Resumo

ROSELLO-ARAYA, Marlene. Factores de riesgo asociados a glicemia elevada en ayunas en pacientes de la clínica de salud, de El Guarco de Cartago. Rev. costarric. cienc. méd [online]. 2003, vol.24, n.1-2, pp.25-32. ISSN 0253-2948.

The proposite of this study is determine the risk factors associated to high serum glucose levels in adults attended in the Health Center of El Guarco-Cartago. Medical files from all adults 15-75 year-old (excluding pregnant and diabetics) which glucose levels were evaluated after 12h of fasting in the Health Center of El Guarco-Cartago during 1998 were revised. Demographic and anthropometrics data, family and individual history of chronic disease were registered. Serum glucose levels > 110 mg/dl were considered as high. The prevalence of high serum glucose levels was 6.7%. The prevalence of serum glucose levels 110 mg/dl was significantly higher in females than in males. A positive linear relationship between age, body mass index (BMI) and glucose levels was evidenced. Adults with high blood pressure and those to take medicines showed a higher probability to present high serum glucose levels. The logistic regression analysis model indicated that the family history of Diabetes Mellitus (DM), age, BMI, and high blood pressure were factors positively associated to glucose levels 110 mg/dl. This study demonstrated that adults with family history of Diabetes Mellitus obesity present a higher risk to shown high serum glucose levels. Therefore, nutritional interventions and educational strategies are needed to promote the adoption of healthful lifestyle among to this population in order to preventt he DM development.

Palavras-chave : Diabetes mellitus type 2; High serum glucose levels; risk factors; obesity; Body mass index.