Relación entre el IMC y las complicaciones crónicas de la diabetes mellitus tipo 2
Fecha
2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
Las complicaciones que con mayor frecuencia pueden presentar los pacientes con diagnóstico de diabetes mellitus tipo 2 son de orden o macrovascular. Existe una estrecha relación entre el mal manejo de estos pacientes y la presencia de estas complicaciones. El índice de masa corporal es un parámetro de medida para valorar el estadio metabólico del paciente, y se correlaciona de manera directamente proporcional con las comorbilidades citadas. OBJETIVO: Encontrar la relación existente entre el índice de masa corporal (IMC) y las complicaciones crónicas en los pacientes atendidos en el Hospital Universitario de Guayaquil durante el año 2017. RESULTADOS: El 60,7% de pacientes estudiados (n=201) corresponde al sexo masculino, y, el mayor porcentaje de pacientes (29,35%) se encontraba entre los 41 y 50 años. El promedio de edad fue de 53 años +/- 13. Las características de la población estudiada fueron: malnutrición por exceso (84.58%), que se puede clasificar en sobrepeso (24,82%) y obesidad (49.76%). Alteraciones en la hemoglobina glucosilada se presentaron en un 51%. 69,65% recibe como tratamiento Antidiabéticos orales (ADO), las complicaciones crónicas más comunes en la población estudiada fueron la nefropatía diabética detectada por la presencia de microalbuminuria (26,37%), seguida de las retinopatías (19,90%) y las coronariopatías (17,41%).
The complications may occur more frequently diagnosed patients with type 2 diabetes mellitus are of small blood vessels or large blood vessels. There is a relationship between the mismanagement of these patients and the presence of these complications. The body mass index is a measurement parameter to assess the metabolic stage of the patient and correlates directly proportional to the comorbidities listed. OBJECTIVE: To find the relationship between body mass index (BMI) and the increasing number of chronic complications in patients with type 2 diabetes mellitus treated at General Attention at Hospital Universitario during 2017. RESULTS: 60.7% of patients (n = 201) were males, and the highest percentage of patients (29.35%) were between 41 and 50 years. The average age was 53 years + / - 13. The characteristics of most of the study population were overweight was (84.58%), which can be classified as overweight (24.82%) and obesity (49.76%). 69.65% received as oral antidiabetic treatment (ADO), or chronic complications most common comorbidities in the study population were diabetic nephropathy detected by the presence of microalbuminuria (26,37%), followed by retinopathy (19.90%) and coronary artery disease (17.41%).
The complications may occur more frequently diagnosed patients with type 2 diabetes mellitus are of small blood vessels or large blood vessels. There is a relationship between the mismanagement of these patients and the presence of these complications. The body mass index is a measurement parameter to assess the metabolic stage of the patient and correlates directly proportional to the comorbidities listed. OBJECTIVE: To find the relationship between body mass index (BMI) and the increasing number of chronic complications in patients with type 2 diabetes mellitus treated at General Attention at Hospital Universitario during 2017. RESULTS: 60.7% of patients (n = 201) were males, and the highest percentage of patients (29.35%) were between 41 and 50 years. The average age was 53 years + / - 13. The characteristics of most of the study population were overweight was (84.58%), which can be classified as overweight (24.82%) and obesity (49.76%). 69.65% received as oral antidiabetic treatment (ADO), or chronic complications most common comorbidities in the study population were diabetic nephropathy detected by the presence of microalbuminuria (26,37%), followed by retinopathy (19.90%) and coronary artery disease (17.41%).
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INDICE DE MASA CORPORAL, COMPLICACIONES, DIABETES MELLITUS TIPO 2, OBESIDAD, SOBREPESO, HOSPITAL UNIVERSITARIO DE GUAYAQUIL, CANTON GUAYAQUIL, ECUADOR, CONTROL METABOLICO