Differences in the prevalence of prediabetes, undiagnosed diabetes and diagnosed diabetes and associated factors in cohorts of Brazilian and English older adults

Autor(es)

dos Santos, Eilane Souza Marques ^[1] ; Maximo, Roberta de Oliveira ^[2] ; de Andrade, Fabiola Bof ^[3] ; de Oliveira, Cesar ^[4] ; Lima-Costa, Maria Fernanda ^[3] ; Alexandre, Tiago da Silva ^{[1, 2, 5]}

Afiliação do(s) autor(es)

^[1] Univ Fed Sao Carlos, Gerontol Dept, Rodovia Washington Luis, Km 235, SP 310, BR-13565905 Sao Carlos, SP - Brazil

^[2] Univ Fed Sao Carlos, Postgrad Programme Phys Therapy, Sao Carlos, SP - Brazil

^[3] Fundacao Oswaldo Cruz, Rene Rachou Res Inst, Belo Horizonte, MG - Brazil

^[4] UCL, Dept Epidemiol & Publ Hlth, London - England

^[5] Univ Fed Sao Carlos, Postgrad Programme Gerontol, Sao Carlos, SP - Brazil

• Tipo de documento: Artigo Científico
• Fonte: PUBLIC HEALTH NUTRITION; v. 24, n. 13, p. 4187-4194, SEP 2021.
• Citações Web of Science: 0

Resumo

Objective: To analyse differences in the prevalence of prediabetes (PD), undiagnosed diabetes (UDD) and diagnosed diabetes (DD) and associated factors between Brazilian and English older adults. Design: Cross-sectional study. Setting: England and Brazil. Participants: 5301 participants of the English Longitudinal Study of Ageing study and 1947 participants of the Brazilian Longitudinal Study of Aging study classified as non-diabetics, PD, UDD and DD. Results: The prevalence of PD, UDD and DD was 48 center dot 6, 3 and 9 center dot 6 % in England and 33, 6 and 20 % in Brazil. In England, the increase in age, non-white skin colour, smoking, general obesity and abdominal obesity were associated with PD, UDD and DD, whereas hypertriglyceridaemia, low HDL levels, hypertension and stroke were associated with UDD and DD. In Brazil, the increase in age was associated with DD and UDD, non-white skin colour and smoking were associated with UDD and abdominal obesity and hypertriglyceridaemia were associated with all three conditions. CVD in England and schooling in Brazil were associated with PD and DD. A sedentary lifestyle was associated with DD in both samples. Conclusions: The prevalence of diabetes was higher in the Brazilian sample. Different associated factors were found in the two samples, which may be related to differences in nutritional transition, access to healthcare services and the use of such services. (AU)

• Processo FAPESP: 17/22820-0 - Prevalência e fatores associados à pré-diabetes, diabetes não diagnosticada e diabetes em pessoas com mais de 50 anos
• Beneficiário: Eilane Souza Marques dos Santos
• Modalidade de apoio: Bolsas no Brasil - Iniciação Científica