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OVIEDO, 4 February (EUROPA PRESS) –
A study of the research group in endocrinology, nutrition, diabetes and obesity, belonging to the Institute of Health Research of the Principality of Asturias (ISPA), revealed that mortality from cardiovascular disease was higher among young women diagnosed with type 2 diabetes.
The study, coordinated by the head of the Diabetes Section of the Department of Endocrinology and Nutrition of the Central Asturian University Hospital, Elías Delgado, and headed in its last phase by Dr. Jessica Ares , was published this week in the scientific journal Plos Un & # 39 ;.
Research shows that of the 1,034 people analyzed over 18 years and aged 30 to 75 years – 48 people were diagnosed with diabetes, 83 undiagnosed, 296 with prediabetes and 607 with normoglycemia – 204 died. , 74 died from cardiovascular disease, 72 from cancer, and 58 from other causes. 32 of the deceased had undiagnosed type 2 diabetes, 30 had been diagnosed, 62 had prediabetes and 80 had normoglycemia.
IMPORTANCE OF THE FIRST DIAGNOSIS
While the results obtained during these years reveal that the excess mortality was "particularly remarkable" among women, the group of researchers believes that it is necessary to instil in Asturian primary care services the need to put implement early detection strategies for diabetes. in apparently healthy women, because in this population, cardiovascular problems are more difficult to detect because the symptoms are "less striking".
Researcher Jessica Ares, in a statement to Europa Press, added that "it would be good" to promote an early diagnosis campaign and sensitize society, especially women, to the risk of diabetes.
Ares also explained that the prevalence of mortality among women with diabetes was six times higher than that of men. The researcher pointed out that this is due, among other factors, to the fact that diabetes "eliminates the protection of estrogen". This is why mortality due to cardiovascular disease is also high in women after menopause, when the level of this hormone decreases.
The research, entitled "Asturias Study, 1998 to 2017. The Risk of Mortality in Diagnosed Diabetes, Undiagnosed Diabetes and Pre-diabetes in the Adult Population" is a prospective cohort study on diabetes and cardiovascular risk factors that has for frame population of Asturias.
7.000 cases of diabetes per year
The study, which revealed 7,000 cases of diabetes a year in Asturias, was organized in four phases, the first being led by Dr. Patricia Botas, the second by Dr. Sergio Valdés, the third by Dr. Cecilia Sánchez. -Ragnarsson, and the fourth and last by the first signatory of the study, Jessica Ares. The first phase was carried out between 1998 and 1999 to determine the prevalence of diabetes mellitus 2 and prediabetes in Asturians, performed by endocrine therapist Patricia Botas. The final sample consisted of 1,034 people aged 30 to 75 years.
The results showed that 11.3% of participants had diabetes (more than 60% of people did not know it) and 13.5%, the previous category, prediabetes. The study revealed, in a first phase of reassessment, that diabetics had a mortality risk approximately three times higher than people without alteration of the hydrocarbon metabolism.
After 18 years, the group of researchers again updated the vital state of the Asturian participants in 1998 by calculating the all-cause mortality rate, cardiovascular disease and cancer, as a function of changes in the metabolism of hydrocarbons. 1998.
During the follow-up, 204 people died, resulting in a mortality rate per 10,000 people per year of 10.96%, three times more in the population with known diabetes in 1998 and twice as high in the population diagnosed diabetes that year.
On the basis of the data obtained, the researchers concluded that the presence of diabetes mellitus increased the risk of all-cause mortality by more than two-fold compared with those who did not. With regard to the causes of death of diabetics, the cardiovascular cause is predominant in both sexes.
However, researchers are calling "mightily" the attention that women with diabetes are at risk of dying from cardiovascular disease five times greater than men with diabetes, who are more predisposed than women with diabetes. to develop neoplasms.
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