Roberto Wagner Júnior Freire de Freitas

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.

Acuidade visual no manejo do diabetes mellitus: preparo da dose de insulina

Objetivo Avaliar a acuidade visual para perto das pessoas que preparam doses de insulina. Metodos Estudo transversal, realizado em 20 Unidades Basicas de Saude, no periodo de abril de 2013 a janeiro de 2015. A amostra por conveniencia foi constituida por 65 pacientes com diabetes mellitus e 35 cuidadores responsaveis pelo preparo da dose de insulina. Utilizou-se um formulario contendo variaveis sociodemograficas e clinicas, e o cartao de Jaeger. Resultados A acuidade visual para perto no preparo de doses de insulina estava diminuida em 40% nos pacientes e 20% nos cuidadores. Houve associacao estatisticamente significante entre acuidade visual para perto diminuida e classe economica (p=0,032) e faixa etaria (p=0,024) para pacientes, e acuidade visual para perto diminuida e idade (p=0,024) para os cuidadores. Conclusao A acuidade visual para perto esteve comprometida e ha necessidade de construcao de protocolos especificos que possam ser utilizados na Atencao Primaria.

Níveis plasmáticos de cortisol em universitários com má qualidade de sono

Aim To investigate the association between sleep quality in Brazilian university students and plasma cortisol levels. Method A cross-sectional study conducted with 688 university students assessing sociodemographic indicators, quality of sleep and cortisol levels. We used Poisson robust regression to assess the association. Results Approximately 95% and 7% of the sample showed poor sleep quality and high levels of cortisol, respectively. These lingered 16-30 minutes to fall asleeep (p = 0.030), with 65-74% efficiency (p = 0.021) and greater workload those with normal levels of cortisol (p = 0.021). The chances of a college student, with high plasma cortisol levels, to present poor sleep quality were similar to good sleepers and with no significant statistical significance (p = 0.124). Conclusion There was no statistically significant association between plasma cortisol levels of and quality of sleep in college students.