José Cláudio Garcia Lira Neto

Prevalence of Metabolic Syndrome in individuals with Type 2 Diabetes Mellitus

Objetivo: identifi car a prevalencia da Sindrome Metabolica e de seus componentes em uma populacao de pacientes com Diabetes Mellitus tipo 2. Metodo: estudo transversal realizado com 201 pacientes diabeticos. Realizou-se analise descritiva, testes Qui-Quadrado e de Fisher (p < 0,05). Resultados: grande parte da amostra era do sexo feminino, com media de idade de 63,1 anos, baixo nivel de escolaridade, classifi cados como sedentarios e apresentando excesso de peso. Do total de investigados, 50,7% foram diagnosticados com Sindrome Metabolica, e 92,0% tem pelo menos um dos componentes da sindrome fora dos valores recomendados. Conclusao: torna-se imperioso a realizacao de praticas preventivas e da ampliacao de inqueritos que favorecam a elucidacao dos fatores ligados a sindrome.OBJECTIVE to identify the prevalence of Metabolic Syndrome and its components in a population of patients with type 2 Diabetes Mellitus. METHOD a cross-sectional study was conducted with 201 diabetic patients. A descriptive analysis and Chi-square and Fishers exact tests ( p <0.05) were performed. RESULTS the majority of participants were females and overweight, with a mean age of 63.1 years and a low level of education, and categorized as physically inactive. Of all individuals investigated, 50.7% were diagnosed with Metabolic Syndrome and 92% had at least one of the syndrome components with values beyond those recommended. CONCLUSION it is essential to take preventive actions and develop studies that help to identify the factors associated with this syndrome.

Controle metabólico e adesão medicamentosa em pessoas com diabetes mellitus

Objetivo: Relacionar a adesao aos antidiabeticos orais e o controle metabolico de pessoas com Diabetes mellitus tipo 2. Metodos: Estudo analitico, realizado com 201 participantes, de ambos os sexos, com idade acima dos 18 anos e diagnostico de diabetes mellitus tipo 2, acompanhados em unidades basicas de saude. Foram analisadas variaveis sociodemograficas, antropometricas, clinicas, relacionadas a adesao medicamentosa e ao controle metabolico. Para verificar a adesao a terapeutica medicamentosa utilizou-se o Teste de Morisky. Resultados: Apenas 23,9% dos participantes foram considerados aderentes ao tratamento medicamentoso, e estes apresentaram, significativamente, melhores niveis de hemoglobina glicada (p=0,048), glicemia de jejum (p<0,001) e colesterol total (p=0,028). Conclusao: Houve relacao entre a adesao aos antidiabeticos orais e algumas variaveis do controle metabolico, como hemoglobina glicada, glicemia de jejum e colesterol total. Dessa forma, a adesao medicamentosa deve ser, cada vez mais, incentivada entre as pessoas com Diabetes mellitus.

PREVALÊNCIA DA SÍNDROME METABÓLICA E DE SEUS COMPONENTES EM PESSOAS COM DIABETES MELLITUS TIPO 2

Objective: to identify the prevalence of the Metabolic Syndrome and its components in people with Type 2 Diabetes Mellitus. Method: cross-sectional study with 201 people enrolled and monitored in Health Units. Sociodemographic, anthropometric, clinical variables and those related to the Metabolic Syndrome were investigated. The data collection was carried out at the Basic Health Units, during the nursing consultation. Results: the prevalence of the Metabolic Syndrome was 46.3%, significantly associated with the female gender (p=0.001) and overweight people (p=0.001). When the components of the syndrome were analyzed in isolation, the waist circumference, fasting glycemia, triglycerides and blood pressure were 62.0%, 58.5%, 55.8% and 49.8% , respectively. And the HDL rate was low, in 47.3%. Conclusion: having 46.3% of those investigated with the Metabolic Syndrome, special attention should be paid to women and overweight individuals, since in addition to presenting significantly higher percentages of Metabolic Syndrome, they have also presented changes in the main components

Telecoaching programme for type 2 diabetes control: a randomised clinical trial

BACKGROUND: People with diabetes have a high risk of developing micro and macrovascular complications that increase treatment costs and shorten life expectancy. Telecoaching programmes can improve short-term control of diabetes and reduce disease burden. AIMS: To analyse the effect of a health telecoaching programme in the control of type 2 diabetes. METHODS: A pragmatic clinical trial was carried out. Thirty-one patients with type 2 diabetes were divided into control and intervention groups. The control group received usual nursing care, and those in the intervention group received usual care and telecoaching for 24 weeks. FINDINGS: The intervention group improved: measurements of abdominal circumference, systolic and diastolic blood pressure and body mass index; variables related to glycaemic control (fasting venous glucose and glycated haemoglobin/HbA1c); and high-density lipoprotein levels. CONCLUSION: The data indicate that telecoaching is an effective tool for diabetes management. It is recommended that the study should be developed to include more people and run over the long term.

Prevalência da Síndrome Metabólica em pessoas com Diabetes Mellitus tipo 2

Objetivo: identifi car a prevalencia da Sindrome Metabolica e de seus componentes em uma populacao de pacientes com Diabetes Mellitus tipo 2. Metodo: estudo transversal realizado com 201 pacientes diabeticos. Realizou-se analise descritiva, testes Qui-Quadrado e de Fisher (p < 0,05). Resultados: grande parte da amostra era do sexo feminino, com media de idade de 63,1 anos, baixo nivel de escolaridade, classifi cados como sedentarios e apresentando excesso de peso. Do total de investigados, 50,7% foram diagnosticados com Sindrome Metabolica, e 92,0% tem pelo menos um dos componentes da sindrome fora dos valores recomendados. Conclusao: torna-se imperioso a realizacao de praticas preventivas e da ampliacao de inqueritos que favorecam a elucidacao dos fatores ligados a sindrome.OBJECTIVE to identify the prevalence of Metabolic Syndrome and its components in a population of patients with type 2 Diabetes Mellitus. METHOD a cross-sectional study was conducted with 201 diabetic patients. A descriptive analysis and Chi-square and Fishers exact tests ( p <0.05) were performed. RESULTS the majority of participants were females and overweight, with a mean age of 63.1 years and a low level of education, and categorized as physically inactive. Of all individuals investigated, 50.7% were diagnosed with Metabolic Syndrome and 92% had at least one of the syndrome components with values beyond those recommended. CONCLUSION it is essential to take preventive actions and develop studies that help to identify the factors associated with this syndrome.

Prevalencia del Síndrome Metabólico en personas con Diabetes Mellitus tipo 2

Objetivo: identifi car a prevalencia da Sindrome Metabolica e de seus componentes em uma populacao de pacientes com Diabetes Mellitus tipo 2. Metodo: estudo transversal realizado com 201 pacientes diabeticos. Realizou-se analise descritiva, testes Qui-Quadrado e de Fisher (p < 0,05). Resultados: grande parte da amostra era do sexo feminino, com media de idade de 63,1 anos, baixo nivel de escolaridade, classifi cados como sedentarios e apresentando excesso de peso. Do total de investigados, 50,7% foram diagnosticados com Sindrome Metabolica, e 92,0% tem pelo menos um dos componentes da sindrome fora dos valores recomendados. Conclusao: torna-se imperioso a realizacao de praticas preventivas e da ampliacao de inqueritos que favorecam a elucidacao dos fatores ligados a sindrome.OBJECTIVE to identify the prevalence of Metabolic Syndrome and its components in a population of patients with type 2 Diabetes Mellitus. METHOD a cross-sectional study was conducted with 201 diabetic patients. A descriptive analysis and Chi-square and Fishers exact tests ( p <0.05) were performed. RESULTS the majority of participants were females and overweight, with a mean age of 63.1 years and a low level of education, and categorized as physically inactive. Of all individuals investigated, 50.7% were diagnosed with Metabolic Syndrome and 92% had at least one of the syndrome components with values beyond those recommended. CONCLUSION it is essential to take preventive actions and develop studies that help to identify the factors associated with this syndrome.

Comparison of three criteria for metabolic syndrome among Brazilian university students

Purpose This paper aims to compare the prevalence of metabolic syndrome (MetS) on the basis of three criteria. The diagnostic criteria adopted were those of the International Diabetes Federation, the National Cholesterol Education Program – Adult Treatment Panel III and the American Heart Association/National Heart, Lung and Blood Institute.. Design/methodology/approach A transversal study was undertaken with 691 university students in Fortaleza, Brazil, in 2011-2013. Findings The prevalence of MetS varied considerably according to the criteria used, it being 4.1 per cent for the IDF, 0.7 per cent for the NCEP ATPIII and 1.7 per cent for the revised NCEP ATPIII. The criteria of the IDF presented reasonable agreement in relation to the NCEP ATP III (0.294) and revised NCEP ATP III (0.334). Moderate agreement was found between the NCEP ATPIII/revised NCEP ATPIII. Originality/value There is a need for a universal diagnostic criterion for MetS to obtain uniform and more reliable data for the elaboration of public health policies.

Adherence to the treatment with oral antidiabetic medications in primary health care

Objetivo: avaliar o nivel da adesao ao tratamento medicamentoso com antidiabeticos orais na rede de atencao basica. Metodos: estudo analitico, quantitativo, realizado com 63 pacientes com diabetes mellitus tipo 2 acompanhados em tres Unidades Basicas de Saude. Utilizou-se formulario que contemplou informacoes sociodemograficas e clinicas, e relacionadas a adesao ao tratamento, avaliada por meio do teste indireto de Morisky-Green-Levine. Resultados: verificou-se que 22,2% dos pacientes aderiam ao tratamento. Nao houve correlacoes estatisticamente significantes entre adesao e as variaveis sociodemograficos e clinicas. Conclusao: a nao adesao foi elevada, necessitando de medidas de intervencao para corrigir tal problema e promover melhor qualidade de vida aos pacientes com diabetes mellitus tipo 2.

VER-SUS: An Experimental Report about an Experience-Apprenticeship in the Reality of the Public Health System

Objective: to report the experience about an experience-apprenticeship in the reality of the Public Health System – SUS. Method: report of experience about an Experience- Apprenticeship of nursing students’ in the reality of the SUS, offered by the Ministry of Health. The experience happened from February and March of 2012 in the city of Teresina with the participation of 40 various academic of the courses by the health area. For 15 days the students’ met various places where the SUS operates. After each day of training, the participants debated the situations views and reports were developed. Results: part of the students’ of health area isn’t formed to understand the SUS. Still there is a barrier between the universities and the insertion of the students under the unified health system. Participation in VER-SUS is responsible for contributing to the improvement of individual students on the SUS, highlighting their importance as public policy. Conclusion: it is believed that the experiences provided by the VER-SUS contribute to technical training, scientific and political of the students in the perspective interdisciplinary and intersectoral. Thus, it becomes essential effective public policies that integrate the areas of health and education, ensuring that educational practices conducted in SUS, configure devices for the analysis of the experiences of local healthcare.