1
CARDIOVASCULAR RISK IN DIABETIC IMMIGRANTS. IDIME STUDY . Inmigración y Diabetes Mellitus en España José Manuel MILLARUELO-TRILLO; Sara ARTOLA-MENENDEZ; Javier MEDIAVILLA-BRAVO; Irene RUIZ-TAMAYO; Manel MATA-CASES; Josep FRANCH-NADAL on behalf redGDPS Aims Design & Methods Results Conclusions To study the presence of cardiovascular risk factors and their treatment among the diabeTc immigrant populaTon in Spain NaTonal cross-secTonal comparaTve cohorts study (diabeTc immigrants versus naTve diabeTc, a proporTon of 2 to 1). N=877 Sociodemographic, anthropometric and clinical variables Cardiovascular risk factor and their treatment the presence of complicaTons related to diabetes. Cardiovascular risk at 10 years was calculated with UKDPS risk engine. 377 169 126 184 89 NaTve South-Americans Hindustani Maghrinbians Other countries IDIME 10 years Vascular Risk (coronary & brain) (UKPDS risk engine) NaTve South Americans Hindustani Maghribian Other 17,1% 10,0% 11,0% 8,4% 11,3% 8,7% 3,0% 2,0% 2,1% 2,8% Coronary Stroke The spanish diabeTc immigrant profile is a young and “healthy” but with a worse metabolic control. The shorter Tme from Diagnosis probably jusTfy a lower prevalence of chronic complicaTons. This situaTon give us an excellent oportunity to develope educaTonal adapted intervenTons to empower Diabetes self management in these ciTzens. 13,9 6 11,3 6 5,3 1,8 1,8 1,8 1,2 1,8 11,6 0,8 3,1 3,1 2,3 3,5 1 1 1,5 3 7,1 2,1 4,1 0 3,1 0 2 4 6 8 10 12 14 16 Coronary Stroke Per Vasc Heart Failure DiabeTc foot NaTve South Americans Hindustani Maghribian Other 16 12,9 6,7 6 7,7 3,6 8,5 6,2 3,1 11,4 12 3,5 14,3 8,2 2 0 2 4 6 8 10 12 14 16 18 ReTnophaty Nephropathy Neuropathy NaTve South Americans Hindustani Maghribian Other 9,3 a 6,3 a 4 a 6 a 6,1 a IDIME Year from Diagnosis P<0,001 South Americans Hindustani Maghribian Others Native Age at diagnosis Actual age 65 a 60 a 55 a 50 a 45 a 40 a % men NaTve 56% SouthAmerican 39% Hindustani 88% Mgahribian 47% Others 56%

CARDIOVASCULAR RISK IN DIABETIC IMMIGRANTS. … poster... · CARDIOVASCULAR RISK IN DIABETIC IMMIGRANTS. ... 3,0% 2,0% 2,1% 2,8% ... This situaTon give us an excellent oportunity

Embed Size (px)

Citation preview

CARDIOVASCULARRISKINDIABETICIMMIGRANTS.IDIMESTUDY.

InmigraciónyDiabetesMellitusenEspañaJoséManuelMILLARUELO-TRILLO;SaraARTOLA-MENENDEZ;JavierMEDIAVILLA-BRAVO;IreneRUIZ-TAMAYO;ManelMATA-CASES;JosepFRANCH-NADALonbehalfredGDPS

Aims

Design&Methods

Results

Conclusions

TostudythepresenceofcardiovascularriskfactorsandtheirtreatmentamongthediabeTcimmigrantpopulaToninSpain

NaTonalcross-secTonalcomparaTvecohortsstudy(diabeTcimmigrantsversusnaTvediabeTc,aproporTonof2to1).N=877•  Sociodemographic,anthropometricandclinicalvariables•  Cardiovascularriskfactorandtheirtreatment•  thepresenceofcomplicaTonsrelatedtodiabetes.•  Cardiovascularriskat10yearswascalculatedwithUKDPSriskengine.

377

169

126

184

89

NaTve

South-Americans

Hindustani

Maghrinbians

Othercountries

IDIME 10yearsVascularRisk(coronary&brain)(UKPDSriskengine)

NaTve SouthAmericans

Hindustani Maghribian Other

17,1%

10,0% 11,0%

8,4%

11,3%

8,7%

3,0%2,0% 2,1% 2,8%

Coronary Stroke

ThespanishdiabeTcimmigrantprofileisayoungand“healthy”butwithaworsemetaboliccontrol.TheshorterTmefromDiagnosisprobablyjusTfyalowerprevalenceofchroniccomplicaTons.ThissituaTongiveusanexcellentoportunitytodevelopeeducaTonaladaptedintervenTonstoempowerDiabetesselfmanagementintheseciTzens.

13,9

6

11,3

65,3

1,8 1,8 1,81,2

1,8

11,6

0,8

3,1 3,12,3

3,5

1 11,5

3

7,1

2,1

4,1

0

3,1

0

2

4

6

8

10

12

14

16

Coronary Stroke PerVasc HeartFailure DiabeTcfoot

NaTve SouthAmericans Hindustani Maghribian Other16

12,9

6,76

7,7

3,6

8,5

6,2

3,1

11,412

3,5

14,3

8,2

2

0

2

4

6

8

10

12

14

16

18

ReTnophaty Nephropathy Neuropathy

NaTve SouthAmericans Hindustani Maghribian Other

9,3 a

6,3 a

4 a 6 a

6,1 a

IDIME Year from Diagnosis P<0,001

South Americans Hindustani Maghribian Others Native

Age at diagnosis Actual age

65a60a55a50a45a40a

%menNaTve56%SouthAmerican39%Hindustani88%Mgahribian47%Others56%