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Diabetes in Bolivia.

A Barceló1, M C Daroca, R Ribera

  • 1Pan American Health Organization, Program on Non-Communicable Diseases, 525 Twenty-third Street, N.W., Washington, D.C. 20037-2895, USA. barceloa@paho.org

Revista Panamericana De Salud Publica = Pan American Journal of Public Health
|January 5, 2002
PubMed
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Diabetes mellitus (DM) affects 7.2% of adults in major Bolivian cities, with high rates of overweight and hypertension. Without prevention, future diabetes prevalence is expected to rise.

Area of Science:

  • Public Health
  • Epidemiology
  • Cardiovascular Disease Research

Background:

  • Non-communicable diseases, including diabetes mellitus (DM), are a growing global health concern.
  • Understanding the prevalence of DM and associated risk factors is crucial for public health planning in urban settings.

Purpose of the Study:

  • To determine the prevalence of diabetes mellitus (DM), hypertension, obesity, and related risk factors in four major Bolivian cities.
  • To assess the current public health burden of DM and identify at-risk populations.

Main Methods:

  • A population-based survey was conducted in La Paz, El Alto, Santa Cruz, and Cochabamba, Bolivia.
  • A total of 2,948 participants were included with an 86% response rate.
  • Diabetes mellitus was diagnosed using the World Health Organization (WHO) criteria via an oral glucose tolerance test (OGTT).

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Main Results:

  • The overall prevalence of DM was 7.2% and impaired glucose tolerance (IGT) was 7.8% across the four cities.
  • A high proportion of individuals with DM (over 73%) were overweight, and hypertension was significantly more common in those with DM (36.5%) compared to those without (15.9%).
  • DM prevalence was higher among older individuals and those with lower educational attainment.

Conclusions:

  • Diabetes mellitus represents a significant public health challenge in Bolivia.
  • The substantial prevalence of IGT indicates a potential increase in future DM cases if preventive measures are not implemented.
  • Urgent public health strategies are needed to address the rising tide of diabetes in Bolivia.