000048128 001__ 48128
000048128 005__ 20240122154813.0
000048128 0247_ $$2doi$$a10.1186/1756-0500-7-48
000048128 0248_ $$2sideral$$a85338
000048128 037__ $$aART-2014-85338
000048128 041__ $$aeng
000048128 100__ $$0(orcid)0000-0002-9930-3903$$aLucha-López, M.O.$$uUniversidad de Zaragoza
000048128 245__ $$aAnalysis of a sample of type 2 diabetic patients with obesity or overweight and at cardiovascular risk: A cross sectional study in Spain
000048128 260__ $$c2014
000048128 5060_ $$aAccess copy available to the general public$$fUnrestricted
000048128 5203_ $$aBackground: The multifactorial control of diabetes relies on interventions that provide patients with the best knowledge and resources available. The objective of this research was to analyze the clinical characteristics of a sample of people with type 2 diabetes at high cardiovascular risk, and establish possible links between disease control, family history and lifestyle, to improve the quality of interventions. Family history, lifestyle habits,
blood pressure, anthropometric data and laboratory tests were analyzed in this descriptive and comparative cross-sectional study.
Results: All patients had a pathological body mass index (BMI), and in those patients with a family history of diabetes, the disease was more serious and onset was earlier. Overall, 70.9% were taking drugs for arterial blood pressure management, with mean values within recommended limits; 87.1% were taking antihyperlipidemic drugs and had mean values for blood lipids within reference range; 93.5% were receiving oral antidiabetic drugs and/or insulin and had blood glucose and glycosylated hemoglobin (HbA1c) values higher than recommended limit; and 87% were taking antiplatelet drugs and had fibrinogen and ultrasensitive C-reactive protein higher than the normal range. High HbA1c values were found in a high proportion of our sample who were not following a tailored diet (84.2%), and better BMIs were associated with moderate physical activity. Coexistence of somatic disorders (97.4% of the sample with musculoskeletal diseases) could lead to the lack of physical activity.
Conclusions: This sample of patients with type 2 diabetes and at high cardiovascular risk, had acceptable metabolic control, facilitated by drug therapy. Family history of diabetes was associated with earlier disease onset and worse disease progression. Patients who were not following a tailored diet had worse HbA1c values compared with those who were. Individuals who practiced moderate physical activity in line with international recommendations for weight maintenance had the best BMI values, but the high prevalence of comorbidities could adversely affect exercise habits. Appropriate use of medication, dietary advice, and tailored physiotherapy physical activity suitable for people with comorbidities should be included in multifactorial treatment strategies for these patients, particularly in the presence of a family history of diabetes.
000048128 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000048128 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000048128 700__ $$0(orcid)0000-0002-8399-130X$$aLucha-López, A.C.$$uUniversidad de Zaragoza
000048128 700__ $$0(orcid)0000-0003-1444-7949$$aVidal-Peracho, C.
000048128 700__ $$0(orcid)0000-0002-3583-5206$$aTricás-Moreno, J.M.$$uUniversidad de Zaragoza
000048128 700__ $$0(orcid)0000-0002-5161-7479$$aEstebanes de Miguel, E.$$uUniversidad de Zaragoza
000048128 700__ $$0(orcid)0000-0002-8072-2390$$aSalavera-Bordás, C.$$uUniversidad de Zaragoza
000048128 700__ $$0(orcid)0000-0001-7667-2178$$aHidalgo-García, C.$$uUniversidad de Zaragoza
000048128 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería
000048128 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia
000048128 7102_ $$14009$$2735$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicolog.Evolut.Educac
000048128 773__ $$g7 (2014), 48 [8 pp.]$$pBMC Res. Notes$$tBBMC research notes$$x1756-0500
000048128 8564_ $$s359893$$uhttps://zaguan.unizar.es/record/48128/files/texto_completo.pdf$$yVersión publicada
000048128 8564_ $$s91165$$uhttps://zaguan.unizar.es/record/48128/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000048128 909CO $$ooai:zaguan.unizar.es:48128$$particulos$$pdriver
000048128 951__ $$a2024-01-22-15:30:36
000048128 980__ $$aARTICLE