Differences in the prevalence of prediabetes, undiagnosed diabetes and diagnosed diabetes and associated factors in cohorts of Brazilian and English older adults

To analyse differences in the prevalence of prediabetes (PD), undiagnosed diabetes (UDD) and diagnosed diabetes (DD) and associated factors between Brazilian and English older adults. Cross-sectional study. England and Brazil. 5301 participants of the English Longitudinal Study of Ageing study and 1...

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Veröffentlicht in:Public health nutrition 2021-09, Vol.24 (13), p.4187-4194
Hauptverfasser: dos Santos, Eilane Souza Marques, Máximo, Roberta de Oliveira, de Andrade, Fabíola Bof, de Oliveira, Cesar, Lima-Costa, Maria Fernanda, Alexandre, Tiago da Silva
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container_end_page 4194
container_issue 13
container_start_page 4187
container_title Public health nutrition
container_volume 24
creator dos Santos, Eilane Souza Marques
Máximo, Roberta de Oliveira
de Andrade, Fabíola Bof
de Oliveira, Cesar
Lima-Costa, Maria Fernanda
Alexandre, Tiago da Silva
description To analyse differences in the prevalence of prediabetes (PD), undiagnosed diabetes (UDD) and diagnosed diabetes (DD) and associated factors between Brazilian and English older adults. Cross-sectional study. England and Brazil. 5301 participants of the English Longitudinal Study of Ageing study and 1947 participants of the Brazilian Longitudinal Study of Aging study classified as non-diabetics, PD, UDD and DD. The prevalence of PD, UDD and DD was 48·6, 3 and 9·6 % in England and 33, 6 and 20 % in Brazil. In England, the increase in age, non-white skin colour, smoking, general obesity and abdominal obesity were associated with PD, UDD and DD, whereas hypertriglyceridaemia, low HDL levels, hypertension and stroke were associated with UDD and DD. In Brazil, the increase in age was associated with DD and UDD, non-white skin colour and smoking were associated with UDD and abdominal obesity and hypertriglyceridaemia were associated with all three conditions. CVD in England and schooling in Brazil were associated with PD and DD. A sedentary lifestyle was associated with DD in both samples. The prevalence of diabetes was higher in the Brazilian sample. Different associated factors were found in the two samples, which may be related to differences in nutritional transition, access to healthcare services and the use of such services.
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Cross-sectional study. England and Brazil. 5301 participants of the English Longitudinal Study of Ageing study and 1947 participants of the Brazilian Longitudinal Study of Aging study classified as non-diabetics, PD, UDD and DD. The prevalence of PD, UDD and DD was 48·6, 3 and 9·6 % in England and 33, 6 and 20 % in Brazil. In England, the increase in age, non-white skin colour, smoking, general obesity and abdominal obesity were associated with PD, UDD and DD, whereas hypertriglyceridaemia, low HDL levels, hypertension and stroke were associated with UDD and DD. In Brazil, the increase in age was associated with DD and UDD, non-white skin colour and smoking were associated with UDD and abdominal obesity and hypertriglyceridaemia were associated with all three conditions. CVD in England and schooling in Brazil were associated with PD and DD. A sedentary lifestyle was associated with DD in both samples. The prevalence of diabetes was higher in the Brazilian sample. Different associated factors were found in the two samples, which may be related to differences in nutritional transition, access to healthcare services and the use of such services.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>32972476</pmid><doi>10.1017/S1368980020003201</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-3791-9793</orcidid><orcidid>https://orcid.org/0000-0002-3467-3989</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Adults
Age
Aged
Aging
Alcohol use
Body mass index
Brazil - epidemiology
Color
Cross-Sectional Studies
Developing countries
Diabetes
Diabetes mellitus
Diabetes Mellitus - epidemiology
Divorce
Glucose
Hemoglobin
High density lipoprotein
Humans
Hypertension
Laboratories
LDCs
Longitudinal Studies
Nutritional epidemiology
Obesity
Older people
Prediabetic State - diagnosis
Prediabetic State - epidemiology
Prevalence
Questionnaires
Research paper
Risk Factors
Smoking
Sociodemographics
Statistical analysis
Variables
Womens health
title Differences in the prevalence of prediabetes, undiagnosed diabetes and diagnosed diabetes and associated factors in cohorts of Brazilian and English older adults
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