Factores de riesgo cardiometabólico en adolescentes con historia familiar de diabetes mellitus tipo 2 / Cardiometabolic risk factors in adolescents with family history of diabetes mellitus type 2
Rev. cuba. endocrinol
;
31(1): e178, ene.-abr. 2020. tab, graf
Article
in Spanish
| LILACS, CUMED
| ID: biblio-1126450
RESUMEN
RESUMEN Introducción:
Los adolescentes con historia familiar de diabetes mellitus tipo 2 presentan una mayor frecuencia de factores de riesgo cardiometabólico que elevan la probabilidad de desarrollar esta afección. Bajo esta hipótesis, se realizó este estudio.Objetivo:
Identificar factores de riesgo cardiometabólico en adolescentes con diabetes mellitus tipo 2, como antecedente familiar.Métodos:
Se realizó un estudio descriptivo transversal en adolescentes con estos antecedentes en un consultorio del policlínico Luis A. Turcios Lima. Se exploraron variables clínicas, bioquímicas, de imagen y relacionadas con estilos de vida.Resultados:
Se estudiaron 40 adolescentes, el 62,5 por ciento masculino. El 90 por ciento tenía como antecedentes otras enfermedades crónicas no transmisibles en familiares de primer y segundo grados, con predominio de la hipertensión arterial. En relación a los estilos de vida, predominó el sedentarismo en el 45 por ciento. Se detectó 50 por ciento con obesidad abdominal, 25 por ciento con sobrepeso/obesidad, 15 por ciento con acantosis nigricans y 10 por ciento con prehipertensión. El 10 por ciento mostró dislipidemia y el 30 por ciento hígado graso no alcohólico, que se relacionó con la presencia de acantosis (p= 0,002) y circunferencia de cintura elevada (p= 0,024). El índice cintura-talla ≥ 0,50 se asoció con la presencia de acantosis nigricans (p= 0,000), aumento de la ecogenicidad hepática (p= 0,001) e hipertrigliceridemia (p= 0,000).Conclusiones:
El sedentarismo, la obesidad central y el hígado graso no alcohólico, así como, la historia familiar de hipertensión arterial se presenta con elevada frecuencia en adolescentes con antecedentes familiares de DM2(AU)ABSTRACT
ABSTRACT Introduction:
Adolescents with family history of diabetes mellitus type 2 present a higher frequency of cardiometabolic risk factors that increase the likelihood of developing this condition. Under this hypothesis, this study was conducted.Objective:
To identify cardiometabolic risk factors in adolescents with diabetes mellitus type 2 as a family background.Methods:
A descriptive cross-sectional study was conducted in adolescents with this background in a Family Doctor´s office belonging to ´´Luis A. Turcios Lima´´ Policlinic. Clinical, biochemical, image and related to lifestyle variables were explored.Results:
40 adolescents were studied, 62.5 percent of them were males. The 90 percent had a history of other chronic non-communicable diseases in relatives of first and second degrees, with predominance of arterial hypertension. In relation to the lifestyle, there was a predominance of physical inactivity in the 45 percent. 50 percent was detected with abdominal obesity, 25 percent with overweight/obesity, 15 percent with acanthosis nigricans and 10 percent with pre-hypertension. The 10 percent showed dyslipidemia and the 30 percent had non-alcoholic fatty liver disease, which was related to the presence of acanthosis nigricans (p= 0,002) and high waist circumference (p= 0.024). The waist/height rate ≥ 0.50 was associated with the presence of acanthosis nigricans (p= 0.000), increased echogenicity of the liver (p=0.001) and hypertriglyceridemia (p= 0.000).Conclusions:
A sedentary lifestyle, central obesity and non-alcoholic fatty liver disease, as well as family background of hypertension occurs with high frequency in adolescents with family history of diabetes mellitus type 2(AU)
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Risk Factors
/
Diabetes Mellitus, Type 2
/
Obesity, Abdominal
/
Sedentary Behavior
Type of study:
Etiology study
/
Observational study
/
Prevalence study
/
Prognostic study
/
Risk factors
Limits:
Adolescent
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. cuba. endocrinol
Journal subject:
Endocrinology
Year:
2020
Type:
Article
Affiliation country:
Cuba
Institution/Affiliation country:
Instituto de Endocrinología/CU
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