Prevalence of previously diagnosed diabetes and glycemic control strategies in Mexican adults: ENSANUT-2016.

OBJECTIVES: To describe the prevalence of previously diagnosed diabetes among Mexican adults, to characterize the associated risk factors, and to describe which glycemic control strategies are the most used. METHODS: We analyzed data from 8,631 adults aged ≥20 years who participated in the ENSANUT-2016 and from whom we gathered data about previously diagnosed diabetes, risk factors, glycemic control strategies, and measures to prevent complications. RESULTS: The prevalence of previously diagnosed diabetes in Mexican adults was 9.4% (10.3% in women and 8.4% in men). The adjusted OR for having diabetes was higher in adults aged ≥60 years (OR = 11.0 in women and OR = 30.7 in men) than in adults aged 20-39 years (OR = 1.0). The adjusted OR for having diabetes was higher in overweight men (OR = 1.7) than in men with normal BMI (OR = 1.0). A total of 30.5% of adults with diabetes did not report any control strategies, 44.9% measured their venous blood glucose, and 15.2% used the HbA1C as an indicator of glycemic control. Only 46.4% of them reported preventive measures. DISCUSSION: Diabetes is a common disease among Mexican adults. Being older or overweight are risk factors for an adult to be diagnosed with diabetes. Most adults with diabetes evaluate their glycemic control but only half practice preventive measures.

[Prevalence, diagnosis and control of hypertension in Mexican adults with vulnerable condition. Results of the Ensanut 100k]. / Prevalencia, diagnóstico y control de hipertensión arterial en adultos mexicanos en condición de vulnerabilidad. Resultados de la Ensanut 100k.

OBJECTIVE: To describe the prevalence of hypertension (HBP) in adults with vulnerability, the percentage of them with previous diagnosis and the proportion that had adequate control. MATERIALS AND METHODS: Blood pressure was measured in 7 838 adults who participated in the Ensanut 100k. Those who self-reported the diagnosis of HBP or had systolic blood pressure (SBP) ≥130mmHg or diastolic blood pressure (DBP) ≥80mmHg were classified as hypertensive. Controlled blood pressure was considered when SBP was <130mmHg and TAD <80mmHg. RESULTS: The prevalence of hypertension in adults with a vulnerability condition was 49.2%, of which 54.7% did not know had hypertension. Of the hypertensive patients who received pharmacological treatment (69.0%), 66.8% of them had blood pressure under control. CONCLUSIONS: Almost half of Mexican adults in vulnerable condition have HBP and of these more than half do not know that they have this disease. One third of hypertensive adults have inadequate control.

OBJETIVO: Describir la prevalencia de hipertensión arterial (HTA) en adultos en condición de vulnerabilidad, el porcentaje de ellos con diagnóstico previo y la proporción con control adecuado. MATERIAL Y MÉTODOS: Se midió la tensión arterial a 7 838 adultos participantes en la Ensanut 100k. Se clasificó como hipertensos a quienes autorreportaron el diagnóstico de HTA o presentaban tensión arterial sistólica (TAS) ≥130mmHg o tensión arterial diastólica (TAD) ≥80mmHg. Se consideró tensión arterial controlada cuando la TAS fue <130mmHg y la TAD <80mmHg. RESULTADOS: La prevalencia de HTA en adultos en condición de vulnerabilidad fue de 49.2%, de los cuales 54.7% desconocía tener HTA. De los hipertensos que recibían tratamiento farmacológico (69.0%), el 66.8% tuvo tensión arterial controlada. CONCLUSIONES: Casi la mitad de los adultos mexicanos en condición de vulnerabilidad tiene HTA y de ellos, más de la mitad desconoce que tiene esta enfermedad. Asimismo, un tercio de los adultos hipertensos tiene un inadecuado control de su enfermedad.

Prevalencia, diagnóstico y control de hipertensión arterial en adultos mexicanos en condición de vulnerabilidad. Resultados de la Ensanut 100k / Prevalence, diagnosis and control of hypertension in Mexican adults with vulnerable condition. Results of the Ensanut 100k

Resumen: Objetivo: Describir la prevalencia de hipertensión arterial (HTA) en adultos en condición de vulnerabilidad, el porcentaje de ellos con diagnóstico previo y la proporción con control adecuado. Material y métodos: Se midió la tensión arterial a 7 838 adultos participantes en la Ensanut 100k. Se clasificó como hipertensos a quienes autorreportaron el diagnóstico de HTA o presentaban tensión arterial sistólica (TAS) ≥130mmHg o tensión arterial diastólica (TAD) ≥80mmHg. Se consideró tensión arterial controlada cuando la TAS fue <130mmHg y la TAD <80mmHg. Resultados: La prevalencia de HTA en adultos en condición de vulnerabilidad fue de 49.2%, de los cuales 54.7% desconocía tener HTA. De los hipertensos que recibían tratamiento farmacológico (69.0%), el 66.8% tuvo tensión arterial controlada. Conclusiones: Casi la mitad de los adultos mexicanos en condición de vulnerabilidad tiene HTA y de ellos, más de la mitad desconoce que tiene esta enfermedad. Asimismo, un tercio de los adultos hipertensos tiene un inadecuado control de su enfermedad.

Abstract: Objective: To describe the prevalence of hypertension (HBP) in adults with vulnerability, the percentage of them with previous diagnosis and the proportion that had adequate control. Materials and methods: Blood pressure was measured in 7 838 adults who participated in the Ensanut 100k. Those who self-reported the diagnosis of HBP or had systolic blood pressure (SBP) ≥130mmHg or diastolic blood pressure (DBP) ≥80mmHg were classified as hypertensive. Controlled blood pressure was considered when SBP was <130mmHg and TAD <80mmHg. Results: The prevalence of hypertension in adults with a vulnerability condition was 49.2%, of which 54.7% did not know had hypertension. Of the hypertensive patients who received pharmacological treatment (69.0%), 66.8% of them had blood pressure under control. Conclusions: Almost half of Mexican adults in vulnerable condition have HBP and of these more than half do not know that they have this disease. One third of hypertensive adults have inadequate control.