• 作者：Cristina Comi-Diaz^a ; ^{criscomi@ono.com} ; José ; M. Miralles-Garcí ; a^b ; Lucio Cabrerizo^c ; Marí ; a Pé ; rez^d ; Xavier Masramon^e ; Pedro De Pablos-Velasco^a ; por el Grupo de Investigadores del Estudio Melodí ; a de la Sociedad Espa&ntilde ; ola de Endocrinologí ; a y Nutrició ; n
• 关键词：Diabetes mellitus ; Control metabó ; lico ; Factores de riesgo cardiovascular ; Hipertensió ; n ; Dislipemia ; Obesidad
• 刊名：Endocrinolog铆a y Nutrici贸n
• 出版年：2010
• 期刊代码：pca151_15750922
• 类别：med
• 出版时间：December 2010
• 卷：57
• 期：10
• 页码：472-478
• 文件大小：196 K

Objective

To determine the degree of control of cardiovascular risk factors (CVRF) in a sample of patients with diabetes mellitus (DM) attending Endocrinology and Nutrition Departments in Spain.

Material and methods

An epidemiological, cross-sectional, multicenter and observational study involving 41 Departments of Endocrinology and Nutrition in Spain. Each department selected patients with DM with over 10 years of evolution, which were treated in outpatient settings. Demographic, anthropometric, clinical and biochemical data, including medication, were collected for each participant.

Results

1159 patients who met the inclusion criteria were recruited. 52%of the participants were patients with type 2 DM. The mean duration of DM was 19.6 years. A proportion of 37%, 44%, 27.6%and 25.5%had good control of their blood pressure (BP), low density cholesterol (LDLc), lipids and glucose, respectively, and only 4.3%did well in all factors evaluated. The percentage of poorly controlled BP was four times higher in type 2 than in type 1 DM. Obesity, low cultural level and aggregation of cardiovascular risk factors were associated with poorer control.

Conclusions

The degree of control of CVRF in diabetic patients with long disease duration is insufficient.