medigraphic.com
SPANISH

Gaceta Médica de México

  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Authors instructions        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2012, Number 1

Gac Med Mex 2012; 148 (1)

Prevalencia de diabetes mellitus de tipo 2 y factores asociados en la población geriátrica de un hospital general del norte de México

Gutiérrez-Hermosillo H, Díaz de León-González E, Pérez-Cortez P, Cobos-Aguilar H, Gutiérrez-Hermosillo V, Tamez-Pérez HE
Full text How to cite this article

Language: Español
References: 20
Page: 14-18
PDF size: 81.95 Kb.


Key words:

Diabetes mellitus, Elderly, Cognitive impairment.

ABSTRACT

There are few reports on the impact of diabetes in the geriatric population. Objective: To determine the prevalence of diabetes in the geriatric population in a hospital in Northeast Mexico. Design: A cross-sectional study and a probabilistic sampling were made. The files of outpatients of the geriatrics department in a General Hospital in Monterrey, Mexico, were examined. The information obtained from these files was related to the patient´s personal pathological and non-pathological background, besides a full geriatric evaluation. Results: A total of 171 files were examined, out of which 97 (56.7%) belonged to females and 74 (43.3%) to males. The mean age was 78 ±, 6.9 years. Diabetes was found in 76 patients (44%), major depression was found in 85 patients (50%), with the latter being more common in diabetic patients (p = 0.002). It was also found that diabetic patients take more drugs during their disease. Adjusting for age, gender, and academic level, cognitive impairment was found in 110 patients (64.3%). Conclusions: Diabetes mellitus is more frequent in the geriatric population and it uses more resources.

References

  1. Villalpando S, De la Cruz V, Rojas R, et al. Prevalence and distribution of type 2 diabetes mellitus in Mexican adult population: a probabilistic survey. Salud Publica Mex. 2010;52 Suppl 1:S19-26.

  2. Morley JE. Diabetes and aging: epidemiologic overview. Clin Geriatr Med. 2008;24(3):395-405, v.

  3. Tamez H, Gutiérrez H, Cedillo J, et al. Tratamiento con insulina en paciente hospitalizado con diabetes mellitus tipo 2. ¿Única opción? Med Int Mex. 2007;23(3):4.

  4. Silverberg AB, Ligaray KP. Oral diabetic medications and the geriatric patient. Clin Geriatr Med. 2008;24(3):541-9, viii.

  5. Ducharme N, Radhamma R. Hyperlipidemia in the elderly. Clin Geriatr Med. 2008;24(3):471-87, vi.

  6. Cassidy EL, Lauderdale S, Sheikh JI. Mixed anxiety and depression in older adults: clinical characteristics and management. J Geriatr Psychiatry Neurol. 2005;18(2):83-8.

  7. Lauderdale SA, Sheikh JI. Anxiety disorders in older adults. Clin Geriatr Med. 2003;19(4):721-41.

  8. Mazza AD. Insulin resistance syndrome and glucose dysregulation in the elderly. Clin Geriatr Med. 2008;24(3):437-54, vi.

  9. Association AD. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2011;34 Suppl 1:S62-9.

  10. Barber JH, Wallis JB, McKeating E. A postal screening questionnaire in preventive geriatric care. J R Coll Gen Pract. 1980;30(210):49-51.

  11. Yesavage JA. Geriatric depression scale: consistency of depressive symptoms over time. Percept Mot Skills. 1991;73(3 Pt 1):1032.

  12. Vollset SE. Confidence intervals for a binomial proportion. Stat Med. 1993;12(9):809-24.

  13. National Diabetes Data Group (U.S.), National Institute of Diabetes and Digestive and Kidney Diseases (U.S.), National Institutes of Health (U.S.). Diabetes in America. 2.a ed. Bethesda, Md.: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases; 1995.

  14. Shamah-Levy T, Cuevas-Nasu L, Mundo-Rosas V, Morales-Ruan C, Cervantes-Turrubiates L, Villalpando-Hernández S. [Health and nutrition status of older adults in Mexico: results of a national probabilistic survey]. Salud Publica Mex. 2008;50(5):383-9.

  15. Bustos-Saldaña R, Mesa-Santamaría A, Mora-Bustos A, et al. Hipertensión arterial en el paciente anciano del Occidente de México. Revista Cubana de Medicina General Integral. 2004;20:2.

  16. Gutiérrez-Vázquez I, Burguete-Cabanas T, Zacarías-Castillo R, Mata- Miranda P. [Diabetes mellitus mortality. Eleven years experience at a second level hospital]. Salud Publica Mex. 2006;48(6):445.

  17. Fick DM, Cooper JW, Wade WE, Waller JL, Maclean JR, Beers MH. Updating the Beers criteria for potentially inappropriate medication use in older adults: results of a US consensus panel of experts. Arch Intern Med. 2003;163(22):2716-24.

  18. Villanyi D, Wong RY. Self-reported understanding of diabetes and its treatment among elderly ambulatory subjects in British Columbia. Am J Geriatr Pharmacother. 2007;5(1):18-30.

  19. Okereke OI, Kang JH, Cook NR, et al. Type 2 diabetes mellitus and cognitive decline in two large cohorts of community-dwelling older adults. J Am Geriatr Soc. 2008;56(6):1028-36.

  20. Russell LB, Valiyeva E, Roman SH, Pogach LM, Suh DC, Safford MM. Hospitalizations, nursing home admissions, and deaths attributable to diabetes. Diabetes Care. 2005;28(7):1611-7.

2020     |     www.medigraphic.com

Mi perfil

CÓMO CITAR (Vancouver)

Gac Med Mex. 2012;148