[Lifestyle and treatment adherence of type 2 diabetes mellitus people in the Canary Islands].
BACKGROUND
The Canary Islands population experiences the highest type 2 diabetes (DM2) mortality in Spain. We studied lifestyle, unknown DM2 and treatment adherence in diabetics of these islands.


METHODS
Cross-sectional study of 6729 subjects from the general population (age 18-75) that participate in the cohort study "CDC of the Canary Islands". We found out their medical problems, diet, physical activity, medications, smoking, etc.


RESULTS
Prevalence of DM2 was 12% in men and 10% in women (p=0.005). The disease was unknown in 22% of men and 9% of women (p < 0.001). Considering unknown DM2, lack of treatment and lack of adherence, 48% of men and 28% of women did not follow a regular treatment. Diabetics' men prevalences of smoking (28%; CI(95%)=23-33) and sedentariness (62%; CI(95%)=56-68) were similar to non diabetic men, but obesity was more frequent in diabetics (45 versus 25%; p < 0.001). Diabetics women showed a higher obesity (54 versus 27%; p < 0.001) and a lower smoking prevalence (11 versus 22%; p < 0,001) than non diabetics, but they presented a similar sedentariness (75%; CI(95%)=70-79). In both sexes, energy intake was lower in diabetics (p < 0.001), but 93% of them (CI(95%)=91-95) showed a high consumption of calories from saturated fat and 69% (CI(95%)=65-72) presented metabolic syndrome.


CONCLUSIONS
The Canarian diabetics are a sedentary and obese population that show a high consumption of saturated fats and high prevalence of metabolic syndrome. The proportion of them following regular treatment is low, specially in diabetic men that, in addition, still smoke.
de León
Antonio Cabrera
AC
Unidad de Investigación, Hospital Universitario Nuestra Señora de La Candelaria, Tenerife, España. acableo@gobiernodecanarias.org
Rodríguez
José Carlos del Castillo
JC
Coello
Santiago Domínguez
SD
Pérez
María Del Cristo Rodríguez
Mdel C
Díaz
Buenaventura Brito
BB
Alamo
Carlos Borges
CB
Fernández
Lourdes Carrillo
LC
González
Delia Almeida
DA
Sánchez
José Juan Alemán
JJ
Hernández
Ana González
AG
Aguirre-Jaime
Armando
A
D000328:Adult; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy* / Q000453:epidemiology; D005260:Female; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000706:statistics & numerical data*; D015995:Prevalence; D013030:Spain