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dc.contributor.authorSalas, Aquiles
dc.contributor.authorAcosta, Daisy
dc.contributor.authorFerri, Cleusa P.
dc.contributor.authorGuerra, Mariella
dc.contributor.authorHuang, Yueqin
dc.contributor.authorJacob, K. S.
dc.contributor.authorJiménez Velázquez, Ivonne Z.
dc.contributor.authorSosa, Ana Luisa
dc.contributor.authorUwakwe, Richard
dc.contributor.authorWilliams, Joseph D.
dc.contributor.authorJotheeswaran, A. T.
dc.contributor.authorLiu, Zhaorui
dc.contributor.authorLópez Medina, A. M
dc.contributor.authorSalinas Contreras, R. M.
dc.contributor.authorPrince, Martin J.
dc.identifier.citationSalas A, Acosta D, Ferri CP, Guerra M, Huang Y, Jacob KS, et al. The prevalence, correlates, detection and control of diabetes among older people in low and middle incomecountries: a 10/66 dementia research group population-based survey. PLOS ONE . 2016 ; 11( 2): 1-17.en
dc.description.abstractLittle is known of the epidemiology of diabetes among older people in low and middle income countries. We aimed to study and compare prevalence, social patterning, correlates, detection, treatment and control of diabetes among older people in Latin America, India, China and Nigeria. Methods: Cross-sectional surveys in 13 catchment area sites in nine countries. Diagnosed diabetes was assessed in all sites through self-reported diagnosis. Undiagnosed diabetes was assessed in seven Latin American sites through fasting blood samples (glucose > = 7mmol/L). Results: Total diabetes prevalence in catchment sites in Cuba (prevalence 24.2%, SMR 116), Puerto Rico (43.4%, 197), and urban (27.0%, 125), and rural Mexico (23.7%, 111) already exceeds that in the USA, while that in Venezuela (20.9%, 100) is similar. Diagnosed diabetes prevalence varied very widely, between low prevalences in sites in rural China (0.9%), rural India (6.6%) and Nigeria (6.0%). and 32.1% in Puerto Rico, explained mainly by access to health services. Treatment coverage varied substantially between sites. Diabetes control (40 to 61% of those diagnosed) was modest in the Latin American sites where this was studied. Diabetes was independently associated with less education, but more assets. Hypertension, central obesity and hypertriglyceridaemia, but not ypercholesterolaemia were consistently associated with total diabetes. Conclusions: Diabetes prevalence is already high in most sites. Identifying undiagnosed cases is essential to quantify population burden, particularly in least developed settings where diagnosis is uncommon. Metabolic risk factors and associated lifestyles may play an important part in aetiology, but this requires confirmation with longitudinal data. Given the high prevalence among older people, more population research is indicated to quantify the impact of diabetes, and to monitor the effect of prevention and health system strengthening on prevalence, treatment and control.en
dc.publisherPloS Medicineen
dc.relation.ispartofseries11(2);art no.e0149616
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.subjectDiabetes Mellituses_ES
dc.subjectDiabetes complicacioneses_ES
dc.subjectPaíses en desarrolloes_ES
dc.subjectEstadísticas y datos numéricoses_ES
dc.subjectAnciano de 80 o más añoses_ES
dc.titleThe prevalence, correlates, detection and control of diabetes among older people in low and middle incomecountries: a 10/66 dementia research group population-based survey.en

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