Achievement of cardiometabolic goals among diabetic patients in Spain. A nationwide population-based study
EntityUAM. Departamento de Medicina Preventiva y Salud Pública y Microbiología
PublisherPublic Library of Science
10.1371/journal.pone.0061549Plos One 8.4 (2013): e61549
Funded byData for this work were taken from the ENRICA study, which was funded by Sanofi-Aventis. Additional funding was obtained from the ‘Cátedra UAM de Epidemiología y Control del Riesgo Cardiovascular’
SubjectsAlbuminuria; Blood Pressure; Body Mass Index; Cardiovascular Diseases; Obesity; Glycosylated; Medicina
Rights© 2013 Navarro-Vidal et al.
Background:No previous study has reported a comprehensive assessment of the attainment of cardiometabolic goals in the diabetic population of a European country. We examined the achievement of cardiometabolic goals among diabetics in Spain.Methods and Findings:A cross-sectional survey was performed in 2008-2010 among 12,077 individuals representative of the Spanish population aged ≥18 years. Information on cardiometabolic characteristics was collected at the participants' homes through structured questionnaires, physical examination, and fasting blood samples. Attainment of cardiometabolic goals was evaluated according to the most well-known guidelines. A total of 834 individuals had diabetes (fasting serum glucose ≥126 mg/dl, or glycosylated hemoglobin ≥6.5%,) or were being treated with oral antidiabetic drugs or insulin). Among diabetic patients, 661 (79.2%) were aware of their condition. Among the aware diabetic patients, only 11.4% had neither general (body mass index <25 kg/m2) nor abdominal obesity (waist circumference ≤102 cm in men and ≤88 cm in women), 8.6% consumed <7% of calories daily from saturated fats, and 41.1% achieved the recommendation on weekly physical activity. About 71% had glycosylated hemoglobin <7%, 22% had blood pressure <130/80 mmHg, and 36% reached the LDL-cholesterol goal of <100 mg/dl. Although a large proportion of aware diabetic individuals received lifestyle medical advice, only 38% of overweight individuals and 20% of daily smokers were offered a specific strategy for weight loss or quitting smoking, respectively.Conclusions:In a European country with universal healthcare coverage, achievement of many cardiometabolic goals, in particular lifestyle, among aware diabetic individuals is poor. This suggests a need for improvement in both clinical guidelines' implementation and patients' adherence
Google Scholar:Navarro-Vidal, Beatriz - Banegas, José Ramón - León-Muñoz, Luz María - Rodriguez Artalejo, Fernando - Graciani, Auxiliadora Auxiliadora
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