2019, Number 1
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Aten Fam 2019; 26 (1)
Lifestyle Impact on Glycemic Decontrol in Patients with type 2 Diabetes Mellitus
V�squez ASB, Roy GIA, Vel�zquez LL, Navarro SLG
Language: Spanish
References: 27
Page: 18-22
PDF size: 139.82 Kb.
ABSTRACT
Objective: To determine the impact
of lifestyle and its different components
on glycemic control of patients
with Diabetes Mellitus type 2 (dm2).
Methods: Analytical and cross-sectional
design, the study was conducted
in a Family Medicine Unit in Mexico
City from August to October 2015.
330 participants with dm2 were included,
from 20 to 60 years under
pharmacological treatment. The Instrument
to Measure Lifestyle in Diabetes
(Imevid) was used. To measure
glycemic control, glycosylated hemoglobin
(HbA1c) was used, if Hb1Ac was
‹7% it was considered to be glycemic
control. To know the risk factors
associated with glycemic decontrol,
a multiple logistic regression model
was performed, which was adjusted
according to lifestyle, comorbidities,
dm2 evolution time, and body mass
index (bmi).
Results: 70.3% (232) of
the participants were in a group where
age was between 51 to 60 years, 90.6%
(299) presented some comorbidity,
systemic arterial hypertension was the
most frequent. 48.8% (161) presented
overweight and 14.8% (49) obesity.
35.8% (118) presented a good lifestyle,
43.9% (145) had glycemic control. The
media Hb1Ac in poor lifestyle patients
was 9% compared to the good lifestyle
group with 6.4% (p
‹0.001). Good
lifestyle is a protective factor for glycemic
control with an odds ratio (or) of
0.026.
Conclusions: unhealthy lifestyle
is a risk factor for glycemic decontrol.
Lifestyle, comorbidities, dm2 time of
evolution and bmi explain the 85.3%
of glycemic decontrol.
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