Epidemiological survey of chronic vascular complications of type 2 diabetic in-patients in four municipalities / 中国医学科学院学报
Acta Academiae Medicinae Sinicae
; (6): 452-456, 2002.
Artigo
em Chinês
| WPRIM (Pacífico Ocidental)
| ID: wpr-350086
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To provide an epidemiological description and risk factors of chronic vascular complications of type 2 diabetic in-patients in four municipalities including Beijing, Shanghai, Tianjin, and Chongqing.</p><p><b>METHODS</b>Data of the study came from 3,469 Type 2 diabetic in-patients from 1991 to 2000 in 10 medical centers of Beijing, Shanghai, Tianjin, and Chongqing. A variety of parameters of in-patients were evaluated retrospectively to know the prevalence and risk factors of chronic vascular complications in the study patients.</p><p><b>RESULTS</b>Overall, the detailed prevalence of chronic vascular complications is listed as follows diabetic retinopathy 31.5%, diabetic nephropathy 39.7%, diabetic neuropathy 51.1%, hypertension 41.8%, coronary heart disease (CHD) 25.1%, cerebral vascular disease (CVD) 17.3%, vessel complication of lower limbs 9.3%. Multivariate logistic regression analysis shows that diabetes family history, duration of diabetes (> 5 years), and systolic blood pressure (> 125 mmHg) are the risk factors for diabetic retinopathy; duration of diabetes (> 5 years), systolic blood pressure (> 125 mmHg), LDL-C (> 3.12 mmol/L), and triglyceride (> 1.70 mmol/L) are the risk factors for diabetic nephropathy; age (> 45 years), duration of diabetes (> 5 years), HbA1C (> 7.0%), systolic blood pressure (> 125 mmHg), and LDL-C (> 3.12 mmol/L), are the risk factors for CHD; age (> 45 years), duration of diabetes (> 5 years), systolic blood pressure (> 125 mmHg), and triglyceride (> 1.70 mmol/L) are the risk factors for CVD.</p><p><b>CONCLUSION</b>In order to improve patients' outcome, multiple metabolic controls in type 2 diabetic patients are urgently needed, which include decreasing glycemia, reducing hypertension and improving lipid levels.</p>
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Resistência à Insulina
/
Modelos Logísticos
/
China
/
Epidemiologia
/
Prevalência
/
Estudos Retrospectivos
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Diabetes Mellitus Tipo 2
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Nefropatias Diabéticas
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Retinopatia Diabética
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Hiperlipidemias
Tipo de estudo:
Estudo observacional
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Estudo de prevalência
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Estudo prognóstico
/
Fatores de risco
Limite:
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
Ásia
Idioma:
Chinês
Revista:
Acta Academiae Medicinae Sinicae
Ano de publicação:
2002
Tipo de documento:
Artigo