Diabetes in Panama: Epidemiology, Risk Factors, and Clinical Management

ObjectivesTo draw evidence-based conclusions about the epidemiology, drivers, and management of diabetes in Panama based on a literature review and original analyses of large databases.MethodsA search about diabetes in Panama was cond...

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Autores principales:	Anselmo J Mc Donald Posso, Ryan A Bradshaw Meza, Enrique A Mendoza Morales, Ycly Jaen, Alberto Cumbrera Ortega, Enrique Jorge Mendoza Posada
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2016
Materias:	diabetes mellitus Panama diabetes risk factors diabetes care Latin America Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/78c4ea6728a940e99a7d179757c5e2f0
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spelling	oai:doaj.org-article:78c4ea6728a940e99a7d179757c5e2f02021-12-02T04:05:10ZDiabetes in Panama: Epidemiology, Risk Factors, and Clinical Management2214-9996https://doaj.org/article/78c4ea6728a940e99a7d179757c5e2f02016-04-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/99https://doaj.org/toc/2214-9996<p>Objectives</p><p>To draw evidence-based conclusions about the epidemiology, drivers, and management of diabetes in Panama based on a literature review and original analyses of large databases.</p><p>Methods</p><p>A search about diabetes in Panama was conducted through PubMed. We used the final reports of 2 studies: the first Survey of Health and Life Quality, 2007, and the first Survey of Risk Factors Associated to Cardiovasular Diseases, 2010-2011, conducted in Panama and analyzed the databases. We reviewed the approach adopted by the Panamanian Social Security institution and the diabetes national guidelines published by the Panamanian Ministry of Health.</p><p>Findings</p><p>The prevalence of diabetes, as estimated in 1 database (ENSCAVI), was 5.4% (4.3% men; 6.0% women; OR = 1.41 [confidence interval 1.26-1.59]; 'P' < 0.0001), with the highest prevalence in urbanized regions. In another database (PREFREC), prevalence was 9.5% (10.3% men and 9.1% women), again higher in urbanized regions, but also in males, older adults, and Afro-Panamanians. Obesity, abdominal obesity, physical inactivity, family history of diabetes, high blood pressure, and triglycerides ≥ 150 mg/dL were associated as risk factors for diabetes in both genders ('P' < 0.0001). Total cholesterol ≥ 200 mg/dL and high-density lipoprotein cholesterol < 40 mg/dL were risk factors in men ('P' < 0.0001). In the last 5 years, diabetes was ranked between the sixth and fifth cause of death in Panama. In response, the Panamanian Social Security created the “Program for Prevention and Control of Diabetes” to strengthen primary health care.</p><p>Conclusions</p>Diabetes is a serious national public health threat in Panama. To address this problem in a public health modality, information from large databases was analyzed and presented to the Panamanian Ministry of Health to prompt constructive policy change to enhance diabetes prevention.Anselmo J Mc Donald PossoRyan A Bradshaw MezaEnrique A Mendoza MoralesYcly JaenAlberto Cumbrera OrtegaEnrique Jorge Mendoza PosadaUbiquity Pressarticlediabetes mellitusPanamadiabetes risk factorsdiabetes careLatin AmericaInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 81, Iss 6, Pp 754-764 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	diabetes mellitus Panama diabetes risk factors diabetes care Latin America Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	diabetes mellitus Panama diabetes risk factors diabetes care Latin America Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Anselmo J Mc Donald Posso Ryan A Bradshaw Meza Enrique A Mendoza Morales Ycly Jaen Alberto Cumbrera Ortega Enrique Jorge Mendoza Posada Diabetes in Panama: Epidemiology, Risk Factors, and Clinical Management
description	<p>Objectives</p><p>To draw evidence-based conclusions about the epidemiology, drivers, and management of diabetes in Panama based on a literature review and original analyses of large databases.</p><p>Methods</p><p>A search about diabetes in Panama was conducted through PubMed. We used the final reports of 2 studies: the first Survey of Health and Life Quality, 2007, and the first Survey of Risk Factors Associated to Cardiovasular Diseases, 2010-2011, conducted in Panama and analyzed the databases. We reviewed the approach adopted by the Panamanian Social Security institution and the diabetes national guidelines published by the Panamanian Ministry of Health.</p><p>Findings</p><p>The prevalence of diabetes, as estimated in 1 database (ENSCAVI), was 5.4% (4.3% men; 6.0% women; OR = 1.41 [confidence interval 1.26-1.59]; 'P' < 0.0001), with the highest prevalence in urbanized regions. In another database (PREFREC), prevalence was 9.5% (10.3% men and 9.1% women), again higher in urbanized regions, but also in males, older adults, and Afro-Panamanians. Obesity, abdominal obesity, physical inactivity, family history of diabetes, high blood pressure, and triglycerides ≥ 150 mg/dL were associated as risk factors for diabetes in both genders ('P' < 0.0001). Total cholesterol ≥ 200 mg/dL and high-density lipoprotein cholesterol < 40 mg/dL were risk factors in men ('P' < 0.0001). In the last 5 years, diabetes was ranked between the sixth and fifth cause of death in Panama. In response, the Panamanian Social Security created the “Program for Prevention and Control of Diabetes” to strengthen primary health care.</p><p>Conclusions</p>Diabetes is a serious national public health threat in Panama. To address this problem in a public health modality, information from large databases was analyzed and presented to the Panamanian Ministry of Health to prompt constructive policy change to enhance diabetes prevention.
format	article
author	Anselmo J Mc Donald Posso Ryan A Bradshaw Meza Enrique A Mendoza Morales Ycly Jaen Alberto Cumbrera Ortega Enrique Jorge Mendoza Posada
author_facet	Anselmo J Mc Donald Posso Ryan A Bradshaw Meza Enrique A Mendoza Morales Ycly Jaen Alberto Cumbrera Ortega Enrique Jorge Mendoza Posada
author_sort	Anselmo J Mc Donald Posso
title	Diabetes in Panama: Epidemiology, Risk Factors, and Clinical Management
title_short	Diabetes in Panama: Epidemiology, Risk Factors, and Clinical Management
title_full	Diabetes in Panama: Epidemiology, Risk Factors, and Clinical Management
title_fullStr	Diabetes in Panama: Epidemiology, Risk Factors, and Clinical Management
title_full_unstemmed	Diabetes in Panama: Epidemiology, Risk Factors, and Clinical Management
title_sort	diabetes in panama: epidemiology, risk factors, and clinical management
publisher	Ubiquity Press
publishDate	2016
url	https://doaj.org/article/78c4ea6728a940e99a7d179757c5e2f0
work_keys_str_mv	AT anselmojmcdonaldposso diabetesinpanamaepidemiologyriskfactorsandclinicalmanagement AT ryanabradshawmeza diabetesinpanamaepidemiologyriskfactorsandclinicalmanagement AT enriqueamendozamorales diabetesinpanamaepidemiologyriskfactorsandclinicalmanagement AT yclyjaen diabetesinpanamaepidemiologyriskfactorsandclinicalmanagement AT albertocumbreraortega diabetesinpanamaepidemiologyriskfactorsandclinicalmanagement AT enriquejorgemendozaposada diabetesinpanamaepidemiologyriskfactorsandclinicalmanagement
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Diabetes in Panama: Epidemiology, Risk Factors, and Clinical Management

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