Prevalence, awareness, treatment and control of diabetes and impaired fasting glucose in the Southern Cone of Latin America.

<h4>Aims</h4>To determine the prevalence, treatment and control of diabetes mellitus (DM) and impaired fasting glucose (IFG) as well as associated factors in the adult population of four cities of the Southern Cone of Latin America (SCLA).<h4>Methods</h4>This is a cross-secti...

Full description

Bibliographic Details
Main Authors: Vilma Irazola, Adolfo Rubinstein, Lydia Bazzano, Matias Calandrelli, Chen Chung-Shiuan, Natalia Elorriaga, Laura Gutierrez, Fernando Lanas, Jose A Manfredi, Nora Mores, Hector Olivera, Rosana Poggio, Jacqueline Ponzo, Pamela Seron, Jiang He
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2017-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0183953&type=printable
_version_ 1826578976295878656
author Vilma Irazola
Adolfo Rubinstein
Lydia Bazzano
Matias Calandrelli
Chen Chung-Shiuan
Natalia Elorriaga
Laura Gutierrez
Fernando Lanas
Jose A Manfredi
Nora Mores
Hector Olivera
Rosana Poggio
Jacqueline Ponzo
Pamela Seron
Jiang He
author_facet Vilma Irazola
Adolfo Rubinstein
Lydia Bazzano
Matias Calandrelli
Chen Chung-Shiuan
Natalia Elorriaga
Laura Gutierrez
Fernando Lanas
Jose A Manfredi
Nora Mores
Hector Olivera
Rosana Poggio
Jacqueline Ponzo
Pamela Seron
Jiang He
author_sort Vilma Irazola
collection DOAJ
description <h4>Aims</h4>To determine the prevalence, treatment and control of diabetes mellitus (DM) and impaired fasting glucose (IFG) as well as associated factors in the adult population of four cities of the Southern Cone of Latin America (SCLA).<h4>Methods</h4>This is a cross-sectional population-based study that included 7407 adults between 35 and 74 years old in four cities of the SCLA: Temuco (Chile), Marcos Paz and Bariloche (Argentina), and Pando-Barros Blancos (Uruguay). DM was defined as fasting plasma glucose ≥126 mg/dL or self-reported history of diabetes. Awareness, treatment, and control of DM were defined as subjects self-reporting a DM previous diagnosis, the use of a prescription medication or nonpharmacological intervention for DM, and fasting plasma glucose <126 mg/dl, respectively.<h4>Results</h4>Prevalence of DM varied among cities, between 8.4% in Bariloche and 14.3% in Temuco. Prevalence of IFG varied at different sites, from 3.5% in Barros Blancos to 6.8% in Marcos Paz. Of the total number of people with diabetes, 20% were newly diagnosed at the time of the study. Overall, 79.8% of patients with diabetes were aware of their condition. The treatment and control rate were 58.8% and 46.2%, respectively. Older age, family history of diabetes, lower educational attainment, overweight, obesity, central obesity, low physical activity, hypertension, hypercholesterolemia and hypertriglyceridemia were all significantly associated with an increased risk of diabetes.<h4>Conclusions</h4>The prevalence of DM and IFG in the adult population of the SCLA is high and varies among cities. These conditions represent a public health challenge since the rates of awareness, treatment, and control are still low.
first_indexed 2024-12-20T07:45:40Z
format Article
id doaj.art-e4a8db9ac0fa406ebf60845ed371ede3
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2025-03-14T14:10:56Z
publishDate 2017-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-e4a8db9ac0fa406ebf60845ed371ede32025-02-27T05:36:46ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01129e018395310.1371/journal.pone.0183953Prevalence, awareness, treatment and control of diabetes and impaired fasting glucose in the Southern Cone of Latin America.Vilma IrazolaAdolfo RubinsteinLydia BazzanoMatias CalandrelliChen Chung-ShiuanNatalia ElorriagaLaura GutierrezFernando LanasJose A ManfrediNora MoresHector OliveraRosana PoggioJacqueline PonzoPamela SeronJiang He<h4>Aims</h4>To determine the prevalence, treatment and control of diabetes mellitus (DM) and impaired fasting glucose (IFG) as well as associated factors in the adult population of four cities of the Southern Cone of Latin America (SCLA).<h4>Methods</h4>This is a cross-sectional population-based study that included 7407 adults between 35 and 74 years old in four cities of the SCLA: Temuco (Chile), Marcos Paz and Bariloche (Argentina), and Pando-Barros Blancos (Uruguay). DM was defined as fasting plasma glucose ≥126 mg/dL or self-reported history of diabetes. Awareness, treatment, and control of DM were defined as subjects self-reporting a DM previous diagnosis, the use of a prescription medication or nonpharmacological intervention for DM, and fasting plasma glucose <126 mg/dl, respectively.<h4>Results</h4>Prevalence of DM varied among cities, between 8.4% in Bariloche and 14.3% in Temuco. Prevalence of IFG varied at different sites, from 3.5% in Barros Blancos to 6.8% in Marcos Paz. Of the total number of people with diabetes, 20% were newly diagnosed at the time of the study. Overall, 79.8% of patients with diabetes were aware of their condition. The treatment and control rate were 58.8% and 46.2%, respectively. Older age, family history of diabetes, lower educational attainment, overweight, obesity, central obesity, low physical activity, hypertension, hypercholesterolemia and hypertriglyceridemia were all significantly associated with an increased risk of diabetes.<h4>Conclusions</h4>The prevalence of DM and IFG in the adult population of the SCLA is high and varies among cities. These conditions represent a public health challenge since the rates of awareness, treatment, and control are still low.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0183953&type=printable
spellingShingle Vilma Irazola
Adolfo Rubinstein
Lydia Bazzano
Matias Calandrelli
Chen Chung-Shiuan
Natalia Elorriaga
Laura Gutierrez
Fernando Lanas
Jose A Manfredi
Nora Mores
Hector Olivera
Rosana Poggio
Jacqueline Ponzo
Pamela Seron
Jiang He
Prevalence, awareness, treatment and control of diabetes and impaired fasting glucose in the Southern Cone of Latin America.
PLoS ONE
title Prevalence, awareness, treatment and control of diabetes and impaired fasting glucose in the Southern Cone of Latin America.
title_full Prevalence, awareness, treatment and control of diabetes and impaired fasting glucose in the Southern Cone of Latin America.
title_fullStr Prevalence, awareness, treatment and control of diabetes and impaired fasting glucose in the Southern Cone of Latin America.
title_full_unstemmed Prevalence, awareness, treatment and control of diabetes and impaired fasting glucose in the Southern Cone of Latin America.
title_short Prevalence, awareness, treatment and control of diabetes and impaired fasting glucose in the Southern Cone of Latin America.
title_sort prevalence awareness treatment and control of diabetes and impaired fasting glucose in the southern cone of latin america
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0183953&type=printable
work_keys_str_mv AT vilmairazola prevalenceawarenesstreatmentandcontrolofdiabetesandimpairedfastingglucoseinthesouthernconeoflatinamerica
AT adolforubinstein prevalenceawarenesstreatmentandcontrolofdiabetesandimpairedfastingglucoseinthesouthernconeoflatinamerica
AT lydiabazzano prevalenceawarenesstreatmentandcontrolofdiabetesandimpairedfastingglucoseinthesouthernconeoflatinamerica
AT matiascalandrelli prevalenceawarenesstreatmentandcontrolofdiabetesandimpairedfastingglucoseinthesouthernconeoflatinamerica
AT chenchungshiuan prevalenceawarenesstreatmentandcontrolofdiabetesandimpairedfastingglucoseinthesouthernconeoflatinamerica
AT nataliaelorriaga prevalenceawarenesstreatmentandcontrolofdiabetesandimpairedfastingglucoseinthesouthernconeoflatinamerica
AT lauragutierrez prevalenceawarenesstreatmentandcontrolofdiabetesandimpairedfastingglucoseinthesouthernconeoflatinamerica
AT fernandolanas prevalenceawarenesstreatmentandcontrolofdiabetesandimpairedfastingglucoseinthesouthernconeoflatinamerica
AT joseamanfredi prevalenceawarenesstreatmentandcontrolofdiabetesandimpairedfastingglucoseinthesouthernconeoflatinamerica
AT noramores prevalenceawarenesstreatmentandcontrolofdiabetesandimpairedfastingglucoseinthesouthernconeoflatinamerica
AT hectorolivera prevalenceawarenesstreatmentandcontrolofdiabetesandimpairedfastingglucoseinthesouthernconeoflatinamerica
AT rosanapoggio prevalenceawarenesstreatmentandcontrolofdiabetesandimpairedfastingglucoseinthesouthernconeoflatinamerica
AT jacquelineponzo prevalenceawarenesstreatmentandcontrolofdiabetesandimpairedfastingglucoseinthesouthernconeoflatinamerica
AT pamelaseron prevalenceawarenesstreatmentandcontrolofdiabetesandimpairedfastingglucoseinthesouthernconeoflatinamerica
AT jianghe prevalenceawarenesstreatmentandcontrolofdiabetesandimpairedfastingglucoseinthesouthernconeoflatinamerica