La diabetes en Asia y el mundo
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Ambady Ramachandran1, Ronald Ching Wan Ma, Chamukuttan Snehalatha
1India Diabetes Research Foundation and Dr A Ramachandran's Diabetes Hospitals, Chennai, India. ramachandran@vsnl.com
Lancet (London, England)
|October 31, 2009
Resumen
La diabetes tipo 2 está aumentando en las poblaciones asiáticas, afectando a las personas más jóvenes y aumentando el riesgo de enfermedades cardiovasculares. Se necesitan estrategias nacionales urgentes para la prevención y la mejora de la atención.
Área de la Ciencia:
- Endocrinología Endocrinología.
- Salud Pública La salud pública.
- Epidemiología La epidemiología.
Sus antecedentes:
- La prevalencia de la diabetes tipo 2 está aumentando rápidamente en las poblaciones asiáticas nativas y migrantes.
- El inicio de la diabetes ocurre a una edad más temprana en las poblaciones asiáticas en comparación con las poblaciones blancas.
- La edad más joven de aparición y los altos factores de riesgo cardiovascular en los asiáticos elevan significativamente el riesgo de enfermedad cardiovascular de por vida.
Objetivo del estudio:
- Para resaltar los factores patogenéticos únicos y los umbrales para la diabetes en las poblaciones asiáticas.
- Para subrayar la carga económica sustancial de la diabetes.
- Abogar por estrategias nacionales para la concienciación pública, la mejora de las normas de atención y los programas de prevención primaria.
Principales métodos:
- Este estudio es una revisión de la literatura existente y los datos epidemiológicos.
- Análisis de tendencias de prevalencia y factores de riesgo en poblaciones asiáticas.
- Evaluación del impacto económico y desafíos del sistema de salud.
Principales resultados:
- Se observan factores patogenéticos distintivos y umbrales más bajos para el desarrollo de diabetes en poblaciones asiáticas.
- El aumento de la morbilidad y la mortalidad por diabetes y sus complicaciones es frecuente en los jóvenes asiáticos.
- La carga económica de la diabetes es sustancial a nivel personal, social y nacional.
Conclusiones:
- Se requieren estrategias nacionales urgentes para abordar la creciente prevalencia de la diabetes tipo 2 en las poblaciones asiáticas.
- La mejora de la conciencia pública, el estándar de atención y los programas de prevención primaria son cruciales.
- Son necesarias intervenciones específicas teniendo en cuenta las características únicas de la diabetes en las poblaciones asiáticas.
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