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Clinical and epidemiological differences in diabetes: A cross-sectional study of the Brazilian population compared with the French GERODIAB cohort.
Diabetes Research and Clinical Practice ( IF 5.1 ) Pub Date : 2019-11-25 , DOI: 10.1016/j.diabres.2019.107945
Carina Bandeira Bezerra 1 , Maria Vieira de Lima Saintrain 2 , Ana Ofélia Portela Lima 2 , Marina Arrais Nobre 1 , Rafaela Lais E Silva Pesenti Sandrin 1 , Débora Rosana Alves Braga 3 , Jean Doucet 4
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AIMS This study aimed to compare the sociodemographic and epidemiological profiles between Brazilian and French older people with type 2 diabetes mellitus. METHODS Quantitative analytical study of 248 type 2 diabetes patients aged 65+ years receiving care in a center for integrated diabetes and hypertension care. The data were compared with the GERODIAB study conducted in France. RESULTS The participants' mean age was 73.16 ± 6.4 years, with 162 (65.4%) participants aged less than 75 years and 38 (15.3%) over 80 years old. Almost all the participants (99.2%) lived at home, 35 (14.1%) were uneducated, and 17 (6.9%) had completed higher education. The majority (232 older people) were retired. Most of the median values of the variables differed statistically (p < 0.001) between the two populations. Peripheral vascular disease, diabetic neuropathy, foot wound, amputation, hypoglycemia, hyperosmolarity and other intercurrent infections differed statistically (p < 0.001) between the two populations. Most of the medication use variables differed significantly (p < 0.05) between Brazilians and the French. CONCLUSIONS The statistically significant differences between the two populations reveal better conditions among the French participants, which highlights the importance of the scientific evidence found in the French study for developing public health actions targeted at Brazilian diabetic older people.

中文翻译:

糖尿病的临床和流行病学差异:与法国GERODIAB队列比较的巴西人群的横断面研究。

目的本研究旨在比较巴西和法国2型糖尿病老年人的社会人口统计学和流行病学特征。方法对在综合性糖尿病和高血压护理中心接受护理的248名65岁以上的2型糖尿病患者进行定量分析研究。将数据与法国进行的GERODIAB研究进行了比较。结果参与者的平均年龄为73.16±6.4岁,其中162岁(65.4%)的参与者年龄小于75岁,而38岁以上的80岁的参与者(15.3%)。几乎所有参与者(99.2%)都住在家里,有35名(14.1%)没有受过教育,有17名(6.9%)已完成高等教育。大部分(232位老年人)退休了。在两个总体之间,变量的大多数中值在统计学上存在差异(p <0.001)。周边血管疾病,两种人群之间的糖尿病性神经病变,足部伤口,截肢,低血糖,高渗性和其他并发感染差异有统计学意义(p <0.001)。巴西人和法国人之间大多数药物使用变量存在显着差异(p <0.05)。结论两种人群之间统计上的显着差异表明法国参与者的情况更好,这突出了法国研究中发现的科学证据对于发展针对巴西糖尿病老年人的公共卫生行动的重要性。
更新日期:2019-11-25
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