[Macroangiopathy in type II diabetes. The Raval South study].
OBJECTIVE
To study the prevalence of clinical forms of diabetic macroangiopathy (DM) and its risk factors.


METHODS
A descriptive crossover study.


METHODS
An elderly and socio-economically very depressed population in Raval Sud Health District (HD), Barcelona.


METHODS
Random sampling of type II diabetes patients (n = 387) registered in the HD (6.6% prevalence).


RESULTS
Each patient was examined for the presence of diagnostic criteria of peripheric, cerebral or coronary vasculopathy (VP); as well as for the possible risk factors (age, gender, years of the DM's evolution, tobacco, hypertension, obesity, glycosilated haemoglobin and dyslipemia). Prevalences obtained were: peripheric VP = 24.5%, cerebral VP = 9.5%, coronary VP = 18.1%. 30.5% of the diabetics had some form of macroangiopathy. The main risk factors for all the clinical forms (p < 0.001) were age and the length of evolution of DM, tobacco mainly for peripheric VP (p < 0.001), systolic Hypertension for cerebral VP (p = 0.03) and Hypertriglyceridaemia for peripheric VP (p < 0.01).


CONCLUSIONS
Macroangiopathy affects a high percentage (30.5%) of type 2 diabetics. The principal risk factors are those associated with tobacco, hypertension and hypertriglyceridaemia, all of which we can affect and control.
Mur Martí
T
T
Area Básica de Salud Raval Sud, Barcelona.
Franch Nadal
J
J
Morato Griera
J
J
Mena González
A
A
Vilarrubias Calaf
M
M
Llobera Serentill
A
A
D000368:Aged; D002391:Catchment Area, Health; D003924:Diabetes Mellitus, Type 2 / Q000503:physiopathology*; D003925:Diabetic Angiopathies / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D013030:Spain / Q000453:epidemiology
Macroangiopatía en la diabetes tipo II. El estudio Raval Sud.