Metabolic Risk Factors of Type 2 Diabetes Mellitus and Correlated Glycemic Control-Complications: A Cross-Sectional Study between Rural and Urban Uygur Residents in Xinjiang Uygur Autonomous RegionReportar como inadecuado




Metabolic Risk Factors of Type 2 Diabetes Mellitus and Correlated Glycemic Control-Complications: A Cross-Sectional Study between Rural and Urban Uygur Residents in Xinjiang Uygur Autonomous Region - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Background

Diabetes is a major global public health problem driven by a high prevalence of metabolic risk factors.

Objective

To describe the differences of metabolic risk factors of type 2 diabetes, as well as glycemic control and complicated diabetic complications between rural and urban Uygur residents in Xinjiang Uygur Autonomous Region of China.

Methods

This comparative cross-sectional study, conducted among 2879 urban and 918 rural participants in Xinjiang, China, assessed the metabolic risk factors of diabetes and related complications differences between urban and rural settlements.

Results

Compared to rural areas, urban participants had higher education level and more average income, little physical activity, less triglycerides and higher HDL-c p < 0.05 respectively. Differences in metabolic risk factors by urban-rural residence included overweight or obesity, triglycerides ≥1.71mmol-l, HDL-c < 1.04 mmol-l, alcohol intake, and physical inactivity p < 0.01 respectively. There was significant difference regarding the prevalence of HbA1c >8% 48.1% versus 54.5%, p = 0.019 between rural and urban diabetic participants. No significant difference in the prevalence of type 2 diabetic complications between urban and rural participants 74.9% versus 72.2%; p = 0.263 was detected. Compared to rural participants, the most prevalent modifiable risk factors associated with diabetic complications in urban participants were obesity BMI ≥ 28 Kg-m2, HDL-c < 1.04 mmol-l, physical inactivity and irregular eating habits p = 0.035, p = 0.001, p < 0.001, and p = 0.013, respectively.

Conclusions

Urban settlers were significantly more likely to have metabolic risk factors highlighting the need for public health efforts to improve health outcomes for these vulnerable populations. Diabetes related complications risk factors were prevalent amongst rural and urban diabetes settlers.



Autor: Guo-li Du , Yin-xia Su , Hua Yao , Jun Zhu, Qi Ma, Ablikm Tuerdi, Xiao-dong He, Li Wang, Zhi-qiang Wang, Shan Xiao, Shu-xia Wang,

Fuente: http://plos.srce.hr/



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