Pregled bibliografske jedinice broj: 530574
Gender Differences in the Control of Cardiovascular Risk Factors in Patients with Type 2 Diabetes – A Cross-Sectional Study
Gender Differences in the Control of Cardiovascular Risk Factors in Patients with Type 2 Diabetes – A Cross-Sectional Study // Internal medicine, 51 (2012), 2; 161-166 doi:10.2169/internalmedicine.51.6094 (međunarodna recenzija, članak, znanstveni)
CROSBI ID: 530574 Za ispravke kontaktirajte CROSBI podršku putem web obrasca
Naslov
Gender Differences in the Control of Cardiovascular Risk Factors in Patients with Type 2 Diabetes – A Cross-Sectional Study
Autori
Šekerija, Mario ; Poljičanin, Tamara ; Erjavec, Katja ; Liberati-Čizmek, Ana-Marija ; Prašek, Manja ; Metelko, Željko
Izvornik
Internal medicine (0918-2918) 51
(2012), 2;
161-166
Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni
Ključne riječi
gender ; diabetes mellitus ; risk factors ; cardiovascular diseases
Sažetak
Trends in diabetes and cardiovascular mortality rates are considerably different between women and men ; this can be partially explained by differences in diabetes control. The aim of this cross-sectional study was to assess whether sex differences exist in effective control of cardiovascular risk factors among persons with type 2 diabetes treated at the Vuk Vrhovac University Clinic in 2008. We performed a cross- sectional analysis including 8, 775 patients who attended the clinic in 2008. Levels of HbA1c, systolic and diastolic blood pressure (SBP, DBP), LDL- cholesterol (LDL) and triglycerides (TG) were analyzed. Multiple adjusted odds-ratios were calculated for categories of cardiovascular risk factors considered not being in control (HbA1c 7%, SBP 130 mmHg, DBP 80 mmHg, LDL 2.5 mmol/L, TG 1.7 mmol/L). Results Women had higher levels of HbA1c (7.05 vs. 6.86% ; p<0.001), despite the fact that a larger proportion of women were receiving insulin therapy than men (51.3% vs. 44%). Women also had higher mean values of SBP (144.7 vs. 141.9 mmHg ; p<0.001) and LDL (2.92 vs. 2.84 mmol/L). There were no differences in DBP (86.1 vs. 86.0 mmHg ; p=0.748) and only triglyceride levels were higher in men (2.04 vs. 1.94 mmol/L ; p=0.003). In multi-adjusted logistic regression model female sex was associated with a higher odds ratio of having uncontrolled values of HbA1c (OR=1.21 ; 95%CI 1.11-1.32), SBP (OR=1.21 ; 95%CI 1.07- 1.37) and LDL (OR=1.13 ; 95%CI 1.04-1.23). Women with diabetes have poorer control of main potentially modifiable cardiovascular risk factors than men. This could contribute to disparities in trends in cardiovascular mortality and it demands clinicians’ and public health awareness.
Izvorni jezik
Engleski
Znanstvena područja
Kliničke medicinske znanosti
POVEZANOST RADA
Projekti:
045-0450961-0960 - Ispitivanje učestalost kroničnih komplikacija šećerne bolesti u R Hrvatskoj (Metelko, Željko, MZOS ) ( CroRIS)
Ustanove:
Klinika za dijabetes, endokrinologiju i bolesti metabolizma Vuk Vrhovac
Profili:
Tamara Poljičanin
(autor)
Katja Vince
(autor)
Mario Šekerija
(autor)
Manja Prašek
(autor)
Željko Metelko
(autor)
Citiraj ovu publikaciju:
Časopis indeksira:
- Current Contents Connect (CCC)
- Web of Science Core Collection (WoSCC)
- Science Citation Index Expanded (SCI-EXP)
- SCI-EXP, SSCI i/ili A&HCI
- Scopus
- MEDLINE