title: [Prevalence of diabetes and associated factors in an urban adult population of low educational level and income from the Brazilian Northeast wilderness].
abstract: BACKGROUND
  Diabetes mellitus (DM) is a public health problem in Brazil. The objective of this study was to investigate the prevalence of DM and its relation with socio-demographic features and other cardiovascular risk factors in a adult population from the wilderness of Pernambuco, Brazil.
  
  
  METHODS
  In 2008/2009 a cross-sectional study in the adult urban population of Canãa district, city of Triunfo, in the wilderness of Pernambuco/Brazil was conducted. A representative sample of 198 individuals, with average age of 57.7 years, 80% with primary education and 81.3% with a monthly income of less than 1 minimum wage was randomly selected.
  
  
  RESULTS
  A prevalence of diabetes of 13.6% and 7.6% of disglycemia (6.6% of impaired fasting glycemia, and 1.0% of impaired glucose tolerance) was found. Among those with diabetes, 24% had no prior diagnosis. Among diabetics, metabolic syndrome (MS) and arterial hypertension (AH) were diagnosed in 87.5% and 68%, respectively. Besides these, there was a positive and significant association between DM and BMI, and between DM and MS.
  
  
  CONCLUSIONS
  These data demonstrate a high prevalence of DM in the adult urban population from the wilderness of Pernambuco/Brazil. These results as well as their association with obesity and MS, indicate that more effective interventions are necessary for the prevention of these diseases also outside principal urban centers.
authors.affiliation: Departamento de Genética, Centro de Ciências Biológicas, Universidade Federal de Pernambuco, Recife, PE, Brasil. ruylyra@smart.net.br
authors.forename: Ruy
authors.initials: R
authors.lastname: Lyra
authors.forename: Rosilda dos Santos
authors.initials: Rdos S
authors.lastname: Silva
authors.forename: Renan Magalhães
authors.initials: RM
authors.lastname: Montenegro
authors.forename: Marcus Vinicius Cardoso
authors.initials: MV
authors.lastname: Matos
authors.forename: Nathalia Joanne Bispo
authors.initials: NJ
authors.lastname: Cézar
authors.forename: Luiz
authors.initials: L
authors.lastname: Maurício-da-Silva
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D001938:Brazil / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000453:epidemiology*; D005260:Female; D006306:Health Surveys; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D024821:Metabolic Syndrome / Q000150:complications; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D015995:Prevalence; D012307:Risk Factors; D017678:Sex Distribution; D012959:Socioeconomic Factors; D014504:Urban Health / Q000706:statistics & numerical data