.65-9.11). The adjusted PR for gender, age, educational level and region was lower for males (PR 0.75; 95%CI 0.63 – 0.89), increased with age: 30 to 34 years (PR 2.32; 95% CI 1.33 – 4.07), 40 to 59 years PR 8.1; 95%CI 4.86 – 13.46), 60 years old or older (PR 12.6; 95%CI 7.1 – 21.0), and higher educational levels was protective (PR 0.8; 95%CI 0.6 – 0.9). There was a higher PR in the Central West Region (PR 1.3; 95%CI 1.04 – 1.7), in overweight people (PR 1.8; 95%CI 1.4 – 2.1), and in obese people (PR 3.3; 95%CI 2.6 – 4.1). Conclusion: The prevalence of diabetes was higher in females, people over 30 years of age, in populations with low educational levels, and people who were overweight and obese. The study advances in determining the diabetes situation in the country through laboratory criteria.: Objective: To analyze the prevalence of diabetes mellitus (DM) according to different diagnostic criteria, in the Brazilian adult population, according to laboratory results from the Brazilian National Health Survey. Methods: Analysis of laboratory data from the National Health Survey, collected between 2014 and 2015. The prevalence of diabetes was calculated according to different diagnostic criteria. The prevalence of diabetes was calculated according to the criterion of glycosylated hemoglobin ≥ 6.5% or using medication, using Poisson regression and calculating crude and adjusted PR and 95%CI. Results: The prevalence of diabetes according to different criteria varies from 6.6 to 9.4%. Intermediate or pre-diabetes hyperglycemia ranged from 6.8 to 16.9%. Considering laboratory criteria or medication use, the prevalence of DM was 8.4 (95%CI 7.65-9.11). The adjusted PR for gender, age, educational level and region was lower for males (PR 0.75; 95%CI 0.63 – 0.89), increased with age: 30 to 34 years (PR 2.32; 95% CI 1.33 – 4.07), 40 to 59 years PR 8.1; 95%CI 4.86 – 13.46), 60 years old or older (PR 12.6; 95%CI 7.1 – 21.0), and higher educational levels was protective (PR 0.8; 95%CI 0.6 – 0.9). There was a higher PR in the Central West Region (PR 1.3; 95%CI 1.04 – 1.7), in overweight people (PR 1.8; 95%CI 1.4 – 2.1), and in obese people (PR 3.3; 95%CI 2.6 – 4.1). Conclusion: The prevalence of diabetes was higher in females, people over 30 years of age, in populations with low educational levels, and people who were overweight and obese. The study advances in determining the diabetes situation in the country through laboratory criteria.
URI: http://www.repositorio.ufop.br/jspui/handle/123456789/16461
metadata.dc.identifier.doi: https://doi.org/10.1590/1980-549720190006.supl.2
ISSN: 1980-5497
metadata.dc.rights.license: This is an open access article distributed under the terms of the Creative Commons license. Fonte: o PDF do artigo.
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